Search Results (1,741)

Introduction: Sarcopenia is a systemic condition linked to increased morbidity and mortality in older adults. Point-of-Care Ultrasound (POCUS) offers a rapid, bedside method to assess muscle mass. This study evaluates the diagnostic accuracy of POCUS compared to Dual-energy X-ray Absorptiometry (DXA), the gold standard method, and explores its prognostic value in old patients undergoing surgery for hip fractures. Patients and Methods: In this prospective, single-center study, 126 patients aged ≥ 70 years and hospitalized with hip fractures were included. Sarcopenia was defined according to the revised 2018 EWGSOP2 criteria. Muscle mass was assessed by the Appendicular Skeletal Muscle Mass Index (ASMI) using DXA and by the thickness of the rectus femoris (RF) muscle using POCUS. Results: Of the 126 included patients, 52 had both DXA and POCUS assessments, and 43% of them met the diagnostic criteria for sarcopenia or severe sarcopenia. RF muscle thickness measured by POCUS was significantly associated with ASMI (R² = 0.30; p < 0.001). POCUS showed a fair diagnostic accuracy in women (AUC 0.652) and an excellent accuracy in men (AUC 0.905). Optimal diagnostic thresholds according to Youden’s index were 5.7 mm for women and 9.3 mm for men. Neither RF thickness, ASMI, nor sarcopenia status predicted mortality or major postoperative complications. Conclusions: POCUS is a promising, accessible tool for diagnosing sarcopenia in old adults with hip fractures. Nonetheless, its prognostic utility remains uncertain and should be further evaluated in long-term studies. Full article

Background: Charcot–Marie–Tooth (CMT) is a group of inherited diseases impairing the peripheral nervous system. CMT originates from genetic variants that affect proteins fundamental for the myelination of peripheral nerves and survival. Moreover, environmental and humoral factors can impact disease development and evolution. Currently, no therapy is available. Metabolomics is an emerging field of biomedical research that enables the development of novel biomarkers for neurodegenerative diseases by targeting metabolic pathways or metabolites. This study aimed to evaluate the metabolomics profile of CMT disease by comparing patients with healthy individuals. Methods: A total of 22 CMT patients (CMT) were included in this study and were demographically matched with 26 healthy individuals (C). Serum samples were analyzed through Nuclear Magnetic Resonance spectroscopy, and multivariate and univariate statistical analyses were subsequently applied. Results: A supervised model showed a clear separation (R²X = 0.3; R²Y = 0.7; Q² = 0.4; p-value = 0.0004) between the two classes of subjects, and nine metabolites were found to be significantly different (2-hydroxybutyrate, 3-hydroxybutyrate, 3-methyl-2-oxovalerate, choline, citrate, glutamate, isoleucine, lysine, and methyl succinate). The combined ROC curve showed an AUC of 0.94 (CI: 0.9–1). Additional altered metabolic pathways were also identified within the disease context. Conclusion: This study represents a promising starting point, demonstrating the efficacy of metabolomics in evaluating CMT patients and identifying novel potential disease biomarkers. Full article

This study investigates the co-pyrolysis behavior of two lignocellulosic biomass blends, bamboo (B), and rice straw (R) with a plastic polyethylene (P). A total of 15 samples, including binary and ternary blends, were analyzed. Firstly, X-ray diffraction (XRD) analysis was performed to reveal high crystallinity in the B25R75 blend (I/I_c = 13.39). Whereas, the polyethylene samples showed persistent ZrP₂O₇ and lazurite phases (I/I_c up to 3.12) attributed to additives introduced during the manufacturing of the commercial plastic feedstock. In addition, scanning electron microscopy with energy-dispersive X-ray (SEM-EDX) spectroscopy was performed to characterize the surface morphology and elemental composition of the feedstock. Moreover, thermogravimetric analysis (TGA) was employed at temperatures up to 700 °C at three different heating rates (5, 10, and 20 °C/min) under pyrolysis conditions. Kinetic analysis used TGA data to calculate activation energy via Friedman’s isoconversional method, and the blended samples exhibited a decrease in activation energy compared to the individual components. Furthermore, the study evaluated transient interaction effects among the components by assessing the deviation between experimental and theoretical weight loss. This revealed the presence of significant synergistic behavior in certain binary and ternary blends. The results demonstrate that co-pyrolysis of bamboo and rice straw with polyethylene enhances thermal decomposition efficiency and provides a more favorable energy recovery route. Full article

Co_0.95R_0.05Fe₂O₄ nanoparticles with R = La, Pr, Nd, Sm, and Eu were synthesized via an environmentally friendly sol–gel method. The prepared samples were studied using X-ray diffraction measurements (XRD), transmission electron microscopy (TEM), X-ray photoelectron microscopy (XPS), and magnetic measurements. All compounds were found to be single phases adopting a cubic Fd-3m structure. EDS analysis confirmed the presence of Co, Fe, R, and oxygen in all cases. The XPS measurements reveal that the Co 2p core-level spectra are characteristic for Co³⁺ ions, as indicated by the 2p_3/2 and 2p_1/2 binding energies and spin–orbit splitting values. The analysis of the Fe 2p core-level spectra reveals the presence of both Fe³⁺ and Fe²⁺ ions in the investigated samples. The doped samples exhibit lower saturation magnetizations than the pristine sample. Very good agreement with the saturation magnetization values was obtained if we assumed that the light rare-earth ions occupy octahedral sites and their magnetic moments align parallel to those of the 3d transition metal ions. The ZFC-FC curves indicate that some nanoparticles remain superparamagnetic, while others exhibit ferrimagnetic ordering at room temperature, suggesting the presence of interparticle interactions. The M_r/M_s ratio at room temperature reflects the dominance of magnetostatic interactions. Full article

Background/Objectives: A nanostructured membrane of polycaprolactone (a synthetic polymer) was synthesized using an electrospinning technique aiming to enhance its hydrophilicity and rate of degradation by surface modification via aminolysis. Since polycaprolactone nanofibrous films are naturally hydrophobic and with slow degradation, which restricts their use in biological systems, amino groups were added to the fiber surface using the aminolysis technique, greatly increasing the wettability of the membranes. Methods: Polycaprolactone nanofibrous membranes were synthesized via the electrospinning technique and surface modification by aminolysis. Trypsin, pepsin, and pancreatin were conjugated onto the aminolyzed PNF surface to further strengthen biocompatibility by enhancing the hydrophilicity, porosity, and biodegradation rate. SEM, FTIR, EDX, and liquid displacement method were performed to investigate proteolytic efficiency and morphological and physical characteristics such as hydrophilicity, porosity, and degradation rates. Results: Enzyme activity tests, which showed a zone of clearance, validated the successful enzyme conjugation and stability over a wide range of pH and temperatures. Scanning electron microscopy (SEM) confirms the smooth morphology of nanofibers with diameters ranging from 150 to 950 nm. Fourier transform infrared spectroscopy (FTIR) revealed the presence of O–H, C–O, C=O, C–N, C–H, and O–H functional groups. Energy-dispersive X-ray (EDX) elemental analysis indicates the presence of carbon, oxygen, and nitrogen atoms owing to the presence of peptide and amide bonds. The liquid displacement technique and contact angle proved that Pepsin-PNFs possess notably increased porosity (88.50% ± 0.31%) and hydrophilicity (57.6° ± 2.3 (L), 57.9° ± 2.5 (R)), respectively. Pancreatin-PNFs demonstrated enhanced enzyme activity and degradation rate on day 28 (34.61%). Conclusions: These enzyme-conjugated PNFs thus show improvements in physicochemical properties, making them ideal candidates for various biomedical applications. Future studies must aim for optimization of enzyme conjugation and in vitro and in vivo performance to investigate the versatility of these scaffolds. Full article

Background: Accuracy of optical impressions—defined by the intraoral scanner (IOS)’s trueness and precision per International Organization for Standardization (ISO) standards—is influenced by both operator- and patient-related factors. Thus, this in vitro study aimed to (1) evaluate how scanning distance affects the accuracy of three different intraoral scanners (IOSs), and (2) identify the optimal scanning distance for each scanner. Methods: A maxillary arch model was obtained using polyvinyl siloxane impression material and poured with Type IV stone (Octa-rock royal^®, Kulzer, Germany). Using three different types of IOSs—the trios 3 shape (TRIOS ^® cart, 3Shape, Copenhagen, Denmark); the Helios 500 (Eighteeth ^®, Changzhou, China); and the Heron (3Disc ^®, Herndon, VA 20170, USA)—ten scans were performed with each of the IOSs with five predetermined distances: 0 mm, 2.5 mm, 5 mm, 7.5 mm, and 10 mm. Spacers of varying heights were designed using Meshmixer version 3.5 (Autodesk, Inc., Mill Valley, CA, USA) and three-dimensional printed with the Form 2 printer (Formlabs, Somerville, MA, USA). The scanned data was processed using Geomagic Control X (Version 16.0.2.16496, 3D Systems, Wilsonville, OR, USA). Statistical analyses were performed using R Statistical Software (version 4.2.2), with significance set at α = 0.05. Results: Scanning distance significantly influenced scan accuracy for all three scanners. The 3Disc scanner (3Disc, Herndon, VA, USA) demonstrated the highest accuracy at a 7.5 mm distance, while both the Helios 500 (Eighteeth, Changzhou, China) and Trios 3 (3Shape, Copenhagen, Denmark) scanners achieved their best accuracy at a 5 mm distance, as indicated by the lowest root mean square (RMS) values (p < 0.05). Conclusions: To conclude, each IOS has an optimal scanning distance for best accuracy. Trios 3 (3Shape, Copenhagen, Denmark) outperformed the others in both trueness and precision. Future studies should examine these effects under full-arch and clinical conditions. Full article

Introduction: Pertussis, a vaccine-preventable disease caused by Bordetella pertussis, is resurging globally due to declining immunization rates. This study explores the clinical and epidemiological features of pediatric pertussis cases in a regional Romanian hospital amid growing vaccine hesitancy. Methods: We conducted a retrospective cohort study on 99 children diagnosed with pertussis and admitted to Ploiești Pediatric Hospital between January 2024 and January 2025. Demographic, clinical, laboratory, and radiological data were analyzed using SPSS 25.0. Results: The median age was 11 months (IQR 4–25), with 12.1% under two months, and ineligible for the first DTaP dose. Notably, 72.7% of children were unvaccinated; 59.4% had missed scheduled doses. None of the mothers received the DTaP vaccination during pregnancy. Most cases (55.6%) had bilaterally accentuated interstitial patterns on chest X-ray, significantly associated with vaccination status (p = 0.019). The leukocyte count was higher in children with alveolar infiltrates (p = 0.028), and as the number of vaccine doses increased, the leukocyte count tended to slightly decrease (p = 0.022, R = −0.229). PCR confirmation was obtained after a mean of 2.2 days, with 12.1% of cases confirmed post-discharge. Azithromycin was used in 74.7% of cases, with good tolerability. Conclusions: Low pediatric and maternal vaccine uptake was a major contributor to pertussis resurgence in this cohort. Radiological severity correlated with vaccination status, suggesting that vaccination may confer protection not only against infection but also against severe pulmonary involvement. These findings support urgent public health efforts to restore vaccine confidence and coverage, particularly among vulnerable infant populations and expectant mothers. Full article

This study presents the synthesis, characterization, and application of magnetic magnetite–zirconium dioxide (Fe₃O₄–ZrO₂) nanoparticles as an efficient nanoadsorbent for fluoride removal from water. The nanoparticles were synthesized using a wet chemical co-precipitation method with Fe/Zr molar ratios of 1:1, 1:2, and 1:4, and characterized using Fourier-transform infrared (FTIR) spectroscopy, scanning electron microscopy (SEM), X-ray diffraction (XRD), and energy-dispersive X-ray spectroscopy (EDS). FTIR analysis confirmed the presence of Fe₃O₄ and ZrO₂ functional groups, while XRD showed that increased Zr content led to a dominant amorphous phase. SEM and EDS analyses revealed quasi-spherical and elongated morphologies with uniform elemental distribution, maintaining the designed Fe/Zr ratios. Preliminary adsorption tests identified the Fe/Zr = 1:1 (M1) nanoadsorbent as the most effective due to its high surface homogeneity and optimal fluoride-binding characteristics. Adsorption experiments demonstrated that the material achieved a maximum fluoride adsorption capacity of 70.4 mg/g at pH 3, with the adsorption process best fitting the Temkin isotherm model (R² = 0.987), suggesting strong adsorbate–adsorbent interactions. pH-dependent studies confirmed that adsorption efficiency decreased at higher pH values due to electrostatic repulsion and competition with hydroxyl ions. Competitive ion experiments revealed that common anions such as nitrate, chloride, and sulfate had negligible effects on fluoride adsorption, whereas bicarbonate, carbonate, and phosphate reduced removal efficiency due to their strong interactions with active adsorption sites. The Fe₃O₄–ZrO₂ nanoadsorbent exhibited excellent magnetic properties, facilitating rapid and efficient separation using an external magnetic field, making it a promising candidate for practical water treatment applications. Full article

Background: Female collegiate runners may be at high risk for disordered eating and poor bone health, which are characteristics of the female athlete triad. Intuitive eating can promote healthy eating behavior and adequate calorie intake, central variables in calculating energy availability, an underlying cause of low bone mass in athletes. Poor bone health can contribute to injury, preventing optimal performance for athletes. The purpose of this study was to assess intuitive eating, energy availability, and bone mineral density in female college runners with comparison to non-athletes. Methods: Female college athletes (n = 13, 19.5 ± 1.4 yrs) and non-athletes (n = 12, 19.9 ± 1.3 yrs) completed the Intuitive Eating Scale, Eating Disorder Examination Questionnaire, and menstrual history survey. Bone mineral density and body composition were measured using a dual-energy X-ray absorptiometer (DEXA). A 3-day diet record and exercise log were used to assess dietary intake, estimate energy expenditure, and calculate energy availability. Results: Intuitive eating was inversely correlated with disordered eating (r = −0.596, p = 0.002). Intuitive eating scores were not correlated to calorie intake, energy availability, bone mass, or percent body fat. Runners consumed significantly more calories, calcium, magnesium, phosphorus, and protein (g/kg) than non-athletes. Energy availability and bone mineral density were not significantly different between runners and non-athletes. Conclusions: Intuitive eating is associated with healthy eating behaviors in college-age females and was not related to energy availability, bone density, or body composition in this population. Future research could explore the use of intuitive eating principles in reducing disordered eating and addressing low energy availability in female runners and non-athletes. Full article

A novel single-walled carbon nanotube (SWNT), silver (Ag) nanoparticle, and zinc benzene carboxylate (ZnBDC) metal–organic framework (MOF) composite was synthesised and systematically characterised to develop an efficient platform for mercury ion (Hg²⁺) detection. X-ray diffraction confirmed the successful incorporation of Ag nanoparticles and SWNTs without disrupting the crystalline structure of ZnBDC. Meanwhile, field-emission scanning electron microscopy and energy-dispersive spectroscopy mapping revealed a uniform elemental distribution. Thermogravimetric analysis indicated enhanced thermal stability. Electrochemical measurements (cyclic voltammetry and electrochemical impedance spectroscopy) demonstrated improved charge transfer properties. Electrochemical sensing investigations using differential pulse voltammetry revealed that the SWNTs/Ag@ZnBDC-modified glassy carbon electrode exhibited high selectivity toward Hg²⁺ ions over other metal ions (Cd²⁺, Co²⁺, Cr³⁺, Fe³⁺, and Zn²⁺), with optimal performance at pH 4. The sensor displayed a linear response in the concentration range of 0.1–1.0 nM (R² = 0.9908), with a calculated limit of detection of 0.102 nM, slightly close to the lowest tested point, confirming its high sensitivity for ultra-trace Hg²⁺ detection. The outstanding sensitivity, selectivity, and reproducibility underscore the potential of SWNTs/Ag@ZnBDC as a promising electrochemical platform for detecting trace levels of Hg2+ in environmental monitoring. Full article

This study, in response to the optimization needs of fall risks for the elderly in the context of cultural and tourism integration in Hebei Province, China, established a quantitative correlation system between ten gait parameters and ten types of spatial risk factors. By collecting gait data (Qualisys infrared motion capture system, sampling rate 200 Hz) and spatial parameters from 30 elderly subjects (with mild, moderate, and severe functional impairments), a multi-level regression model was established. This study revealed that step frequency, step width, and step length were nonlinearly associated with corridor length, door opening width, and step depth (R² = 0.53–0.68). Step speed, ankle dorsiflexion, and foot pressure were key predictive factors (OR = 0.04–8.58, p < 0.001), driving the optimization of core spatial factors such as threshold height, handrail density, and friction coefficient. Step length, cycle, knee angle, and lumbar moment, respectively, affected bed height (45–60 cm), switch height (1.2–1.4 m), stair riser height (≤35 mm), and sink height adjustment range (0.7–0.9 m). The prediction accuracy of the ten optimized values reached 86.7% (95% CI: 82.1–90.3%), with Hosmer–Lemeshow goodness-of-fit x² = 7.32 (p = 0.412) and ROC curve AUC = 0.912. Empirical evidence shows that the graded optimization scheme reduced the fall risk by 42–85%, and the estimated fall incidence rate decreased by 67% after the renovation. The study of the “abnormal gait—spatial threshold—graded optimization” quantitative residential layout optimization provides a systematic solution for the data-quantified model of elderly-friendly residential renovations. Full article

Rheum tataricum L.fil., known for its high tolerance to drought, salinity, and nutritional deficiency, is the least studied species of wild rhubarb. Extract of roots and rhizomes of R. tataricum has been traditionally used for the treatment of different diseases such as liver, kidney, womb, and bladder diseases and also relapsing fever. An ethanol extract of the roots of R. tataricum was prepared and further successively fractionated by extraction with tert-butyl methyl ether (TBME) and ethyl acetate (EtOAc). The obtained extract fractions were subjected to a series of chromatographic separations on silica gel for the isolation of its individual compounds. A total of 12 individual compounds, 2-O-β-D-glucopyranoside of R-(4-hydroxyphenyl)-2-butanol (rhododendrin) 1, gallic acid 2, 2-O-β-D-glucopyranoside of S-4-(4-hydroxyphenyl)-2-butanol (epi-rhododendrin) 3, their aglycones (-)-(2R)-rhododendrol 4 and (+)-(2S)-rhododendrol 5, gallotannin β-glucogallin 6, chlorogenic acids (3,5-di-O-caffeoylquinic acid 7 and 5-O-caffeoyl-3-O-(p-coumaroyl) quinic acid 8), 4-(4-hydroxyphenyl)-2-butanon (raspberry ketone) 9 and three stilbenes (rhaponticin 10, desoxyrhaponticin 11 and resveratroloside 12), were isolated and characterized. The structure of desoxyrhaponticin 11 was confirmed by X-ray diffraction analyses. The results of in vitro biological assays (the MTT test) showed that ethanol extract Rheum tataricum was non-toxic against the normal epithelial VERO cells. The isolated compounds 1, 4, 11 and 12 exhibited cytotoxicity against a cervical cancer cell line (CaSki), breast adenocarcinoma (MCF7) and glioblastoma cell line (SNB-19) at low micromolar concentrations. Polyhydroxystilbenes 11 and 12 showed the best potency against adenocarcinoma cells (GI₅₀ = 7–8 μM). The inhibition activity towards cancer cells was comparable to those of the standard drug doxorubicin. The available from R. tataricum secondary metabolites may serve as new leads for the discovery of anticancer drugs. Full article

This paper mainly studies the existence of sign-changing solutions for the following $p\left(x\right)$-biharmonic Kirchhoff-type equations: $-\left(a+b{\int }_{{\mathbb{R}}^N}{\displaystyle \frac{1}{p\left(x\right)}}{|\Delta u|}^{p\left(x\right)}\mathrm{d}x\right){\Delta }_{p\left(x\right)}^{2}u+V\left(x\right){|u|}^{p\left(x\right)-2}u$ = $K\left(x\right)f\left(u\right),x\in {\mathbb{R}}^N$, where ${\Delta }_{p\left(x\right)}^{2}u=\Delta \left({|\Delta u|}^{p\left(x\right)-2}\Delta u\right)$ is the $p\left(x\right)$ biharmonic operator, $a,b>0$ are constants, $N\ge 2$, $V\left(x\right),K\left(x\right)$ are positive continuous functions which vanish at infinity, and the nonlinearity f has subcritical growth. Using the Nehari manifold method, deformation lemma, and other techniques of analysis, it is demonstrated that there are precisely two nodal domains in the problem’s least energy sign-changing solution $u_b$. In addition, the convergence property of $u_b$ as $b\to 0$ is also established. Full article

In this work, a glassy carbon electrode (GCE) modified with reduced graphene oxide and β-cyclodextrin (rGO/β-CD) nanocomposite was developed for the electrochemical detection of nitrofurantoin (NFT). The structural and morphological characteristics of the synthesized nanocomposite were determined using scanning electron microscopy (SEM), Raman spectroscopy, X-ray diffraction (XRD), and X-ray photoelectron spectroscopy (XPS). Moreover, the electrochemical behavior of the modified electrodes was thoroughly examined using cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS), with the rGO/β-CD-modified glassy carbon electrode (GCE) demonstrating superior electron transfer capability. Key experimental parameters, including scan rate, material loading, and solution pH, were systematically optimized. After optimizing the experimental conditions, the modified sensor showed excellent electrocatalytic performance and selectivity toward NFT, achieving a broad linear detection range from 0.5 to 120 μM, a low limit of detection (LOD) of 0.048 μM, and a high sensitivity of 12.1 µA µM^–1 cm^–2 using differential pulse voltammetry (DPV). Furthermore, the fabricated electrode exhibited good anti-interference ability, stability, precision, and real-time applicability for NFT detection in a wastewater sample. These results highlight the potential of the rGO/β-CD nanocomposite as a high-performance platform for electrochemical sensing applications. Full article

Background/Objectives: The variety of magnetic resonance imaging (MRI) scales available to measure soft tissue and osteochondral changes in joints of persons with hemophilia poses challenges in evaluating published clinical/research studies. To evaluate the value of four MRI scales [(i) the 17-point International Prophylaxis Study Group [IPSG] additive scale; (ii) and (iii) the compatible IPSG progressive (P) and additive (A) scales; and (iv) the Denver progressive scale] to assess joint change in boys with hemophilia participating in a prospective two-year prophylaxis study. Methods: Boys with severe hemophilia A (ages, 7–16 years) followed at the Hospital for Sick Children, Toronto, Canada had MRI evaluations of six index joints (ankles, knees, elbows) at study entry and exit. Musculoskeletal (MSK) outcomes included in the study were the Colorado Child Physical Examination (PE) scale; the Pettersson (X-ray) scale; and the aforementioned 4 MRI scales. Results: Very strong (r ≥ 0.80) correlations were observed between the IPSG 17-point, the IPSG progressive (P) and the Denver MRI scales, and moderate (r = 0.40–0.59) to strong (r = 0.60–0.79) correlations for the IPSG 17 point and the IPSG additive (A) MRI scales. Very weak (r = 0.20–0.39) or no correlations were observed between soft tissue MRI scores and the swelling item of the Child PE scale. Conclusions: All four MRI scales demonstrated relative comparability of their construct validities for assessing mild/moderate hemophilic arthropathy. The 17-point IPSG additive scale is recommended as a reference standard in future long-term studies of young boys with hemophilia receiving factor and non-factor-based preventive therapies. Full article