Search Results (1,412)

Background: Centralization and certification mark constant processes in everyday clinical routine. Despite the continuously rising number of certified pancreatic cancer (PAC) centers in recent years, fewer than 40% of PAC resections are still performed in certified institutions nationwide. The main objective of the certification is the enhancement of patient survival. Furthermore, certification is intended to improve structural quality, multidisciplinary cooperation, and the transparency of treatment pathways. In addition, it should have a positive effect on patient satisfaction. However, it requires the substantial effort of all partners involved. We aim to illustrate both advantages and limitations of the certification process. Methods: We analyzed perioperative outcomes of patients undergoing pancreatic resection for PAC (ICD C25) before and after our center’s first certification, and benchmarked these results against national data from the German Cancer Society. In addition, we analyzed quality of life (QoL) longitudinally using the validated QLQ-C30 questionnaire administered preoperatively and at 1, 4, and 18 months postoperatively. Results: The study cohort included 47 patients treated in the three years prior to certification and 130 patients during the subsequent seven years as a certified center. The mean annual number of PAC resections increased from 15 (ranged 14–18) to 19 (ranged 10–26). In-hospital mortality, length of stay, and rate of exploration-only procedures remained unchanged. Indicators of procedural quality, such as the number of harvested lymph nodes (p = 0.1485) and the precision of histopathological assessment, improved slightly but not significantly. QoL scores generally improved after discharge in both groups; however, functional scales and symptom measures demonstrated unexpectedly inferior values following certification, possibly reflecting higher case complexity. Conclusion: Achieving and maintaining certification requires substantial and continuous effort from all disciplines involved. While major improvements in morbidity, mortality, and long-term QoL were not observed, certification ensured clearer delegation of responsibilities, standardized documentation, and structured quality control. We therefore consider the certification process valuable for promoting multidisciplinary collaboration, maintaining high treatment volumes, and ensuring transparent oncological care pathways. Full article

Root rot in Lycium barbarum, an economically vital crop, is a critical barrier to its sustainable development in China. To elucidate the underlying micro-ecological mechanisms, this study aimed to characterize and compare the rhizosphere microbial communities of healthy and diseased plants from the Qaidam Basin. We employed PacBio full-length amplicon sequencing to analyze bacterial and fungal populations, complemented by network analysis and in vitro antagonistic assays. The results indicated that while microbial species richness was similar, the community structures of healthy and diseased soils were fundamentally different, suggesting that the disease is primarily driven by microbial dysbiosis rather than species loss. Healthy soil was enriched with beneficial Trichoderma, whereas diseased soil was dominated by the pathogen Fusarium, with an abundance 6.7 times higher than that in healthy soil. Network analysis revealed the healthy fungal community was significantly more stable (modularity index: 0.818) than the diseased network (0.4131), where Fusarium occupied a core hub position. Crucially, Trichoderma strains isolated from healthy soil exhibited strong antagonistic activity against Fusarium, with an average inhibition rate exceeding 75%. This study identifies Fusarium as the key pathogen of Goji root rot and native Trichoderma as a potent biocontrol agent, providing a scientific basis for a sustainable, micro-ecological control strategy. Full article

The morphology and composition of inorganic particles play a vital role in controlling the flame-retardant characteristics of polymers. Halogen-free flame-retardant polymers have also become a current research hotspot. Boron nitride (BN), phytic acid (PA), and chitosan (CS), a natural polysaccharide with a nitrogen content of approximately 6.8–7.5%, show great promise as flame retardants owing to their high thermal stability, P-based flame retardancy, and natural polysaccharide properties, respectively. In this study, BN (BN@PA-CS) particles coated with PA and CS were designed and prepared via a facile modification strategy. The effect of BN@PA-CS on the mechanical and flame-retardant properties of polyvinylidene fluoride (PVDF) was further investigated, and it was found that both characteristics were improved. Compared to pure PVDF, the PVDF composite films exhibited a significantly lower peak heat release rate and total heat release. With a BN@PA-CS content of 20%, the peak was the lowest at 18.25 W/g, corresponding to a decrease of 77.83%. This phenomenon may be attributed to the synergistic effect of the BN nanosheets and PA-CS in the BN@PA-CS particles. This work describes a facile and effective method of modifying the morphology and composition of inorganic particles, thereby controlling the properties of polymers, and provides a new approach to improving the safety of PVDF battery separators. Full article

Formation damage caused by wellbore fluids remains a key concern in carbonate reservoirs, where pore plugging and filtrate invasion can severely reduce permeability. This study investigates the influence of filtrate-control components in cellulose-based polymeric fluids on the potential for formation damage in carbonate rocks and evaluates the performance of HPA starch as an alternative to cellulose, focusing on its comparative effects on formation permeability. Experimental tests were performed using Indiana Limestone cores to measure filtration behavior and permeability recovery after exposure to different polymeric solutions. The results revealed distinct mechanisms associated with each additive: PAC LV controlled fluid loss mainly by adsorption and pore plugging, while HPA starch formed more deformable and permeable structures. Glycerin, when used alone, did not induce formation damage but increased fluid viscosity, favoring more stable dispersion of the polymeric phase. Micronized calcite enhanced external cake consolidation through particle bridging. The combined use of PAC LV, glycerin, and calcite provided the most efficient filtration control and minimized formation damage. These findings contribute to understanding the isolated and synergistic roles of filtrate-control agents and support the design of optimized polymer-based fluids for well intervention and abandonment operations. Full article

Optically pumped magnetometers (OPMs) present a promising opportunity to advance magnetoencephalography (MEG), enhancing the accuracy of neuronal activity recordings due to their high spatiotemporal resolution. However, to fully realize the potential of OPM-MEG as an emerging brain functional imaging technology, it is essential to measure key indicators of neural dynamics, particularly phase–amplitude coupling (PAC). PAC is a fundamental mechanism for integrating information across different frequency bands and plays an important role in various cognitive functions and neurological disorders. Therefore, measuring PAC with OPM-MEG is a crucial step toward expanding its applications. In this study, brain signals under pitch sequence stimulation were recorded using OPM-MEG to analyze the PAC effect in the primary auditory cortex (Aud) and the inferior frontal gyrus (IFG), as well as the functional connectivity between brain regions. The findings were validated through EEG control experiments. The results indicated that the PAC effect measured by OPM-MEG was largely consistent with that measured by EEG, with OPM-MEG appearing to detect PAC more prominently under the current experimental conditions. The PAC of Aud exhibited a trend of initially increasing and then decreasing centered on the target pitch, showing hemispheric symmetry. The PAC of IFG showed variations under different pitch conditions and displayed right hemisphere lateralization. Functional connectivity analysis provided convergent evidence for the mechanisms underlying the PAC effect and suggested the reliability of the OPM-MEG system in capturing cross-frequency neural dynamics. To our knowledge, this study provides the first task-based evidence that OPM-MEG can measure PAC effects in cortical regions, offering an initial foundation for future investigations of brain dynamics using this technology. Full article

As an economically important species endemic to the upper tributaries of Yangtze River in China, long-finned gudgeon fish (Rhinogobio ventralis) has been classified as endangered due to habitat destruction and population decline. In this study, we constructed a chromosome-level genome assembly of R. ventralis by integration of MGI, PacBio and Hi-C sequencing technologies. The final genome assembly was 1015.9 Mb in length (contig N50: 25.91 Mb; scaffold N50: 39.99 Mb), and 97.19% of the haplotypic genome sequences were anchored onto 25 chromosomes. Repetitive elements accounted for 51.00% of the entire genome assembly. A total of 23,220 protein-coding genes were predicted for the assembled genome, of which 99.79% were functionally annotated. Genome evaluation revealed 99.72% completeness for the genome assembly. Through genome-wide prediction of antimicrobial peptides (AMPs), we identified and localized 561 putative AMP-containing genes in the R. ventralis genome. These genes were further classified into 185 distinct functional categories based on public databases, with the top ten components of Penetratin (21.74%), Histone (5.70%), E6AP (4.09%), Scolopendin 1 (2.67%), D38 (2.31%), WBp-1 (2.13%), Defensin (2.13%), Claudin 1 (1.96%), Azurocidin (AZU1, 1.78%), and Ubiquitin (1.60%). Our data presented here provide a potential genetic resource for promoting fundamental research and wild population conservation of this endangered fish species. Full article

Radiomics has recently begun as a transformative approach in medical imaging, shifting radiology from qualitative description to quantitative analysis. By extracting high-throughput features from CT (Computed Tomography), MRI (Magnetic Resonance Imaging), PET/CT (Positron Emission Tomography/Computed Tomography), and CBCT (Cone Beam Computed Tomography), radiomics enables the characterization of tissue heterogeneity and the development of imaging biomarkers with diagnostic, prognostic, and predictive values. This narrative review explores the historical evolution of radiomics and its methodological foundations, including acquisition, segmentation, feature extraction and modeling, and platforms supporting these workflows. Clinical applications are highlighted in oncology, cardiology, neurology, and musculoskeletal and dentomaxillofacial imaging. Despite being promising, radiomics faces challenges related to standardization, reproducibility, PACS/RIS (Picture Archiving and Communication System/Radiology Information System) integration and interpretability. Professional initiatives, such as the Image Biomarker Standardization Initiative (IBSI) and guidelines from radiological societies, are addressing these barriers by promoting harmonization and clinical translation. The ultimate vision is a radiomics-augmented radiology report in which validated biomarkers and predictive signatures complement conventional findings, thus enhancing objectivity, reproducibility, and advancing precision medicine. Full article

The design of a water treatment plant requires thorough analysis of water quality, capacity, location, and reliable technologies. Groundwater sources with elevated levels of organic matter, color, arsenic, and dissolved gases represent a particular challenge for treatment. In this study, the application of dissolved air flotation (DAF) was systematically investigated as a pretreatment method for groundwater purification. Jar test experiments were conducted to evaluate the removal of total organic carbon (TOC), color, and arsenic under various coagulant dosages. The results demonstrated that DAF achieved up to 65% TOC removal and significant arsenic reduction, while also improving water color. Compared with conventional pretreatment, optimized DAF conditions provided higher efficiency and practical applicability for real-world water treatment plant design. The findings highlight the potential of DAF as an effective technology for addressing complex groundwater contamination and contribute to expanding its use beyond conventional surface water treatment. Full article

The aim of this retrospective clinical pilot study is to evaluate multiparametric ultrasound liver parenchyma assessments in the diagnosis of Osler’s disease, and to detect micro-shunts using SRCEUS with quantifications at the capillary level. Material/Method: All examinations were performed by an experienced examiner with a multi-frequency probe on a high-resolution matrix ultrasound device (SC 7-1U), convex probe (Mindray A 20), and were stored digitally in the PACS system. Vascular ultrasound was performed using colour-coded Doppler ultrasound (CCDS) and ultrasound microangiography (UMA). The recent M-Ref tool was utilised for the purpose of liver tissue characterisation, encompassing the domains of shear wave elastography, fat evaluation, and viscosity. Dynamic CEUS, HiFR CEUS, and SR CEUS were performed after the intravenous bolus injection of 1–2.4 mL of ultrasound contrast agent (SonoVue^®). Measurements of SR CEUS capillary changes were performed independently by PACS-stored digital cine loops up to 5 s. Results: In the context of angiomas or haemangiomas, the initial contrast enhancement of echogenic or almost echogenic foci within 25 s without late wash-out was observed in 5/10 cases. In the evaluation of microvasculature, the presence of capsule-proximal shunts in Osler’s disease was observed, resulting in the identification of increased numbers of dilated capillaries within both peripheral and central shunts. In the control group, general liver tissue changes (20 cases) were observed in instances of inflammation (3/20 cases), peripherally in 4/20 cases with micro-shunts in altered parenchyma. In the context of multiparametric ultrasound, 16 out of 30 cases exhibited elevated fibrosis values, with a maximum recorded as high as 1.7 m/s, and in 13 out of 30 cases, there was an increase in fat values up to 0.65 dB/cm/MHz, indicative of moderate steatosis. Additionally, in seven cases, there was an increase in viscosity values up to 2.7 Pa·s, suggesting reactive changes. Conclusions: Recent advancements in medical imaging technology, specifically SR CEUS contrast ultrasound imaging, have led to the development of novel diagnostic tools that facilitate the evaluation of tissue and haemodynamic changes, in addition to capillary alterations, associated with Osler’s disease. Full article

In winter, some roads face the problems of severe rain accumulation and ice formation, which pose major risks to traffic safety and result in substantial economic losses. With the development of hydrophobic materials, hydrophobic coatings have gradually gained attention as a novel anti-icing technology. In this study, utilizing vinyl triethoxysilane (VTES) as the monomer and benzoyl peroxide (BPO) as the initiator, a hydrophobic anti-icing coating for highway pavements was prepared through the free radical polymerization method. Through designing the icing rate test and ice–pavement interface adhesion strength test, combining the contact angle test technology, wet wheel abrasion test, and pendulum friction coefficient test, the anti-icing performance, durability, and skid resistance performance of the hydrophobic anti-icing coating under the three types of mixtures of asphalt concrete (AC-13), Portland cement concrete (PCC), and porous asphalt concrete (PAC-13) were evaluated. The results indicate that when the surface layer of the pavement was sprayed with anti-icing coating, the water was dispersed in a semi-spherical shape and easily rolled off the road surface. Compared to uncoated substrates, the anti-icing coating reduced the icing rate on the surface by approximately 25%. Comparing with the uncoated pavements mixtures, for AC-13, PCC, and PAC-13 pavements, the ice–pavement interface adhesion strength after the application of hydrophobic anti-icing coating reduced by 30%, 79% and 34%, respectively. Both cement pavements and asphalt pavements, after the application of hydrophobic anti-icing coating, expressed hydrophobic properties (contact angle of 131.3° and 107.6°, respectively). After wet wheel abrasion tests, the skid resistance performance of pavement surfaces coated with the hydrophobic anti-icing coating met the specification requirements. This study has great significance for the promotion and application of hydrophobic anti-icing technology on highway pavements. Full article

Skin diseases, affecting one-third of the population, are a growing global health problem. The complexity of skin architecture, along with diverse symptomatology and intricate pathogenesis of dermatological disorders, highlights the urgent need for novel therapeutic strategies. Effective treatment of impaired wound healing and chronic skin diseases, including atopic dermatitis and psoriasis, remains challenging. Phytoterapeutics are increasingly investigated for their dermatologic potential, with numerous natural products of established use. Proanthocyanidins (PACs), a subclass of polyphenolic compounds, renowned for their anti-inflammatory and antioxidant properties, are promising candidates for novel solutions. This review article synthesizes the recent 25 years of research on biomolecular mechanisms, pharmacological effects, and phytochemical aspects of PACs, in the context of treating inflammatory-related skin problems. The available data highlight pro-regenerative, pro-angiogenic, antioxidative, and anti-inflammatory effects of PACs in accelerating wound closure. Preclinical data suggest their potent ability to mitigate chronic skin inflammatory disorders, including psoriasis and atopic dermatitis. Moreover, their photoprotective properties translate to the prevention of UV-induced skin inflammation. However, critical knowledge gaps remain regarding clinical verification and structure-activity relationships of PACs as dermatologic agents. Further optimization of topical formulation systems for PACs is also pressingly needed. Bridging traditional phytotherapy with novel discoveries in molecular pharmacology and pharmaceutical technology could help to design innovative PAC-based approaches for treating inflammatory skin diseases and impaired wound healing. Full article

Background: Visual impairment remains a critical public health challenge, and diabetic retinopathy (DR) is a leading cause of preventable blindness worldwide. Early stages of the disease are particularly difficult to identify, as lesions are subtle, expert review is time-consuming, and conventional diagnostic workflows remain subjective. Methods: To address these challenges, we propose a novel Pixel-Attention W-shaped (PAW-Net) deep learning framework that integrates a Lesion-Prior Cross Attention (LPCA) module with a W-shaped encoder–decoder architecture. The LPCA module enhances pixel-level representation of microaneurysms, hemorrhages, and exudates, while the dual-branch W-shaped design jointly performs lesion segmentation and disease severity grading in a single, clinically interpretable pass. The framework has been trained and validated using DDR and a preprocessed Messidor + EyePACS dataset, with APTOS-2019 reserved for external, out-of-distribution evaluation. Results: The proposed PAW-Net framework achieved robust performance across severity levels, with an accuracy of 98.65%, precision of 98.42%, recall (sensitivity) of 98.83%, specificity of 99.12%, F1-score of 98.61%, and a Dice coefficient of 98.61%. Comparative analyses demonstrate consistent improvements over contemporary architectures, particularly in accuracy and F1-score. Conclusions: The PAW-Net framework generates interpretable lesion overlays that facilitate rapid triage and follow-up, exhibits resilience under domain shift, and maintains an efficient computational footprint suitable for telemedicine and mobile deployment. Full article

Metagenomic next-generation sequencing (mNGS) is increasingly employed for the diagnosis of lower respiratory tract infections (LRTIs). However, the relative diagnostic performance of long-read versus short-read sequencing platforms remains incompletely defined. For this systematic review, a search was conducted in PubMed, Embase, Scopus, Web of Science, and Google Scholar to identify studies directly comparing long-read (e.g., Oxford Nanopore, PacBio) and short-read (e.g., Illumina, Ion Torrent, BGISEQ) metagenomic sequencing for the diagnosis of LRTI. Eligible studies reported diagnostic accuracy or comparative performance between platforms. Risk of bias was evaluated using the QUADAS-2 tool. Thirteen studies met inclusion criteria. Reported platforms included Illumina, Oxford Nanopore, PacBio, Ion Torrent, and BGISEQ-500. A total of 13 studies met inclusion criteria. Across studies reporting sensitivity, average sensitivity was similar for Illumina (71.8%) and Nanopore (71.9%). Specificity varied substantially, ranging from 42.9 to 95% for Illumina and 28.6 to 100% for Nanopore. Concordance between platforms ranged from 56 to 100%. Illumina consistently produced superior genome coverage (approaching 100% in most reports) and higher per-base accuracy, whereas Nanopore demonstrated faster turnaround times (<24 h), greater flexibility in pathogen detection, and superior sensitivity for Mycobacterium species. Risk of bias was frequently high or unclear, particularly in patient selection (6 studies), index test interpretation (5), and flow and timing (4), limiting the robustness of pooled estimates. Long-read and short-read mNGS platforms exhibit comparable strengths in the diagnosis of LRTIs. Illumina remains optimal for applications requiring maximal accuracy and genome coverage, whereas Nanopore offers rapid, versatile pathogen detection, particularly for difficult-to-detect organisms such as Mycobacterium. However, there are certain limitations of the review, including a lack of comparable outcomes reported in all studies; therefore, further research is warranted to address this. Full article

Cryopreservation is a well-established method for extending platelet shelf-life and addressing supply shortages. Traditionally, this involves dimethyl sulfoxide (DMSO) as a cryoprotective agent (CPA), but recent studies suggest that using controlled rate freezing (CRF) with only NaCl may offer a less toxic alternative. To explore further optimization, this study assessed whether adding 10% choline chloride–glycerol, a deep eutectic solvent (DES), could enhance platelet quality in CRF/NaCl cryopreservation. Ten double-dose buffy coat platelet units were divided into test (DES-treated) and control (NaCl-only) groups. After DES exposure (10% for 20 min), all units were prepared using the NaCl protocol and frozen at −80 °C with CRF equipment, then stored for over 90 days. Upon thawing and reconstitution in AB plasma, no significant differences were observed in platelet content post-thaw between control and test units (255 ± 43 vs. 257 ± 41 × 10⁹/unit), post-thaw recovery (>85%): respectively, Δψ (JC-1% pos 63 ± 15 vs. 68 ± 17), LDH (% of total 10 ± 6 vs. 9 ± 6), (CD63% 77 ± 9 vs. 82 ± 7), (CD62P % 72 ± 15 vs. 76 ± 11), (CD42b % 78 ± 9 vs. 80 ± 9), (CD61% 79 ± 9 vs. 78 ± 9), (CD41% 81 ± 11 vs. 83 ± 7), (PAC-1% 33 ± 10 vs. 32 ± 8), (Pecam-1% 78 ± 11 vs. 80 ± 8), (GPIV % 72 ± 10 vs. 74 ± 11), (LAMP-1% 26 ± 14 vs. 11 ± 9), (MPCD61+ % 41 ± 11 vs. 46 ± 10), (ROTEM CT 56 ± 7 vs. 55 ± 6), (ROTEM CFT 110 ± 70 vs. 106 ± 67) and (ROTEM MCF 35 ± 6 vs. 36 ± 6). These findings support the feasibility of CPA-free CRF-based platelet cryopreservation while maintaining functional integrity. Full article

New Delhi metallo-beta-lactamase (NDM)-producing Acinetobacter spp. have been reported worldwide and become a global threat to clinics. This study aimed to characterize the genomic features of the carbapenem-resistant Acinetobacter pittii strain AP8900 harboring chromosome-borne bla_NDM-1. The genome of strain AP8900 was fully sequenced using Illumina and PacBio platforms. Genome analyses revealed that the chromosome-borne bla_NDM-1 of strain AP8900 was located on the Tn125 bracketed by two copies of ISAba125 in the same orientation. So far, only five strains of A. pittii with complete genomes harboring chromosome-borne bla_NDM-1 were found (four from China and one from the USA), all carrying nearly identical Tn125 carried by the strain AP8900. Furthermore, the Tn125 of strain AP8900 in this study was also distributed in other species, mainly Acinetobacter spp. Notably, the Tn125 carried by AP8900 also found in Proteus mirabilis, Klebsiella pneumoniae, and Morganella morganii. In addition, two antibiotic resistance plasmids were found in strain AP8900, and the configuration “sul2- glmM” was found on both pAP8900-1 (ISAba1-sul2-glmM-ISVsa3-IS1006) and pAP8900-2 (∆ISAba2-sul2-glmM-IS17). This study delivers comprehensive insights into the characteristics and diversity of chromosome-borne bla_NDM-1 in A. pittii. The complete genome of A. pittii AP8900 strain from southern China provides important data for the analysis of antimicrobial resistance in this region. Full article