Search Results (102)

Background/Objectives: Individuals with diabetes often experience difficulties in the healing of their alveolar sockets. Furthermore, obesity is strongly associated with the development and progression of type 2 diabetes through complex metabolic and inflammatory mechanisms. The current study provides new insights into the use of Luteolin (LU) and/or chitosan vesicles (CHV) to accelerate bone regeneration, highlighting a biologically and clinically relevant approach that leverages implants as a clinical solution. Methods: Sixty rats were randomly categorized into five groups: Group I (negative control); Group II (positive control), diabetic and obese rats; Group III (LU-treated), diabetic and obese rats with an extraction socket loaded with LU; Group IV (CHV-treated), diabetic and obese rats with an extraction socket loaded with CHV; and Group V (LU-CHV), diabetic and obese rats with an extraction socket loaded with LU-CHV. After 2 and 6 weeks, rats’ mandibles underwent histological, histomorphometric, biochemical, and statistical analyses. Results: The results demonstrated significant differences among the experimental groups. The LU-CHV formulation showed superior therapeutic performance compared with free luteolin and the untreated control group. In vitro release studies revealed sustained, controlled release from LU-CHV, whereas free luteolin exhibited rapid drug release. Additionally, LU-CHV significantly enhanced biological activity, as evidenced by improved anti-inflammatory and/or therapeutic markers compared to the other groups. These findings indicate that encapsulation within chitosan vesicles improved drug stability, bioavailability, and overall therapeutic efficiency. Conclusions: LU-CHV demonstrated superior efficacy compared to free luteolin, highlighting the advantage of chitosan-based vesicular delivery systems. LU-CHV not only enhanced controlled drug release and therapeutic outcomes but also presents a promising platform that could significantly advance targeted drug delivery strategies in inflammatory and metabolic disorders. The findings suggest that LU-CHV represents a transformative approach in improving treatment effectiveness and patient outcomes. Full article

Background: Hepatic fibrosis and its progressive form, liver cirrhosis, are dangerously recognized complications of liver injury with limited treatment options. This study evaluated the hepatoprotective effects of ivabradine on thioacetamide (TAA)-induced hepatic fibrosis in rats. Methods: Rats were divided into five groups with 10 rats/group and treated as follows: normal, where rats received 0.5% CMC-Na solution orally; ivabradine control, where rats received only ivabradine (20 mg/kg, once daily, orally) for 6 weeks; TAA, where rats received an intraperitoneal (i.p.) injection of TAA (200 mg/kg) thrice weekly for 6 weeks and daily oral 0.5% CMC-Na solution, and two ivabradine + TAA groups, where two doses of ivabradine were tested. Low (10 mg/kg) and high (20 mg/kg) doses of ivabradine were orally given once daily to each group for 6 weeks concurrently with TAA injection. Results: TAA caused marked elevations in liver enzymes, increased MDA, depletion of antioxidant defenses, activation of NF-κB p65 and pro-inflammatory cytokines, dysregulation of apoptotic markers, and upregulation of the PI3K/AKT/mTOR and TGF-β pathways, accompanied by extensive collagen deposition. Ivabradine produced dose-dependent improvements in biochemical markers of liver function, restored oxidant/antioxidant balance, suppressed NF-κB p65/TNF-α, normalized Bax/Bcl-2/caspase-3 expression, and inhibited PI3K/AKT/mTOR as well as TGF-β signaling, leading to significant attenuation of fibrosis. Conclusions: The current findings indicate that ivabradine exerts potent antioxidant, anti-inflammatory, anti-apoptotic, and antifibrotic actions against TAA-induced hepatic fibrosis. Future clinical studies are recommended to determine whether these protective effects translate to patients with chronic liver disease. Full article

‘Barhi’ dates (Phoenix dactylifera L.) are highly prized and widely consumed at the khalal stage, but they are only available for a short time, which highlights the importance of extending their storage life. This study examined the effectiveness of edible coatings in delaying ripening and maintaining fruit quality during cold storage (2 °C). The treatments tested were gelatin alone or gelatin combined with chitosan, Aloe vera gel (AVG), or gum arabic, and applied in a layer-by-layer (LbL) approach. A fifth treatment consisting of deionized water was used as a reference untreated control. The fruit parameters measured included weight loss, decay, moisture content, ripening (rutab transformation), firmness, color (lightness and hue angle), total soluble solids (TSS), titratable acidity (TA), TSS/TA ratio, total sugars, total polyphenols, and enzymatic activity. Results indicated that the LbL edible coating was more effective in preserving postharvest quality. Regarding weight loss and decay rate, the results showed that the control treatment consistently had 1.5–5-fold higher deterioration indicators than the coated fruits. Among the tested treatments, the gum arabic and gelatin coating was the most effective compared to the untreated control, reducing weight loss by over 40%, lowering decay by approximately 80%, and maintaining significantly higher moisture content throughout storage. Concerning carotenoid levels, the untreated fruits exhibited approximately 1.2–1.4-fold higher carotenoid content than the coated fruits. Fruits treated with gum arabic and gelatin exhibited the best preservation effect Sby limiting TSS increase and maintaining higher TA compared with the control. This treatment best maintained antioxidant capacity and phenolic content while significantly suppressing the activities of polyphenol oxidase and peroxidase. Overall, the LbL coating strategy successfully maintained the quality of ’Barhi’ dates by mitigating oxidative and enzymatic degradation throughout storage. Principal component analysis and hierarchical cluster analysis demonstrated that treatments gum arabic and gelatin exhibited superior effectiveness in extending the date storage life in terms of physicochemical properties and antioxidant activity, followed by chitosan and gelatin, and Aloe vera and gelatin, compared to the control fruits over a 60-day storage period. Full article

Background and Objectives: Fibromyalgia (FM) is a chronic and complex condition characterized by widespread pain, fatigue, psychological burden, and cognitive impairment, posing significant challenges for treatment. Immersive virtual reality exercise (iVRE) has been proposed as an innovative therapeutic approach to increase adherence, motivation, and multidimensional benefits, but evidence in FM remains limited. This study aimed to evaluate the effects of a six-week iVRE program on cortisol levels, quality of life, cognitive function, and psychological symptoms in women with FM. Materials and Methods: A quasi-experimental pre–post design was conducted with 21 women (mean age 48.1 ± 10.7 years) diagnosed with FM, who completed twelve 30 min sessions of iVRE using Oculus Quest 2™ and the FitXR platform. Outcomes assessed pre- and post-intervention included salivary cortisol (ELISA), quality of life (FIQR), emotional status (DASS-21), and cognitive function (MoCA). Adherence and safety were monitored throughout. Results: The intervention was well tolerated, with no adverse events and 100% adherence. Statistically significant improvements were observed in FIQR scores (p < 0.001, d = 3.54), depression (p < 0.001, d = 1.19), anxiety (p < 0.001, d = 1.39), and stress (p < 0.001, d = 2.28). Cognitive performance improved significantly, with higher MoCA total scores (p < 0.001, d = 1.52) and better outcomes in visuospatial ability, language, and delayed recall domains. No significant changes were detected in salivary cortisol levels (p = 1.000). Conclusions: A six-week iVRE program is safe and feasible, promoting clinically relevant improvements in quality of life, emotional well-being, and cognitive function in women with FM, despite the absence of changes in cortisol. These findings highlight iVRE as a promising complementary therapeutic strategy within multidisciplinary FM management, warranting further controlled studies with larger samples and long-term follow-up to confirm its efficacy and explore underlying mechanisms. Full article

This study investigates a 26th Dynasty Ptah–Sokar–Osiris wooden statuette excavated from the Tari cemetery, Giza Pyramids area, to decode ancient Egyptian manufacturing techniques and establish evidence-based conservation strategies of such wooden objects. Using minimal sampling (1.0–2.0 mm²), integrated XRF, synchrotron-based X-ray diffraction, FTIR, and confocal microscopy distinguished original technological choices from burial-induced alterations. The 85 cm Vachellia nilotica sculpture exhibits moderate structural preservation (cellulose crystallinity index 62.9%) with partial chemical deterioration (carbonyl index 2.22). Complete pigment characterization identified carbon black, Egyptian Blue (cuprorivaite, 55 ± 5 wt %), atacamite-dominated green (65 ± 5 wt %) with residual malachite (10 ± 2 wt %), orpiment (60 ± 5 wt %), red ochre (hematite, 60% ± 5 wt %), white pigments (93 ± 5 wt % calcite), and metallic gold (40 ± 5 wt %). Confocal microscopy revealed sophisticated multi-pigment mixing strategies, with black carbon systematically blended with chromophores for nuanced color effects. Atacamite predominance over malachite provides evidence for chloride-mediated diagenetic transformation over 2600 years of burial. Consistent calcite detection (~ 20–45%) across colored layers confirms systematic ground layer application, establishing technological baseline data for 26th Dynasty Lower Egyptian workshops. Near-complete organic binder loss, severe lignin oxidation, and ongoing salt-mediated mineral transformations indicate urgent conservation needs requiring specialized consolidants, paint layer stabilization, and controlled environmental storage. This investigation demonstrates synchrotron methods’ advantages while establishing a minimally invasive framework for studying polychrome wooden artifacts. Full article

Predicting the Remaining Useful Life (RUL) of engine oil is critical for proactive maintenance and fleet reliability. However, irregular and noisy single-point sampling presents challenges for conventional prognostic models. To address this, a hierarchical physics-informed transfer learning (TL) framework is proposed that reconstructs nonlinear degradation trajectories directly from non-time-series data. The method uniquely integrates Arrhenius-type oxidation kinetics and thermochemical laws within a multi-level TL architecture, coupling fleet-level generalization with engine-specific adaptation. Unlike conventional approaches, this framework embeds physical priors directly into the transfer process, ensuring thermodynamically consistent predictions across different equipment. An integrated uncertainty quantification module provides calibrated confidence intervals for RUL estimation. Validation was conducted on 1760 oil samples from dump trucks, dozers, shovels, and wheel loaders operating under real mining conditions. The framework achieved an average R² of 0.979 and RMSE of 10.185. This represents a 69% reduction in prediction error and a 75% narrowing of confidence intervals for RUL estimates compared to baseline models. TL outperformed the asset-specific model, reducing RMSE by up to 3 times across all equipment. Overall, this work introduces a new direction for physics-informed transfer learning, enabling accurate and uncertainty-aware RUL prediction from uncontrolled industrial data and bridging the gap between idealized degradation studies and real-world maintenance practices. Full article

Background: Infection is a typical consequence of cancer treatment due to its immunosuppressive nature, where the high use of antimicrobials raises the risk of antimicrobial resistance (AMR). The primary objective of an antimicrobial stewardship program (ASP) is to optimize antimicrobial use, reduce the emergence of AMR, and ensure cost containment. This study sought to assess the difference in cost of resource use with the ASP in the specialized hematology/oncology setting in Qatar, before and after ASP maturity. Methods: From the perspective of the public healthcare hospital, the research investigated the difference in the cost of resource use between the developed ASP and the preliminary ASP at the National Center for Cancer Care and Research (NCCCR), Qatar. The preliminary ASP was defined as the 12 months following the establishment of the ASP (i.e., May 2015 to April 2016), while the developed ASP was defined as the last 12 months of a 5-year ASP implementation (i.e., February 2019 to January 2020). Patient records were retrospectively reviewed. The overall difference in cost of resource use was based on cost savings, cost avoidance, and operational cost measures. Results: A total of 186 patients were included in the study, with 81 in the preliminary ASP and 105 in the developed ASP. While total resource utilization costs rose by 17% in the developed ASP, per-patient analysis revealed lower resource costs of Qatari Riyal (QAR) 1390 (USD 381) compared to QAR 1546 (USD 423) in the preliminary period. The developed ASP achieved reductions in antimicrobial consumption (−55.9%) and costs (−80.9%), along with a total cost avoidance of QAR 11,969,651 (USD 3,288,366). Overall, the program resulted in a net annual reduction of QAR 13,205,840 (USD 3,618,038), which equates to QAR 180,910 (USD 49,564) saved per patient. Conclusions: At the NCCCR, Qatar, it seems that running the ASP for five years, with presumed development in its practices, was associated with reductions in antimicrobial costs, operational expenses, and overall resource spending. Full article

Materials of the 2D zeolite class retain local catalytically active sites and the stability of traditional zeolites but with layered structures. Synthetic and naturally occurring single- and multilayer apophyllite-related compounds are prototypes of advanced industrial materials for use in various technologies. Their surface chemistry allows for functionalization, and these layers serve as fundamental building blocks for zeolitic frameworks. The discovery of the first triple-layer silicate, günterblassite, provided a critical link that established a fundamental crystal–chemical relationship between layered and framework structures in a wide range of micro- and mesoporous minerals and synthetic materials. The most prominent topic in the development of 2D zeolites remains the synthesis and structural characterization of these 2D zeolite structures This review offers a comprehensive overview of the current state of 2D and 3D zeolites constructed based on apophyllite-type layers. In accordance with the terms of modular crystal chemistry, we present a straightforward classification scheme based on the topological and symmetrical distinctions of the layers and provide ways for their stacking, creating a valuable basis for understanding the modular assembly of advanced porous materials. Full article

Cognitive diagnosis models (CDMs) assess the proficiency of examinees in specific skills. Online education has increased the amount of data that is available on the response behaviour of examinees. Traditional CDMs determine the state of skills by modelling information on item response results and ignoring vital response time information. In this study, a CDM, named RT-CDM, which models the condition dependence between response time and response accuracy on the speed-accuracy exchange criterion, is proposed. The model’s continuous latent trait function and response time function, used for more precise cognitive analyses, makes it a tractable, interpretable skill diagnosis model. The Markov chain Monte Carlo algorithm is used to estimate the parameters of the RT-CDM. We evaluate RT-CDM through controlled simulations and three real datasets—PISA 2015 computer-based mathematics, EdNet-KT1, and MATH—against multiple baselines, including classical CDMs (e.g., DINA/IRT), RT-extended IRT and joint models (e.g., 4P-IRT, JRT-DINA), and neural CDMs (e.g., NCD, ICD, MFNCD). Across datasets, RT-CDM consistently achieves superior predictive performance, demonstrates stable parameter recovery in simulations, and delivers stronger diagnostic interpretability by leveraging RT alongside RA. Full article

Climate change challenges existing strawberry cultivars, requiring adaptation and the introduction of new varieties better suited to new climate conditions. This research evaluated the response over time of new advanced breeding selections (AN15,07,53, AN16,53,54 and AN12,44,60) derived from intraspecific crosses, proposed for the Mediterranean environment and organic greenhouse cultivation, by comparing plant yield and fruit quality at each harvest stage against five commercial strawberry cultivars (Dina, Arwen, Melissa, Marimbella, and Elide). Results showed that Dina, AN15,07,53, and AN16,53,54 had higher levels of soluble sugars, organic acids, and anthocyanins than the other cultivars evaluated. In addition, AN16,53,54 showed anticipated peak production and plant yield similar to that of commercial cultivars. Elide showed on average the highest total yield (632 g plant⁻¹), while Dina, AN15,07,53 and AN12,44,60 showed lower yields. The lowest and highest percentages of discarded fruits were recorded in Arwen (10%) and AN 12,44,60 (27.7%), respectively. Two genotypes, AN16,53,54 and AN15,07,53 are susceptible to further evaluation; AN16,53,54 showed appropriate features for organic systems management. An important feature related to the environmental conditions of the Mediterranean area is the precocity of production, combined with good quality properties. The genotype AN15,07,53 derived from two parents with high and low chilling requirements, would need to be evaluated for its performance under very different climatic conditions. Full article

Pregnancy presents specific metabolic demands, and disruption caused by a high-fat high-sugar diet (HFHSD) have been associated with significant complications, including maternal health risk, fetal developmental issues, and infertility. Obesity-related changes in the uterine tissues may contribute to these challenges. This study analyzed structural changes in the uterus and adipose tissue of pregnant rats on gestation day 22 fed an HFHSD using various staining techniques. Hematoxylin and eosin staining showed morphological changes in the adipose tissue and the uterine structure, including the lumen size and the thickness of the myometrium, endometrium, and perimetrium. The amount of collagen in the uterus was determined by PicroSirius red staining, while PAS-D staining was used to observe glycogen content. Key protein expressions, such as insulin and leptin receptors and UCP1 and UCP3, were analyzed by immunohistochemistry. The HFHSD promoted hypertrophy of visceral and gonadal adipocytes, suggesting metabolic alterations. By the end of pregnancy, a significant reduction in uterine lumen size was observed. Additionally, a decrease in insulin and higher leptin receptor expressions in the myometrium indicated significant physiological alteration. These findings offer insight into how an HFHSD affects uterine structure and function during late pregnancy but should be interpreted within the physiological context of gestation-related metabolic changes. Further research is needed to understand the functional consequences of these alterations on reproductive and metabolic health. Full article

Mechanical properties are one of the most important characteristics of biomaterials for many different applications, including biomedicine. Soft biomaterials, such as hydrogels, are difficult to characterize by conventional mechanical testing, because their mechanical properties are much lower than required by conventional testing machines. In this work, we aimed to systematically study the mechanical behavior of a model soft material, polyacrylamide hydrogels, under different loading modes: tension, torsion, compression, and indentation. This allowed us to develop a comprehensive approach to the mechanical testing of soft materials. To overcome excessive compression and slippage of the hydrogel samples when fixed in the grips during tension, additional 3D-printed grips were designed. Digital image correlation was used to determine the Poisson’s ratio of the hydrogels. The Young’s modulus values obtained from all types of mechanical tests analyzed were highly correlated. However, for hydrogels with a low crosslinker concentration, 1–2%, tension–compression asymmetry was observed. Moreover, the results of the mechanical tests were verified in indentation tests, including analytical estimation, and full-scale and numerical experiments. We also discuss the limits of using a two-parameter Mooney–Rivlin model for fitting hydrogel uniaxial tension deformation curves, which was unstable for the hydrogels with 4 and 9% crosslinker concentration. The implemented approach provided a comprehensive analysis of the mechanical behavior of biomaterials. The elastic moduli for all hydrogels studied were in the range from 20 to 160 kPa, which corresponds well to human soft tissues, making them a promising material for application as tissue-mimicking phantoms. Full article

Liver cancer is a prevalent form of carcinoma worldwide. A novel chitosan-coated optimized formulation capped with irradiated silver nanoparticles (INops) was fabricated to boost the anti-malignant impact of rosuvastatin calcium (RC). Using a 2³-factorial design, eight formulations were produced using the solvent evaporation process. The formulations were characterized in vitro to identify the optimal formulation (Nop). The FTIR spectra showed that the fingerprint region is not superimposed with that of the drug; DSC thermal analysis depicted a negligible peak shift; and XRPD diffractograms revealed the disappearance of the typical drug peaks. Nop had an entrapment efficiency percent (EE%) of 86.2%, a polydispersity index (PDI) of 0.254, a zeta potential (ZP) of −35.3 mV, and a drug release after 12 h (Q12) of 55.6%. The chitosan-coated optimized formulation (CS.Nop) showed significant mucoadhesive strength that was 1.7-fold greater than Nop. Physical stability analysis of CS.Nop revealed negligible alterations in VS, ZP, PDI, and drug retention (DR) at 4 °C. The irradiated chitosan-coated optimized formulation capped with silver nanoparticles (INops) revealed the highest inhibition effect on carcinoma cells (97.12%) compared to the chitosan-coated optimized formulation (CS.Nop; 81.64) and chitosan-coated optimized formulation capped with silver nanoparticles (CS.Nop.AgNPs; 92.41). The bioavailability of CS-Nop was 4.95-fold greater than RC, with a residence time of about twice the free drug. CS.Nop has displayed a strong in vitro–in vivo correlation with R² 0.9887. The authors could propose that novel INop could serve as an advanced platform to improve oral bioavailability and enhance hepatic carcinoma recovery. Full article

Background: Inflammatory bowel diseases (IBD), associated with a significant burden on patients’ lives, are becoming increasingly common. Patients with IBD need continuous treatment and lifelong monitoring, which could be achieved by telemonitoring. Telemonitoring has been shown to be effective in improving outcomes for patients with IBD, and can provide a more convenient and accessible way for patients to receive care. However, the certainty of evidence remains low. This article outlines the methodology of a randomized control study that aims to assess the efficacy of telemonitoring compared to face-to-face follow-up for patients with IBD in Russia, hypothesizing that the implementation of telemonitoring will lead to improvement in clinical, social, and organizational areas. Methods: The TIGE-Rus study is a randomized controlled trial. The study consists of three stages, including selection of patients and random assignment into two groups with a ratio of 1:1, follow-up care using telemonitoring or face-to-face appointments, and evaluation and comparison of follow-up efficacy in both groups. In the first stage, all patients will undergo laboratory tests and instrumental examinations, and fill out questionnaires to measure disease activity, quality of life, medication adherence, psychological well-being, and satisfaction with medical care. In the second stage, the control group will receive standard care while the telemonitoring group will have access to a web platform where they can report their clinical activity, fill out questionnaires, and have online consultations with gastroenterologists. The gastroenterologists will also make monthly phone calls to each patient in the telemonitoring group to monitor their progress. In the third stage of the study, both the telemonitoring group and the control group will be re-hospitalized after six months of monitoring. IBD activity will be evaluated through laboratory and instrumental examinations. Additionally, all the participants will complete questionnaires to assess the disease activity, medication adherence, quality of life, psychological well-being, and satisfaction with medical care in both groups. Conclusions: The trial will explore whether telemonitoring is effective in improving clinical, social, and organizational aspects in the management of patients with IBD in the setting of the Russian healthcare system. Full article

Introduction: Antimicrobial resistance poses a significant threat to global health, and community pharmacists are positioned to play a crucial role in mitigating this issue. The present study aimed to evaluate the extent of compliance among community pharmacists in Saudi Arabia with relevant regulations and clinical guidelines in the management of suspected infectious diarrhea. Method: This cross-sectional study employed simulated patients presenting with diarrhea to assess the management practices within 200 community pharmacies in two major cities across Saudi Arabia. Trained pharmacy students presented pharmacists with three case scenarios involving adult patients with diarrhea. Statistical analysis included descriptive statistics and chi-square tests to examine the relationships between pharmacist characteristics and practice categories. Results: The findings of this study indicate that the performance of community pharmacists in managing diarrhea is suboptimal. Notably, less adequate practice emerged as the predominant outcome at 63% (n = 126). Only 14% (n = 28) of pharmacists demonstrated adequate practice, while 23% (n = 46) exhibited poor investigative practice. Metronidazole dispensing increased across scenarios, from 16.92% (n = 11) in Scenario 1 to 30.3% (n = 20) in Scenario 3. Most pharmacists inquired about the patient’s age (72%; n = 144); however, only a limited number probed for symptoms of dehydration (5.5%, n = 11) and medication history (3%, n = 6). A significant association was found between geographical location and practice performance (p = 0.015). Conclusions: This study reveals significant deficiencies in the management of infection-related diarrhea, underscoring the urgent need for enhanced training and regulatory measures within community pharmacy settings in Saudi Arabia to improve patient care and effectively address antimicrobial resistance (AMR). Full article