Search Results (135)

Halloysite nanotubes (HNTs), composed of an aluminosilicate framework, are naturally abundant, biocompatible, and sustainable clay minerals with a tubular morphology and tunable surface chemistry, making them attractive platforms for targeted, multifunctional drug delivery systems. In this study, a zinc ferrite integrated halloysite nanocomposite (ZnFe₂O₄/HNT) was developed via a one-pot synthesis approach for sustained release of cisplatin (Cp), aiming to reduce systemic toxicity and enhance cell-specific activity. The nanocomposites were further functionalized by integrating Cp (Cp: ZnFe₂O₄/HNT ratio 0.05) and folic acid (ZnFe₂O₄/HNT/Cp: FA ratio 0.05), followed by PEGylation (0.17 µL/mg of ZnFe₂O₄/HNT/Cp/FA/PEG). The structural and surface characteristics, phase, interfacial interactions (FA and Cp), and colloidal stability of nanoformulations were systematically investigated using powder X-ray diffraction analysis (XRD), Fourier transformed infrared (FT-IR) spectroscopy, zeta potential analysis, scanning electron microscopy-energy dispersive X-ray spectroscopy (SEM-EDS), high-resolution transmission electron microscopy (HRTEM), and diffuse reflectance UV–visible (DRS-UV-Vis) spectroscopy. The results confirmed that ZnFe₂O₄ integration preserved the clay’s tubular framework while inducing nanocrystallization of both ferrite and cisplatin, indicating molecular dispersion within the clay matrix. Functionalization with FA (ZnFe₂O₄/HNT/Cp/FA) promoted amide bond linkage, modulated Cp-FA interactions, and significantly enhanced cumulative Cp release compared to the non-functionalized system ZnFe₂O₄/HNT/Cp (10.3% at 72 h vs. 34.4% at 72 h) under tumor acidic conditions (pH 6.6). PEGylation maintained the controlled release profile while improving dispersion stability. In vitro cytotoxicity studies revealed that FA-conjugated nanocomposites exhibited enhanced, time-dependent anticancer activity against HeLa cervical cancer cells, with reduced toxicity toward normal fibroblasts, indicating preferential cellular uptake via folate receptor-mediated mechanism. Overall, this work demonstrates that FA-functionalized ZnFe₂O₄/HNT nanocomposite provides an effective clay-based platform for modulating Cp release and enhancing folate receptor protein-mediated targeted therapy for cervical cancer. Full article

Rapid urban expansion and the growing spatial requirements of utility-scale photovoltaic (PV) deployment compete for the same category of land—flat, accessible, and high-insolation terrain—yet the scale, trajectory, and planning-sensitivity of this conflict remain poorly characterised at the regional level. This study quantifies the spatiotemporal competition between urban construction land and PV-suitable land in the Yangtze River Delta (YRD) from 2000 to 2020 and projects its evolution to 2030 under three development scenarios. Built-up areas were extracted for three epochs using a Random Forest (RF) classifier on the Google Earth Engine (GEE) platform, achieving overall accuracies of 87.7–94.5% and Kappa coefficients of 0.718–0.739. PV site suitability was evaluated through a hybrid Multi-Criteria Decision Analysis (MCDA) framework combining Boolean exclusion constraints with an Analytic Hierarchy Process (AHP)-based Weighted Linear Combination model; the weight structure was validated by a Consistency Ratio of 0.006, and a One-At-a-Time sensitivity analysis confirmed spatial robustness across threshold scenarios. Spatial overlay analysis reveals that the cumulative area of PV-suitable land occupied by urban built-up uses grew from 15,862 km² in 2000 to 23,872 km² in 2020, representing an incremental loss of 8010 km² over two decades. Future conflict was projected using the PLUS model, calibrated on 2010–2020 observed expansion and validated against the 2020 classified map (OA = 93.99%, Kappa = 0.91). Under the Business-as-Usual (BAU) scenario, 33,368 km² of currently open PV-suitable land faces urban encroachment by 2030; the Ecological Conservation Priority (ECP) scenario reduces this figure to approximately 30,767 km², while the Economic Development (ED) scenario yields a near-identical outcome to BAU, indicating that development velocity alone does not determine the spatial extent of conflict—the allocation of growth does. These findings provide a quantitative basis for designating energy-strategic reserve zones within national spatial planning frameworks and demonstrate that targeted spatial governance, applied at high-pressure locations, can substantially slow the erosion of the region’s solar energy land base. Full article

Background: Stroke is a time-critical emergency in which rapid diagnosis and treatment are essential to improve outcomes. While Emergency Medical Services (EMS) facilitate structured prehospital stroke care, a proportion of patients bypass EMS and self-present to emergency departments (EDs), potentially causing treatment delays. This study compares process times and outcomes between EMS-transported and self-presenting stroke patients. Methods: We conducted a retrospective analysis of prospectively collected data from 1805 patients with suspected stroke admitted between May 2019 and June 2021 to two hospitals in Germany. Patients were classified as EMS-transported or self-presenting. Process times included door-to-needle time (DNT), symptom onset to first medical contact (FMC), and intravenous thrombolysis (IVT) rates. Data are presented as mean ± standard deviation or median [interquartile range] for continuous variables and as number (%) for categorical variables. Results: A total of 1940 patients with suspected stroke were included. For the main analysis comparing EMS transport and self-presentation, 1805 patients (1525 EMS, 280 self-presenting) were evaluated. EMS patients were significantly older than self-presenting patients (73.1 ± 15.1 vs. 65.3 ± 14.9 years, p < 0.001). The median time from symptom onset to first medical contact was 114 [95–132] minutes in EMS patients and 727 [420–1440] minutes in self-presenting patients (p < 0.001). IVT was administered in 119/1197 (9.9%) EMS patients and 18/254 (7.1%) self-presenting patients (p = 0.158) among those with documented information on thrombolysis. Door-to-needle time was slightly but significantly longer in self-presenting patients (median 35 [32–54] vs. 30 [28–34] minutes, p < 0.001), while both groups remained well within certification targets. Conclusions: Self-presenting stroke patients experienced markedly longer prehospital delays and lower intravenous thrombolysis rates compared to EMS-transported patients, although the difference in IVT rates was not statistically significant. In-hospital door-to-needle times were comparable between groups. These findings highlight the need for targeted public education to improve stroke symptom recognition and timely EMS activation. Full article

Background. Overcrowding in emergency departments (EDs), particularly pediatric emergency departments (PEDs), remains a significant challenge that affects patient outcomes and the efficiency of healthcare. Rapid diagnostic tests (RDTs) for respiratory viruses could be a promising tool for improving patient management by enabling prompt etiological diagnoses. This study investigated whether positive RDT results for influenza or adenovirus were associated with differences in length of stay (LOS) in a tertiary PED during epidemic seasons. Methods. A retrospective cohort study was conducted at IRCCS Istituto Giannina Gaslini, Genoa, Italy, over two epidemic seasons (December–February, 2023–2025). All consecutive pediatric patients presenting with fever and respiratory symptoms who underwent rapid diagnostic testing for influenza and/or adenovirus during two epidemic seasons were included. LOS was assessed as the time from triage to discharge (TTD) and from physician assignment to discharge (ATD). Patients were stratified by positive versus negative RDT results. Analyses between groups used the Mann–Whitney U-test for continuous variables and chi-square or Fisher’s exact test for categorical variables. A two-tailed p-value < 0.05 was considered significant. Results. Of the 1238 patients analyzed, the median age was 3.3 years (IQR 1.4–7.2), with male predominance (58.1%). A total of 330 patients (26.6%) tested positive. Compared with negative results, positive RDTs were associated with shorter median TTD (217.0 vs. 239.0 min, p < 0.001) and ATD (66.0 vs. 148.5 min, p < 0.001), which was consistent in both the influenza and adenovirus subgroups. No significant difference in 72 h readmission rates was observed between groups. Conclusions. Among children tested with RDTs for influenza and adenovirus, positive results were associated with reduced PED LOS without increasing early return visits. While these findings suggest a potential role in supporting patient flow, conclusions regarding the broader impact on PED overcrowding should be drawn with caution. Further prospective studies, including non-tested controls and additional viral targets, are required. Full article

The increasing interest in valorizing agricultural by-products has positioned grape pomace as a rich source of bioactive compounds. This study developed an effect-directed extraction (EDE) approach guided by bioactivity quantification on thin layer chromatography (TLC). Twelve grape pomaces were screened based on antioxidant and tyrosinase inhibitory properties. Using hydroalcoholic solvent (ethanol:water, 1:1), the two most promising sources (Malbec from San Rafael) were subjected to response surface methodology (RSM) to optimize extraction of anti-browning and antioxidant compounds visualized as TLC spots. Temperature and time were optimized (76 °C, 45 min), and samples were analyzed using TLC coupled with DPPH and laccase inhibition bioautography. Antioxidant compounds showed retention factor values on TLC plates of 0.37 and 0.75 (DPPH/ABTS-active), while laccase inhibition occurred at Rf 0.35, coinciding with the primary tyrosinase inhibition zone. However, subsequent bioassay-guided HPLC fractionation and HRMS/MS analysis revealed that tyrosinase and laccase inhibitions are mediated by distinct compounds within this bioactive zone, highlighting a synergistic multi-target effect in the optimized extract that is retained throughout the process. The primary tyrosinase inhibitor at Rf ~0.35 was tentatively elucidated as an acylated anthocyanin, consistent with malvidin-3-O-(p-coumaroyl)glucoside. Optimized extracts were evaluated on Pink Lady apple slices at different timepoints. The browning index was reduced by 25% versus the control at 15 h, confirmed by significantly lower ΔE values (p < 0.05). The process requires only food-grade solvents and conventional equipment, facilitating scale-up for grape pomace generated worldwide. Validating the EDE strategy, this TLC-guided approach successfully tracked and preserved the primary anti-tyrosinase activity from the crude waste matrix down to the tentatively identified molecule, contributing to circular economy objectives in the wine industry. Full article

The adaptive nature of bacteria and their increasing resistance to conventional therapies demand alternative strategies to effectively control wound infections. At the wound site, dynamic biological processes are easily disrupted by microbial colonization, compromising normal healing. In this study, Zn-based nanoparticles composed of zinc oxide (ZnO) and zinc phosphate (Zn₃(PO₄)₂) were synthesized via a green route using coconut milk and coconut water as biological media. Although ZnO formation via zinc hydroxide intermediates was initially targeted, structural analyses revealed a multiphase Zn-based system resulting from interactions between Zn²⁺ ions and naturally occurring phosphate species in the coconut-derived sources. The resulting material was incorporated into sodium alginate/poly(vinyl alcohol) hydrogel dressings, further enhanced with spirulina and aronia powders. Physicochemical characterization (XRD, SEM, EDS, FTIR), along with swelling and degradation studies, confirmed structural stability and appropriate hydrogel behavior. Antimicrobial testing against Staphylococcus aureus and Escherichia coli demonstrated a dominant antibiofilm effect of the Zn-based nanoparticles, while botanical additives exhibited moderate, time-dependent activity. Biological evaluation demonstrated good cytocompatibility toward human keratinocytes and murine macrophages, with botanical additives mitigating mild nanoparticle-induced cellular responses. Full article

This study aimed to examine the differences in self-compassion (SC) subcomponents between anorexia nervosa (AN) subtypes, the restricting type (ANR) and binge-eating/purging type (ANBP), with a focus on perceived isolation and self-judgment. This retrospective exploratory study included 40 patients with AN at a Japanese tertiary hospital. The participants completed the Self-Compassion Scale, Patient Health Questionnaire-9, and Eating Disorder Examination Questionnaire. Between-group comparisons were conducted using t-tests, and logistic regression was used to examine associations with the AN subtype. Compared with the ANR group, the ANBP group was older at the time of assessment, had a longer illness duration, and showed significantly more depressive symptoms, more severe eating pathologies, and lower SC scores. Specifically, patients with ANBP had significantly higher scores on the negative SCS subscales of self-judgment and isolation, indicating greater self-criticism and perceived isolation. In logistic regression analyses adjusting for the EDE-Q mean score, higher isolation scores were significantly associated with the ANBP subtype (odds ratio = 3.28, 95% confidence interval: 1.37–9.63, p = 0.01). In this exploratory sample, perceived isolation was more prominent in ANBP and may reflect affective and interpersonal difficulties related to this subtype. These findings should be interpreted as hypothesis-generating and warrant replication in larger (ideally multi-site and longitudinal) samples. If replicated, targeting these self-compassion dimensions may inform the development of subtype-sensitive interventions. Full article

Background: Tantalum in cytotoxicity tests showed no toxicity effect, as well as promoting bone regeneration through the differentiation, proliferation, mineralisation and adhesion of osteoblasts in in vitro and in vivo studies. This study aims to determine and compare the chemical composition, roughness and wettability of non-coated commercially pure titanium (CpTi) disc surfaces with CpTi discs that have been coated with tantalum oxynitride film (TaON) via a modified plasma sputtering coating technique. Methods: Two groups were tested that included the TaON-coated CpTi discs and non-coated CpTi discs. A modified reactive plasma sputtering apparatus was used for coating the CpTi discs with TaON at different time durations, i.e., 4, 6, and 8 h. The surface properties of the coated and non-coated discs were studied using X-ray diffraction (XRD) analysis, energy dispersive spectroscopy (EDS), scanning electron microscopy (SEM), and contact angle measurement. Results and Conclusions: The results showed that 8 h was the best coating duration. The XRD analysis showed the presence of a new peak in the case of the TaON-coated CpTi disc that was absent in the non-coated CpTi disc. Furthermore, the SEM analysis revealed that the TaON-coated CpTi disc showed a better distribution of surface roughness compared to the non-coated disc. The non-coated CpTi discs showed lower wettability compared to the TaON-coated CpTi discs. The result shows the importance of a TaON coat in changing the surface properties of CpTi which will be used in dental implants; this result will enhance the idea of surface treatment and its relationship with the enhancement and acceleration of bone formation around dental implants in future. The novelty of the newly modified reactive plasma sputtering technique used in this study as a coating technique for CpTi discs lies in the promising tantalum oxynitride, as Ta had no toxicity effect in cytotoxicity tests and promoted adhesion, proliferation, differentiation, the mineralisation of osteoblasts and bone regeneration in vitro and in vivo. The mean target of the work is to enhance the osseointegration of CPTi dental implants with different surface coatings including Ta oxide, nitride and oxynitride. The results of the first two coatings are already published, and the third coating technique is investigated in this study. Full article

Background/Objectives: Emergency department length of stay (ED LOS) is a key indicator reflecting emergency department crowding, patient safety, and healthcare resource efficiency. Among injured patients, ED LOS may be prolonged depending on injury severity and disposition pathways (admission and inter-hospital transfer). This nationwide study using the Korean National Emergency Department Information System (NEDIS) aimed to (1) describe the distribution and determinants of ED LOS among injured patients and (2) quantify the mediating effects of disposition (admission and transfer) on the association between injury severity measured by the International Classification of Diseases-based Injury Severity Score (ICISS) and ED LOS. Methods: We analyzed NEDIS injury-related ED visit records collected from the date of IRB approval through 12 January 2026. We conducted a retrospective observational study using NEDIS data. Of 1,048,575 injury-related ED visits, 1,035,484 visits with valid ED LOS and eligible records were included after excluding missing key variables and implausible time values. ED LOS was calculated in minutes using arrival and departure timestamps. Injury severity was assessed using ICISS (primary: based on 15 diagnoses; sensitivity: based on 20 diagnoses). Determinants of ED LOS were evaluated using gamma regression with a log link. Disposition was categorized as discharge, admission, and inter-hospital transfer; admission and transfer were modeled as binary mediators. Causal mediation analyses estimated the average causal mediation effect (ACME), average direct effect (ADE), total effect, and proportion mediated. Multiple sensitivity analyses (outlier handling, missing-data approaches, alternative log-linear modeling, and EMS arrival subgroup analyses) assessed robustness. Results: The median ED LOS was 150 min (IQR 90–260). ED LOS differed substantially by disposition: 120 min for discharged patients, 420 min for admitted patients, and 360 min for transferred patients. Overall, 17.9% of visits had an ED LOS ≥ 6 h, and prolonged stays were concentrated among admitted (≥6 h: 55.0%) and transferred (≥6 h: 45.0%) patients. In gamma regression, a 0.05 decrease in ICISS (greater severity) was associated with longer ED LOSs in the unadjusted model (Ratio 1.34) and remained significant in the fully adjusted model (Ratio 1.12, 95% CI 1.11–1.13). Admission and transfer were strong determinants of ED LOS in the final model (ratios of 2.35 and 2.05, respectively). In mediation analyses, admission mediated 36.8% of the severity–ED LOS association (ACME 0.085; ADE 0.146), and transfer mediated 14.3% (ACME 0.033; ADE 0.198). Findings were consistent across sensitivity analyses. Conclusions: In this nationwide cohort of injured patients, ED LOS showed a right-skewed distribution, with prolonged stays concentrated in admission and transfer pathways. Injury severity (ICISS) was independently associated with longer ED LOS, and a substantial proportion of this association was mediated through admission and transfer. Reducing ED LOS among severely injured patients likely requires not only streamlining diagnostic and treatment processes but also system-level interventions targeting output-stage bottlenecks, including inpatient bed operations/boarding management and transfer coordination. Full article

Accurate and efficient ship detection in remote sensing imagery is a key enabler of intelligent maritime surveillance operations, supporting real-time decision-making in search and rescue, traffic management, and maritime law enforcement. However, remote ship images pose unique challenges for detection. These include densely distributed targets, complex sea-land backgrounds, large aspect ratios, diverse ship geometries, and high color similarity between ships and their surroundings. To address these issues under the computational constraints of unmanned aerial platforms, we propose GTO-YOLO11n, an enhanced YOLOv11n-based detection model tailored for efficient maritime ship sensing. First, we introduce the GatedFDConvBlock, which employs gated convolutional filtering to strengthen feature extraction for small and elongated ships while suppressing background clutter, thereby reducing missed and false detections in dense scenes. Second, we improve the C2PSA module with a dynamic multi-scale attention design, TSSABlock_DMS, to adaptively model cross-scale feature interactions and enhance robustness to complex maritime environments. Third, we replace the original detection head with OBB_ED, a parameter-sharing head that incorporates depthwise separable convolution (DSConv) and an angle prediction branch to lower model complexity while preserving high-quality localization and classification. To verify the performance of the algorithm, we were conducted on the public datasets HRSC2016, HRSC2016-MS, and ShipRSImageNet. The mAP@50 results were 95.2%, 88.3%, and 76.7%, showing improvements of 3.2%, 2.2%, and 2.6% compared to the original YOLOv11n. Full article

Background/Objectives: Peptide receptor radionuclide therapy (PRRT) is an established treatment for neuroendocrine tumors (NETs), enabling targeted radiation delivery via radiolabeled peptides. Small cell lung cancer (SCLC) remains a major therapeutic challenge due to its aggressive nature and poor prognosis. Despite advances, relapse rates are high and effective therapies are limited. We previously demonstrated the diagnostic potential of the cholecystokinin-2 receptor (CCK2R)-targeting minigastrin analog [⁶⁸Ga]Ga-DOTA-MGS5 in PET/CT imaging of different NETs. Building on this, we developed and evaluated [¹⁷⁷Lu]Lu-DOTA-MGS5 as a therapeutic PRRT agent. Methods: Preclinical studies investigating the receptor-mediated cellular internalization and intracellular distribution over time in A431 cells with and without CCK2R expression were performed using the fluorescent tracer ATTO-488-MGS5. Short- and long-term cytotoxic effects of [¹⁷⁷Lu]Lu-DOTA-MGS5 were evaluated on the same cell line using trypan blue exclusion and clonogenic survival assays. CCK2R expression was assessed by immunohistochemistry in 42 SCLC tissue specimens. In addition, the first PRRT with [¹⁷⁷Lu]Lu-DOTA-MGS5 was conducted in a patient with extensive disease SCLC (ED-SCLC) after confirming CCK2R-positive uptake in [⁶⁸Ga]Ga-DOTA-MGS5 PET/CT. Results: Rapid binding and internalization into A431-CCK2R cells, with progressive accumulation in intracellular compartments, was observed for ATTO-488-MGS5. Short-term irradiation effects of [¹⁷⁷Lu]Lu-DOTA-MGS5 were comparable for 4 h and 24 h incubation and were between the effects obtained with 2 and 4 Gy of external beam radiotherapy (EBRT). Clonogenic survival of A431-CCK2R cells incubated with increasing activity of [¹⁷⁷Lu]Lu-DOTA-MGS5 decreased in a dose-dependent manner. Immunohistochemistry on SCLC specimens confirmed moderate to high CCK2R expression in 16 out of 42 SCLC samples. In the first patient with SCLC treated with four cycles of [¹⁷⁷Lu]Lu-DOTA-MGS5 with a total activity of 17.2 GBq, an improvement in clinical symptoms was observed. Conclusions: The preclinical and clinical results confirm the feasibility of [¹⁷⁷Lu]Lu-DOTA-MGS5 PRRT in patients with SCLC and support further clinical studies investigating the therapeutic value and clinical applicability of this new CCK2R-targeted theranostic approach in larger patient cohorts. Full article

Thorium carbide (${\mathrm{ThC}}_{2\pm x}$) nano-structured thin disc-like pellets were produced from thoria nanoparticles (${\mathrm{ThO}}_2$-NP) and multi-walled carbon nanotubes (MWCNT). These composites are to be studied as a target material candidate for radioactive ion beam (RIB) production via nuclear reactions upon impact with high-energy proton beams on a stack of solid pellets. The ${\mathrm{ThO}}_2$-NP precursor was produced via precipitation of thorium oxalate from a thorium nitrate solution with oxalic acid and subsequent hydrothermal oxidation of the oxalate, creating the thoria nanoparticles. The ${\mathrm{ThO}}_2$-NP were then mixed with MWCNT in isopropyl alcohol and sonicated by two different methods to create a nanoparticle dispersion. This dispersion was then heated under medium vacuum to evaporate the solvent; the resulting powder was pressed into pellets and taken to an inert-atmosphere oven, where it was heated to 1650 °C and carbothermally reduced to ${\mathrm{ThC}}_{2\pm x}$. The resulting pellets were characterized via XRD, SEM-EDS, and Raman spectroscopy. The resulting thorium pellets exhibited, at most, trace levels of the oxide precursor. Furthermore, the nanotube structures were still present in the final product and are expected to contribute positively towards faster radioisotope release times by lowering isotope diffusion times, which is required for the efficient extraction of the shortest-lived (<1 s half-life) radioisotopes. Full article

Background: In the era of Health 4.0, Emergency Departments (EDs) face increasing crowding and complexity, necessitating smart management solutions to balance efficiency with equitable care. Effective scheduling is critical for optimizing patient throughput and mitigating congestion. Methods: This paper constructs a decision support framework using Discrete Event Simulation (DES) to evaluate three patient scheduling strategies, including the Initial-First policy, Alternating 1:1 policy and a Slack-Based dynamic policy. The simulation framework has been conducted using a standardized operational dataset representing typical ED dynamics. The threshold of SBP was optimized by a grid search method to guarantee an objective comparison. Results: The simulation results show that when adopting the optimized SBP policy, the mean waiting time was shortened by around 23.8%, thus meeting all triage service level targets. Also, it could be seen that Slack-Based dynamic policy was robust under different arrival rates and physician staffing levels. Conclusions: This proposed model can provide a real-time and dynamic solution for ED resource allocation, meeting the demand of modern smart hospitals management. Full article

Introduction: Medical treatment of lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) targets prostate smooth muscle tone for rapid relieve of symptoms and prostate size to prevent disease progression. Recently, EAU guidelines introduced phytomedicines for treatment of LUTS/BPH. Phytosterols may reduce the risk of prostate diseases and seem to be the smallest common denominator between different phytotherapeutic preparations. Thus, we investigated the effects of the highly concentrated phytosterol β-sitosterol on human prostate smooth muscle contraction and cellular functions, including contraction and growth of prostate stromal cells. Materials and Methods: APOPROSTAT^® forte capsules (>70% β-sitosterol, ethanol extract of Pinus pinaster) were dissolved in ethanol. Contractions were induced in human prostate tissues (n = 100) obtained from radical prostatectomy and assessed in organ bath setups. Cytoskeletal organization, proliferation, viability, cytotoxicity, and contraction in stromal cells (WPMY-1) were assessed using phalloidin staining, EdU, colony formation, CCK-8, flow cytometry, and matrix collagen assays. Results: APOPROSTAT^® forte (0.1–30 µg/mL) inhibited adrenergic, non-adrenergic, and neurogenic contractions of human prostate tissues by up to 71%, 69%, and 63%, respectively, in a dose-dependent manner. In WPMY-1 cells, it reduced proliferation and actin organization by up to 67% and 75% after 72 h, without affecting viability or inducing cytotoxicity. Colony formation decreased by up to 60% after 168 h, and contraction in collagen matrix assays was reduced by 57% in a concentration- and time-dependent manner. Conclusions: The natural phytosterol β-sitosterol effectively inhibits both prostate contraction and growth with a favorable safety profile, supporting its beneficial role in LUTS management through phytotherapy. Full article

Tantalum nitride (TaN) coatings are valued for their hardness, chemical inertness, and biocompatibility; however, they lack intrinsic antibacterial properties, which limits their application in biomedical environments. Introducing copper (Cu) into the TaN matrix offers a potential solution by combining TaN’s mechanical and chemical durability with Cu’s well-documented antimicrobial action. This study explores how varying copper incorporation affects the structural, electrical, photocatalytic, and antibacterial characteristics of TaCuN multilayer films synthesized via reactive magnetron sputtering. Three thin TaCuN films were fabricated using a high-power reactive magnetron co-sputtering system, varying the Cu target power to control the composition. Structural and morphological analysis was performed using X-ray diffraction (XRD), scanning/transmission electron microscopy (STEM/TEM), and energy-dispersive X-ray spectroscopy (EDS). Electrical conductivity was studied along and across the film surfaces at temperatures ranging from 20 to 375 K using AC impedance spectroscopy. Optical and photocatalytic properties were assessed using UV–Vis spectroscopy and methylene blue degradation tests. Antibacterial activity against Staphylococcus aureus was analyzed under visible light using CFU reduction tests. XRD and TEM analyses revealed a multilayered four-zone architecture with alternating Ta-, Cu-, and N-rich phases and a dominant cubic δ-TaN pattern. The layers exhibited pronounced conductivity anisotropy, with in-plane conductivity (~10³ Ω⁻¹ cm⁻¹) exceeding cross-plane conductivity by ~10⁷ times, attributed to the formation of a metallic conduction channel in the mid-layer. Optical spectra indicated limited light absorption above 300 nm and negligible photocatalytic activity. Increasing the Cu content substantially enhanced antibacterial efficiency, with the highest-Cu sample achieving 95.6 % bacterial growth reduction. Morphological evaluation indicated that smooth film surfaces (Ra < 0.2 μm) effectively minimized bacterial adhesion. Reactive magnetron sputtering enables the precise engineering of TaCuN multilayers, combining high electrical anisotropy with robust antibacterial functionality. The optimized TaCuN coating offers promising potential in biomedical and protective applications where both conductivity and microbial resistance are required. Full article