Search Results (816)

Implant placement requires a digital workflow and the use of surgical guides. However, there is divergence in the angulation length of influence and precision. Therefore, a 3D assessment is also required. This insertion study aims to evaluate the accuracy in vitro by utilizing guided templates, deviation analysis, depth, and orientation over different lengths and angles. Methods and Materials: This study comprises a total of 180 implants placed in 90 resin-printed mandibular models, divided into nine groups (a 3 × 3 factorial design, n = 20/group). A reference model was created using Real GUIDE software (version5.3), integrating a CBCT scanner (Carestream CS 9600, Medit Corp., Seoul, Republic of Korea) and an intraoral scanner (Medit i900) (Medit Corp., Seoul, Republic of Korea). Implant planning and surgical guide design were digitally executed and printed with Mazic resin (Vericom Co., Ltd., Chuncheon, Republic of Korea). Implants were placed using Oxy Implant PSK Line (Oxy Implant, Brescia, Italy) fixtures in mannequins. Postoperative CBCT scans were used to measure deviations in angular, vertical, and lateral dimensions using CS Imaging (v8.0.22) (Carestream Dental LLC, Atlanta, GA, USA). Statistical analysis was run by using SPSS v26. Results: The results demonstrated that implant angulation significantly impacted the precision of placement. Angulating escalation leads to intensive deviations, which are linear and angular calculations. On the one hand, the most significant deviations were observed at a 25° angulation, particularly in the buccal and lingual apex regions. On the other hand, 0° exhibited minimal deviations. Longer implants showed reduced angular deviations, whereas shorter implants (8.5 mm) exhibited higher vertical deviations, particularly at 0° of angulation. Moderate angulation (15°) with 11.5 mm implants provided the highest precision, while 0° angulation with 15 mm implants consistently exhibited the least deviation. These findings pinpoint the fundamental importance of angulation and implant length for exceptional placement accuracy. Conclusions: This study demonstrates the influence of placement accuracy with static guides on implant angulation and length. Moderate angulation, which is (15°), enhances accuracy, particularly within 11.5 mm implants. On the other hand, steeper angles (25°) and longer implants (15 mm) result in elevated deviations. Guidance formation and operator experience are also vital. Full article

Food spoilage and contamination are major global challenges, reducing food quality, safety, and availability, causing significant economic losses. This study evaluates the photodynamic and sonodynamic antibacterial activities of grape leaf extracts from Beer and Hanut Orcha varieties. The extracts were tested against Staphylococcus aureus and Escherichia coli under illumination and ultrasonic activation. The results demonstrated that the photodynamic and sonodynamic treatments significantly enhanced the antibacterial efficacy of the extracts when higher concentrations of the extracts and prolonged exposure led to complete bacterial eradication. Separation of the extracts using RP-18 cartridges (Yicozoo Energy Technology Co., Ltd., Xi’an, China) enabled us to get an active fraction containing components responsible for antimicrobial effects. Singlet oxygen generation measurements confirmed the involvement of reactive oxygen species in bacterial inactivation under illumination. Using HPLC/MS, the active components responsible for the photodynamic properties of the extracts were identified as quercetin 3’-O-glucuronide and pheophorbide a. The findings suggest that these natural extracts, in combination with photodynamic and sonodynamic activation, represent promising alternatives to conventional antibiotics. Further studies should focus on the isolation of active individual compounds, the improvement of treatment parameters, and the investigation of molecular mechanisms to facilitate the development of practical applications in medicine and food preservation. Full article

Background: The miniaturization of ureterorenoscopes increasingly enables atraumatic primary ureteroscopy, without ureteral dilation or presenting. This study aims to evaluate the feasibility and safety of primary ureteroscopy using the HU30M (6.3 Fr, HugeMed, Shenzhen HugeMed Medical Technical Development Co., Ltd., Shenzhen, China), the smallest currently available ureteroscope. Methods: We analyzed consecutive patients in whom primary ureteroscopy using the HU30M was performed or attempted, using prospectively collected in-hospital and 30-day follow-up data for retrospective evaluation. The primary outcome was the success rate of primary ostial intubation. Secondary outcomes included the stone-free rate (SFR) in patients with urolithiasis, incidence of in-hospital complications (Clavien–Dindo classification) and 30-day emergency readmission. Additionally, we conducted a propensity score-matched comparative analysis of the HU30M versus a contemporary 7.5 Fr digital single-use ureteroscope (PUSEN PU3033AH, Zhuhai Pusen Medical Technology Co., Ltd., Jinhua, China). Results: Between January and April 2025, primary ureteroscopy using the HU30M was performed or attempted in 34 patients, including four bilateral procedures. Primary ureteroscopy was defined as ureteroscopic access without prior stenting or dilation. Indications were diagnostic evaluation in 15 patients (44%), uretreroscopic stone treatment in 10 patients (29%) and endoscopic combined intrarenal surgery (ECIRS) in 9 patients (27%). Successful primary ostial intubation was achieved in 36 of 38 renal units (95%). Among urolithiasis cases, SFR was 17/19 (90%) in-hospital complications were limited to postoperative fever in two patients (6%) and no procedure-related 30-day emergency readmission occurred. In matched analyses, HU30M demonstrated significantly shorter operative times compared with the 7.5 Fr ureteroscope, while postoperative hemoglobin drop, inflammatory parameters and renal function were comparable. Conclusions: Primary ureteroscopy with HU30M is feasible and safe across diverse indications, achieving high success of atraumatic ostial access. Comparative analyses suggest procedural efficiency advantages and overall safety comparable to the current digital single-use ureteroscope standard. Full article

Chlorpyrifos CPF (O,O-diethyl O-(3,5,6-trichloro-2-pyridyl) phosphorothioate), known also as Chlorpyrifos-ethyl, is one of the most utilized organophosphorus pesticides worldwide. Additionally, CPF could be used as a chemical warfare agent surrogate. Although its acute toxicity is not high, it is responsible for both a large number of intoxications and chronic, delayed neurological effects. In this work, it is reported for the first time the qualitative and quantitative response produced by CPF vapors, using a pocket-held Time-of-Flight Ion Mobility Spectrometer (ToF IMS) with a non-radioactive ionization source and ammonia doping, model LCD-3.2E (Smiths Detection Ltd.), operated near ambient temperature (below 30 °C). Spectra of CPF in positive ion mode included two distinct product ion peaks; thus, identification of CPF vapors by IMS relies on these peaks—the monomer M·NH₄⁺ with reduced ion mobility K₀ = ca. 1.76 cm² V⁻¹ s⁻¹ and the dimer M₂·NH₄⁺ with K₀ = ca. 1.47 cm² V⁻¹ s⁻¹ (where M may be assignable to CPF molecule)—and positive reactant ions (Pos RIP) have K₀ = ca. 2.25 cm² V⁻¹ s⁻¹. Excellent sensitivity, with a limit of detection LOD of 0.72 ppb_v (10.5 μg m⁻³) and a limit of quantification LOQ of 2.41 ppb_v (35.1 μg m⁻³), has been noticed; linear response was up to 100 ppb_v, while saturation occurs over ca. 1000 ppb_v (14.6 mg m⁻³). Our results demonstrate that this method provides a robust tool for both off-site and on-site detecting and quantifying CPF vapors at trace levels, which has strong implications for either industrial hygiene or forensic investigations concerning the pesticide Chlorpyrifos, as well as for monitoring of environmental contamination by organophosphorus pesticides. Full article

The present study investigated factors influencing cybersecurity in railway critical infrastructure by identifying relevant factors and criteria and then prioritizing them in order of importance. To address the lack of multi-criteria analysis in previous studies on this topic, the present study applied the analytical hierarchy process to identify factors and criteria influencing cybersecurity and then selected the top 70% of influencing criteria to serve as a reference for railway cybersecurity project management. A total of 25 valid expert questionnaires were collected for weight vector analysis, revealing that the influencing criteria in the top 70% were inability to monitor train occupancy in track sections (locations); inability of controllers to issue commands to safety control systems; inability to provide drivers with information on upcoming signals, block status, and train occupancy; failure to automatically apply brakes when the train exceeds the speed limit; increased risk of catastrophic accidents due to power system security vulnerabilities; and inability of the dispatching system to automatically track train numbers. Full article

Camellia oleifera Abel shell is an abundant lignocellulosic byproduct of the Chinese woody oil industry, which is currently underutilized. To achieve its high-value utilization, this study developed an innovative cascade process integrating ultrasound-assisted extraction and macroporous resin purification for the efficient preparation of purified polyphenols from the shell (P-CPCS). The major constituents were identified by quadrupole/Orbitrap high-resolution mass spectrometry (HPLC-Q-Exactive-MS: Biotech Pack Co., Ltd., Beijing, China) analysis. The optimized process significantly enhanced the polyphenol yield (40.05 ± 0.58 mg GAE/g dw) and purity (57.72%), surpassing conventional methods. P-CPCS exhibited exceptional multifunctional bioactivities, including potent antioxidant capacity (with low IC₅₀ values against DPPH, ABTS⁺·, and ·OH radicals), effective tyrosinase inhibition (whitening effect), and significant bacteriostatic effects against various pathogens. Furthermore, P-CPCS notably suppressed the LPS-induced inflammatory response in RAW264.7 macrophages by reducing NO overproduction. This work highlights a novel and efficient strategy for upcycling agricultural waste into a high-performance natural antioxidant, positioning P-CPCS as a promising ingredient for applications in functional foods, cosmetics, and biomaterial stabilization. Full article

This work details the development of a 10-stage solid-stage linear transformer driver (SSLTD) capable of producing 24 kV, 1 kA pulses with a rise-time of ∼10 ns utilizing SiC MOSFET switches. Throughout the development process, various design parameters were investigated for their influence on the LTD’s performance. Among these considerations was an evaluation of the behavior of several nanocrystalline magnetic core materials subject to high-voltage pulsed conditions, with an emphasis on minimizing energy losses. Another design parameter of interest lies in the physical layout of the LTD structure, particularly the diameter of the central stalk and the dielectric material, which together define the characteristics of the coaxial transmission line, as well as the overall height of each stage. The influence of each of these parameters was weighed to optimize the final design for fastest output pulse rise-time, highest efficiency, and cleanest output pulse waveform profile across varying load resistance. This work also introduces a pulsed reset technique, where repetition-rated burst testing was used to find the maximum operational frequency of the LTD without driving the magnetic cores into saturation. Full article

Soft-magnetic materials can benefit significantly from additive manufacturing using Laser Powder Bed Fusion of metals with laser beam, as this technology allows the production of parts with complex geometries. In this study, two iron-based alloys were investigated: Fe-10%Ni (at%) and Fe-10%Si (at%), which are known for their promising soft-magnetic properties. A parameter study was first conducted to optimize the process settings with the goal of maximizing the relative density, which strongly influences magnetic performance. Using AI-based optimization software (xT-Saam by Exponential Technologies Ltd., Riga, Latvia), geometrically simple specimens with a relative density of ≥99.95% were successfully produced. Utilizing the developed parameter sets, toroids were manufactured and heat-treated to improve their magnetic properties. The best obtained ferromagnetic properties were H_C = 1621 A/m (coercivity) and µ_R = 305 (permeability) for Fe-10%Ni, and H_C = 300 A/m and µ_R = 1114 for Fe-10%Si. Full article

Plant functional traits (PFTs) serve as key predictors of plant survival and adaptation to environmental gradients. Studies on intraspecific variation in PFTs are crucial for evaluating species’ adaptation to projected climate change and developing long-term conservation strategies. This study systematically investigated PFT responses in Polyspora chrysandra (Theaceae, Yunnan, China) through an integrated multivariate analysis of 20 leaf functional traits (LFTs) and 33 environmental factors categorized into geographical conditions (GCs), climate factors (CFs), soil properties (SPs), and ultraviolet radiation factors (UVRFs). To disentangle complex environmental–trait relationships, we employed redundancy analysis (RDA), hierarchical partitioning (HP), and partial least squares structural equation modeling (PLS-SEM) to assess direct, indirect, and latent relationships. Results showed that the intraspecific coefficient of variation (CV) ranged from 7.071% to 25.650%. Leaf tissue density (LTD), specific leaf area (SLA), leaf fresh weight (LFW), leaf dry weight (LDW), and leaf area (LA) exhibited moderate intraspecific trait variation (ITV), while all other traits demonstrated low ITV. Reference Bulk density (RBD) and Silt emerged as significant factors driving the variation. Latitude (Lat), altitude (Alt), and mean warmest month temperature (MWMT) were also identified as key influences. HP analysis revealed Silt as the most important predictor (p < 0.05). Latent variable analysis indicated descending contribution rates: SPs (31.51%) > GCs (11.52%) > CFs (11.04%) > UVRFs (10.29%). Co-effect analysis highlighted significant coupling effects involving RBD and cation exchange capacity of clay (CECC), as well as organic carbon content (OCC) and UV-B seasonality (UVB2). Path analysis showed SPs as having the strongest influence on leaf thickness (LT), followed by GCs and UVRFs. These findings provide empirical insights into the biogeographical patterns of ITV in P. chrysandra, enhance the understanding of plant environmental adaptation mechanisms, and offer a theoretical foundation for studying community assembly and ecosystem function maintenance. Full article

Covert channels enable hidden communication that poses significant security risks, particularly when smartphones are used as transmitters. This paper presents the first end-to-end implementation and evaluation of an electromagnetic (EM) covert channel on modern Samsung Galaxy S21, S22, and S23 smartphones (Samsung Electronics Co., Ltd., Suwon, Republic of Korea). We first demonstrate that a previously proposed method relying on zero-volume playback is no longer effective on these devices. Through a detailed analysis of EM emissions in the 0.1–2.5 MHz range, we discovered that consistent, volume-independent signals can be generated by exploiting the hardware’s recovery delay after silent audio playback. Based on these findings, we developed a complete system comprising a stealthy Android application for transmission, a time-based modulation scheme, and a demodulation technique designed around the characteristics of the generated signals to ensure reliable reception. The channel’s reliability and robustness were validated through evaluations of modulation time, probe distance, and message length. Experimental results show that the maximum error-free bit rate (bits per second, bps) reached 0.558 bps on Galaxy S21 and 0.772 bps on Galaxy S22 and Galaxy S23. Reliable communication was feasible up to 0.5 cm with a near-field probe, and a low alignment-aware bit error rate (BER) was maintained even for 100-byte messages. This work establishes a practical threat, and we conclude by proposing countermeasures to mitigate this vulnerability. Full article

Smart meters (SMs) are essential components of modern smart grids, enabling real-time and accurate monitoring of electricity consumption. However, their evaluation is often hindered by proprietary communication protocols and the high cost of commercial testing tools. This study presents a low-cost, open-source experimental platform for smart meter validation, using a microcontroller and light sensor to detect optical pulses emitted by standard SMs. This non-intrusive approach circumvents proprietary restrictions while enabling transparent and reproducible comparisons. A case study was conducted comparing the static meter GAMA 300 model, manufactured by Elgama-Elektronika Ltd. (Vilnius, Lithuania), which is a closed-source commercial meter, with theTexas Instruments EVM430-F67641 evaluation module, manufactured by Texas Instruments Inc. (Dallas, TX, USA), which serves as an open-source reference design. Statistical analyses—based on confidence intervals and ANOVA—revealed a mean deviation of less than 1.5% between the devices, confirming the platform’s reliability. The system supports indirect power monitoring without hardware modification or access to internal data, making it suitable for both educational and applied contexts. Compared to existing tools, it offers enhanced accessibility, modularity, and open-source compatibility. Its scalable design supports IoT and environmental sensor integration, aligning with Internet of Energy (IoE) principles. The platform facilitates transparent, reproducible, and cost-effective smart meter evaluations, supporting the advancement of intelligent energy systems. Full article

The Hebbian type of spike timing-dependent plasticity (STDP) with long-term potentiation and depression (LTP and LTD) plays a crucial role at layer 4 (L4) to L2/3 synapses in deprivation-induced map plasticity. In addition, plasticity at the L2/3 horizontal connection is suggested to play an additional role in map plasticity, especially for “spared whisker response potentiation.” Unimodal STDP with only LTP, or all-LTP STDP drives circuit formation at thalamocortical, as well as L4-L2/3 synapse before the critical period. Here, we first show that the L2/3 horizontal connections exhibit all-LTP STDP when axons are extending during synapse formation before the critical period. LTP-STDP induced by pre-post timing was mediated by NMDA-R because APV blocked the induction. In addition, PKA signaling was involved because PKI 6-22 blocked the induction. However, LTP-STDP induced by post-pre timing was not mediated by NMDA-R, because APV could not block its induction. Nevertheless, PKA signaling was also involved in its induction because PKI 6-22 blocked the induction. Our finding indicates that PKA signaling plays an important role in all-LTP STDP during synaptic formation at the L2/3-L2/3 connection between neighboring columns with a distinct source of Ca²⁺ influx in the developing mouse barrel cortex. Full article

Background: While the side-by-side stenting technique-characterized by the parallel placement of stents offers procedural simplicity, the augmented radial force exerted by the initial stent may complicate subsequent deployment. This multicenter study evaluated the practicality and safety of bilateral side-by-side stenting using novel braided self-expandable metal stents (Benefit^TM; M.I.Tech Co., Ltd., Pyeongtaek, Republic of Korea). Statistical analysis included survival analysis (Kaplan–Meier) and Cox proportional hazards regression to identify predictive factors. Patients and Methods: In this multicenter study, patients with inoperable malignant hilar biliary obstruction (Bismuth type II–IV) underwent simultaneous side-by-side endoscopic placement of two braided self-expandable metal stents. The primary outcome was stent patency. The secondary outcomes included technical and clinical success, and adverse events monitored for up to one year. Results: A total of 27 patients were included in the final analysis. The technical success rate was 92.6% (25/27), and the clinical success rate was 88.0% (22/25). The median stent patency was 93 days, with cumulative patency rates of 87.4% at 3 months and 49.7% at 12 months. Tumor ingrowth was the most common cause of stent occlusion (66.7%). Early adverse events occurred in 2 patients (one cholangitis and one stent migration), supporting the favorable safety profile of this approach. Conclusions: The simultaneous side-by-side placement of novel braided self-expandable metal stents yielded high technical success and favorable clinical outcomes in patients with inoperable malignant hilar biliary obstruction. This approach provided substantial stent patency with a low complication rate, supporting its utility as a safe and effective palliative strategy for the management of malignant hilar biliary obstruction. Full article

Background: Rectal cancer is common and frequently treated with neoadjuvant radiotherapy prior to surgery to reduce the risk of tumour recurrence. However, the therapeutic benefits and side effects of radiotherapy can vary between patients, and there are currently no validated biomarkers to predict treatment response. Tumour cell density (TCD) and tumour-infiltrating lymphocyte (TIL) density are proven prognostic biomarkers in colorectal cancer; however, their utility in predicting radiotherapy response remains unclear. We assessed the prognostic and predictive value of TCD and TIL density in rectal cancer patients treated with radiotherapy. Methods: TCD was quantified using a manual point-counting method in 253 pre-treatment biopsies and across the entire tumour area of 569 resection specimens from the MRC CR07 clinical trial, which randomised patients to either neoadjuvant short-course radiotherapy (SCRT) or straight to surgery (control). TIL density was measured in 102 biopsies and matched resection specimens (73 SCRT, 29 control) across different tumour areas using deep learning-based cell detection in MIM (HeteroGenius Ltd., Leeds, UK). Cutoffs for low/high-TCD and TIL density were both pre-defined and derived from survival data using the survminer R package. Survival analyses were performed to evaluate the predictive and prognostic value of TCD/TIL in relation to overall and cancer-specific survival. Results: TCD in the resection specimens was lower in the SCRT group (19.9%, IQR 12.9–26.7%) than the control group (34.3%, IQR 27.7–40.5%, p < 0.001). In control resections, low-TCD was associated with a higher risk of all-cause mortality (HR 2.20, 95% CI 1.41–3.44, p < 0.001) and cancer-related death (HR 2.69, 95% CI 1.41–5.13, p = 0.0026). In contrast, after SCRT, low resection TCD was associated with a reduced risk of death (HR 0.63, 95% CI 0.40–0.98, p = 0.04). In the SCRT group, low biopsy TCD prior to radiotherapy was associated with a reduced risk of cancer-related death (HR 0.34, 95% CI 0.13–0.89, p = 0.028). Across both trial arms, TIL density was higher in pre-treatment biopsies than resections (2492 vs. 1304/mm², p < 0.001). Low biopsy TIL density was associated with an increased risk of all-cause mortality (HR 2.43, 95% CI 1.24–4.76, p = 0.01). The SCRT group had lower TIL density in the resection compared with controls (1210 vs. 1615/mm², p < 0.001), and low resection TIL density across the whole tumour area was associated with a higher risk of death (HR 2.55, 95% CI 1.11–5.87, p = 0.027). Conclusions: Our findings support the role of TCD and TIL density as quantitative biomarkers in rectal cancer patients. TCD can be used to assess the degree of response to radiotherapy, and contrasting survival associations are observed between straight-to-surgery and SCRT-treated patients. This study raises the possibility of using TCD as both a prognostic and predictive biomarker. TIL density failed to show predictive value but demonstrated expected prognostic associations. Full article

Metal oxides are the most widely used material for the resistive switching layer of memristors. Nevertheless, the majority of oxide-based memristors exhibit binary switching, restricting the emulation of neuronal synaptic behaviors. In this paper, the shift from digital-to-analog switching behavior is achieved by inserting an Al₂O₃ layer atop Zr-doped HfO₂. The TiN/Al₂O₃/HZO/W/Si device exhibits long resistance state retention time and consistency. In addition, by applying a varying voltage, the device exhibits up to 20 continuous resistance states, which is highly significant for high-density storage. Upon the application of a programmable pulse signal, the device’s conductance undergoes continual alteration, reflecting long-term potentiation (LTP) and long-term depression (LTD) synaptic characteristics. The conduction mechanism of the device is studied through physical model fitting and schematic diagrams. Full article