Search Results (13,407)

The use of deep learning radiomics to predict whether advanced prostate cancer (PCa) will progress within two years after treatment has been validated, yet there remains a lack of research on estimating time to progression. Patients were enrolled from October 2017 to March 2024. One hundred and eighty-two patients with advanced PCa diagnosed through ultrasound-guided systematic prostate biopsy were enrolled. A deep learning-based radiomics model for predicting progression was firstly developed using pretreatment MR apparent diffusion coefficient (ADC) maps, and the performance of manual (ROIref) versus AI-derived (ROIai) tumor segmentations was compared. Then, survival analysis was performed to compare ROIref-based and ROIai-based radiomics-predicted probabilities in the risk stratification. The area under the receiver operating characteristics curve (AUC) was used to estimate the model efficacy. The model achieved high AUC values for progression prediction in test sets (ROIref: 0.840, ROIai: 0.852). No significant difference was observed between ROIai-based and ROIref-based approaches (ΔAUC = 0.012, p = 0.870) in the test set. Both ROIref-predicted and ROIai-predicted probabilities independently predicted progression in multivariate Cox proportional hazard regression models (p < 0.001) and stratified patients into distinct survival groups (log-rank p < 0.001). Decision curve analysis confirmed equivalent clinical utility across thresholds (0.1–0.6), with net benefit exceeding the “treat all” and “treat none” strategies. In conclusion, deep learning-based radiomics models could effectively predict advanced PCa progression, with AI-derived tumor annotations performing equally to manual expert ones. Full article

Bacterial spores, as one of the most resistant microbial forms, are difficult to completely eliminate through conventional heat treatments such as pasteurization, allowing them to persist in food and pose a significant threat to microbial safety. This study employed a “germination–inactivation” strategy to inactivate Alicyclobacillus acidoterrestris (AAT) spores using a germinant under low-intensity pulsed electric fields (PEFs). Analysis of germination curves identified 40 mM L-valine as the most effective germinant. Results showed that after 4-h incubation with 40 mM L-valine followed by 210 s of 0.18 kV/cm PEF treatment, the synergistic effect of electric field and ohmic heating (OH) reduced AAT spore counts by 1.73 log units. In contrast, the control group treated with the same PEF parameters without a germinant showed only a 0.54 log unit reduction. These findings indicate that germination agents significantly reduce spore resistance. Subsequent experiments confirmed that L-valine-treated AAT spores underwent pronounced structural disruption under the combined effects of the electric field and OH, leading to leakage of intracellular components such as nucleic acids and proteins. This phenomenon was verified via scanning electron microscopy (SEM) and laser confocal microscopy. Additionally, both ROS levels and ATPase activity in spores were substantially reduced, further indicating that the combined electric field and OH synergistically disrupted the spore’s external structure and internal macromolecules, leading to spore death. Thus, low-intensity PEF assisted by spore germination agents offers an energy-efficient and effective inactivation method, opening new avenues for spore inactivation research. Full article

Background and Objectives: Today, immunoassay methods are still widely used in the analysis of hormone tests. Due to the properties of the reagents used in immunoassay analyses and components other than the measured analyte, deviations in clinical results may occur. There are many factors that cause this condition called interference, and one of the most common of these is heterophile antibody (Ab). Puberty is a process that begins between the ages of 8 and 13 in girls and 9 and 14 in boys. Pulsatile luteinizing hormone (LH) release during sleep is the first hormonal change that indicates the approach of puberty. The reliability of the laboratory analysis result is important. In order to determine whether there is a risk of interference in the LH tests we analyzed in our laboratory, 48 serum samples of pediatric patients belonging to the pubertal age group were included in the study. Materials and Methods: In order to evaluate the suspicion of heterophile Ab interference, we measured the samples again by binding the antibodies and removing them from the matrix, as recommended in the Clinical and Laboratory Standards Institute (CLSI) I/LA30 guideline. For this, we used a heterophile blocking tube (HBT). We analyzed the samples with Beckman Coulter UniCel DxI 800 and Roche Cobas e601 immunoassay systems. We aliquoted the supernatants of the samples processed according to the HBT application protocol and measured them on both autoanalyzers. Results: We found a significant difference between the results of the samples measured before and after HBT pretreatment on the Beckman Coulter UniCel DxI 800 autoanalyzer (p = 0.01). LH values after HBT were higher than those before HBT: very high LH values were obtained in 4 patients, while the values showed increases ranging from 2 to 4.64-fold in 5 patients. There was no significant difference between the results evaluated before and after HBT pretreatment on the Roche Cobas e601 autoanalyzer (p = 0.27). Although there was a significant difference between the LH results of the HBT-untreated sera obtained in two different autoanalyzers (p < 0.001), we found that the LH measurements after HBT pretreatment did not create a statistically significant difference between the two devices (p = 0.76). Conclusions: We concluded that while HBTs were ineffective in detecting heterophile antibody interference in LH testing, the study underscores the complexity of interference in pediatric hormone assays and highlights the need for further investigation into alternative methods to ensure reliable test results in this age group. Full article

Spheroidizing annealing is a critical heat treatment process for high-carbon steels to balance hardness and machinability. This study develops a rapid spheroidizing annealing process by employing low-temperature pretreatment followed by subcritical heating. The key is to utilize carbide precipitates from non-equilibrium phases (e.g., martensite/lower bainite) as nucleation sites, thereby accelerating spheroidization. At an optimized pretreatment temperature of 400 °C, the process achieves a homogeneous spheroidized microstructure with a hardness of 206.7 HV, comparable to that obtained via conventional prolonged annealing. This method significantly reduces processing time and energy consumption. Full article

Background: Pancreatic cancer (PC) is a refractory malignancy with a dismal prognosis. For unresectable PC, gemcitabine plus nab-paclitaxel (GnP) is widely used as first-line chemotherapy. During treatment, patients may require unplanned hospitalization (UPH) due to tumor progression, biliary obstruction, or chemotherapy-related adverse events. Although UPH during chemotherapy may be linked to poorer survival, its prognostic impact as a time-dependent clinical event during active treatment has not been empirically evaluated in unresectable PC. We investigated the prognostic impact of UPH occurring during first-line GnP therapy. Objective: To clarify the association between UPH during first-line GnP and overall survival (OS). Methods: We retrospectively analyzed 189 patients with histologically confirmed unresectable PC who received first-line GnP at our institution between February 2016 and February 2023. The occurrence of UPH during GnP and the reason for the first UPH were categorized. Associations with OS were assessed using the Kaplan–Meier method and Cox proportional hazards models, including a time-varying covariate (TVC) analysis. Risk factors for UPH were examined with logistic regression. Results: UPH occurred in 76 patients (40.2%) during GnP. Pancreatic head tumors and pre-treatment biliary drainage were significantly more frequent in the UPH group. Median OS was 10.88 months in the UPH group versus 19.23 months in the non-UPH group; UPH was a significant adverse prognostic factor (hazard ratio [HR] 1.97, p < 0.01). In multivariable analysis incorporating a TVC, UPH remained an independent predictor of worse prognosis (HR 3.02, p < 0.01). Reasons for first UPH were progression (n = 28), recurrent biliary obstruction (RBO; n = 26), GnP-related adverse event (AE; n = 16), and other (n = 6). Hospitalization due to progression or RBO was associated with poorer survival. Pancreatic head location was identified as a risk factor for UPH. Conclusions: UPH during first-line GnP is an independent adverse prognostic factor in patients with unresectable PC, even after accounting for TVC. In pancreatic head cancer, closer monitoring for biliary and obstructive complications may be particularly important during treatment. Full article

Thai eggplant (Solanum melongena L. cv. Chao Phraya), a widely cultivated vegetable with increasing global demand, is highly susceptible to salinity stress, which can severely impair seed germination and early seedling development. This study investigated the effects of sodium nitroprusside (SNP), a nitric oxide (NO) donor, on seed germination and seedling growth under salt stress conditions. Seeds were pre-treated with SNP at concentrations of 0, 0.05, 0.1, and 0.2 mM for 24 h and subsequently germinated under saline conditions with NaCl solutions (0, 100, and 200 mM). SNP pre-treatment, particularly at 0.05 and 0.1 mM, significantly improved germination percentage and germination rate in seeds exposed to 200 mM NaCl compared to untreated controls. Increased NaCl concentrations induced oxidative stress in seedlings, as evidenced by elevated hydrogen peroxide (H₂O₂) accumulation, which in turn caused lipid peroxidation, reflected by higher malondialdehyde (MDA) levels. Salt stress significantly increased ascorbate peroxidase (APX) activity, whereas catalase (CAT) activity showed no significant change across treatments. Correlation analysis revealed that APX activity was positively correlated with oxidative stress markers (H₂O₂) and delayed germination (T₅₀/MGT), whereas CAT activity showed no significant correlation with these parameters. In contrast, elevated APX activity was strongly and negatively correlated with overall seedling growth and vigor (SVI/GI), indicating that the underlying stress condition had a detrimental effect on plant performance. Overall, SNP pre-treatment, particularly at 0.05 and 0.1 mM, significantly enhanced salt tolerance by promoting germination (increasing GP and reducing T₅₀/MGT) and improving seedling growth (SL and RL). This protective effect is associated with improved redox regulation and partial mitigation of oxidative damage, as reflected by changes in H₂O₂, MDA, and APX; however, excessive SNP concentrations may exert phytotoxic effects, highlighting the importance of optimal dosing. Full article

Brazil possesses a large bioenergy resource, embedded in agro-industrial, livestock, and urban residues; this study quantifies its technical magnitude and associated energy value. An assessment was conducted by substrate, combining official statistics with literature-based yields and recovery factors. Biogas volumes were converted into biomethane using representative upgrading efficiencies, and thermal and electrical equivalents were derived from standard lower heating values and conversion efficiencies. Uncertainty bounds reflect the variability of feedstock yields and process performance. The national technical potential is estimated at roughly 80–85 billion Nm³/year of biogas, corresponding to ~43–45 billion Nm³/year of biomethane and around 168–174 TWh/year of electricity. Contributions are led by the sugar–energy complex (~one-third), followed by livestock and other agro-industrial residues (~one-third), while urban sanitation supplies ~8–10%. Potentials are concentrated in the Southeast, Center-West, and South, and current production represents only ~2–3% of the assessed potential. The findings indicate that realizing this potential requires targeted measure standardization for grid injection, support for pretreatment and co-digestion, access to credit, and alignment with instruments such as RenovaBio and “Metano Zero” to unlock significant methane-mitigation, air-quality, and decentralized energy-security benefits. Full article

This study aimed to evaluate the effect of stress attenuators on the tolerance and antioxidant activity of watermelon cultivars under water deficit. The experiment was conducted in two stages, Stage I corresponding to water deficit levels (N1 = 0; N2 = −0.1; N3 = −0.2 MPa) and six watermelon cultivars. Stage II comprises two cultivars selected in Stage I (one sensitive and one tolerant) and the combination of water restriction with attenuators (T1 = 0.0 MPa (control), T2 = −0.2 MPa (water deficit), T3 = −0.2 MPa + hydropriming, T4 = −0.2 MPa + gibberellic acid, T5 = −0.2 MPa + salicylic acid, and T6 = −0.2 MPa + hydrogen peroxide). The concentration and exposure times of the attenuators were determined through preliminary tests. In Stage I, physiological and biochemical analyses were performed. In Stage II, in addition to these tests, hydrogen peroxide content, malondialdehyde levels, and the activity of superoxide dismutase (SOD), catalase (CAT), and ascorbate peroxidase (APX) were assessed. Water deficit impaired germination and seedling vigor of watermelon, with Crimson Sweet, Omaru, Charleston Gray, and Congo being the most sensitive cultivars, while Fairfax was the most tolerant. For Crimson Sweet, pre-germination treatments reduced oxidative stress and enhanced tolerance by stimulating antioxidant enzyme activity, with GA and H₂O₂ providing the most effective results. For Fairfax, greater tolerance was associated with osmotic adjustment through the accumulation of compatible solutes, a mechanism further enhanced by the use of attenuators. Full article

Salmonella typhimurium (S.T) infection of the central nervous system (CNS) induces severe inflammation, leading to elevated expression of inducible nitric oxide synthase (iNOS) in microglia. This process catalyzes excessive production of nitric oxide (NO), resulting in irreversible damage to neuronal mitochondria. Asiatic acid (AA) is a small molecule with neuroprotective potential; however, its ability to counteract nerve injury induced by S.T and the underlying mechanisms remain unclear. In this study, we established an S.T-infected mouse model (in vivo) and an S.T-stimulated microglial model using BV-2 cells (in vitro) and employed techniques including immunofluorescence (IF), Western blot, co-immunoprecipitation (Co-IP), and RNA extraction and quantitative reverse transcription PCR (RT-qPCR) to systematically evaluate the protective effects and mechanisms of AA. The results showed that pre-treatment with AA significantly reduced the expression of iNOS and the production of NO caused by S.T infection in mouse hippocampal tissue and BV-2 cells. Mechanistically, AA exerts its effects by inhibiting the upstream Toll-like receptor 2 (TLR2)/Notch and nuclear factor-κB (NF-κB) signaling axis. It interferes with the nuclear translocation of Notch and p65 proteins and their complex formation under S.T stimulation, thereby blocking downstream expression of iNOS and production of NO. This study reveals a novel mechanism by which AA alleviates infection-related neuroinflammation through targeting Notch-p65 interactions, providing a new theoretical basis for its clinical application. Full article

Alkaline pretreatment of wheat straw could significantly augment enzymatic hydrolysis for producing fermentable sugars, which is a pivotal process for the conversion of lignocellulosic biomass into advanced biofuels, biomaterials, or biochemicals. Yet, the enzymatic conversion process system is complex and multivariate, and study on the interaction mechanism of the key parameters in enzymatic hydrolysis is still lacking. Therefore, in this work, multivariate data analysis (MDA) (i.e., principal component analysis (PCA) and partial least square (PLS)) was conducted to reveal the inherent relationship and the significance of these factors in a modified alkali pretreatment system. A robust model, developed from 140 enzymatic hydrolysis datasets, was validated with an additional 20 datasets, demonstrating the predictive prowess of the PLS model. MDA identified that cellulase dosage, mechanical refining, dye adsorption value, and solid content were paramount variables. The integration of cellulase and xylanase notably elevated sugar yields and the conversion rates of carbohydrates, surpassing those of single enzyme treatments. The model’s predictive accuracy, reflected in the close alignment between observed and predicted data, underscores its suitability for optimizing and controlling the enzymatic hydrolysis process. This study paves a way for data-driven strategies to enhance industrial bioprocessing of lignocellulosic feedstocks. Full article

The enamel of teeth affected by Molar–Incisor Hypomineralization (MIH) has been reported to have a higher protein content. Though a glass hybrid is recommended for restoring teeth with MIH in children, there is a lack of in vitro research on the influence of deproteinization on its marginal integrity. Therefore, this study aimed to evaluate whether enamel pretreatment with 5.25% NaOCl reduces the size of the marginal crevice of such restorations. Out of eight extracted teeth with severe MIH, restored using a glass hybrid (Equia Forte HT/GC), half underwent deproteinization. A stereoscopic and a scanning electron microscope (SEM) were used for sections analysis. The median value of the marginal crevice measured using stereoscopic microscopy (n = 17) was significantly lower for the deproteinized (6.78 μm) than for the standard-prepared specimens (12.61 μm), p = 0.008. On SEM images, the median marginal crevice (n = 10) was 69.40 μm versus 156.77 μm for the deproteinized and standard groups, respectively. The differences, however, were not statistically significant. This study only partially confirmed the hypothesis that pretreatment with NaOCl reduces marginal crevices between the Equia Forte HT material and hypomineralized hard tissues. Further studies on the effect of deproteinization on the marginal adaptation of glass hybrid materials are needed. Full article

The growing demand for sustainable and renewable materials has intensified interest in agro-industrial waste as an alternative source of cellulose. This review critically examines current approaches to cellulose production from major agro-industrial residues, including cereal straw, corn residues, rice waste, sugarcane bagasse, and oilseed by-products. Emphasis is placed on the relationship between feedstock composition and extraction efficiency, highlighting how lignin distribution, hemicellulose content, and mineral impurities influence pretreatment severity, cellulose yield, and process sustainability. The review systematically analyzes chemical, enzymatic, and mechanical processing routes, with particular attention being paid to pretreatment strategies, fibrillation intensity, and yield variability. Beyond cellulose recovery, key sustainability indicators—such as energy demand, water and chemical consumption, waste generation, and chemical recovery—are evaluated to provide a system-level perspective on process efficiency. The analysis demonstrates that cellulose yield alone is an insufficient criterion for sustainable process design and must be considered alongside environmental and techno-economic metrics. Advanced applications of agro-waste-derived cellulose are discussed using a feedstock-driven approach, showing that high functional performance can often be achieved with moderately processed cellulose tailored to specific end uses. Finally, the review addresses challenges related to feedstock heterogeneity, mineral management, standardization, and industrial scale-up, underscoring the importance of biorefinery integration, closed-loop resource management, and harmonized quality descriptors. These insights provide a foundation for the development of scalable and sustainable cellulose production pathways based on agro-industrial waste. Full article

Coral aggregate concrete (CAC) serves as a critical material for sustainable development in marine engineering, effectively addressing the shortage of aggregate resources in the construction of offshore islands and reefs. In this paper, the aggregate characteristics, static and dynamic mechanical properties and modification technology of CAC are systematically reviewed. Research indicates that the coral aggregates (CAs), due to its high porosity (approximately 50%), low bulk density (900–1100 kg/m³), and rough, porous surface, results in relatively low static compressive strength (20–40 MPa), insufficient elastic modulus, and significant brittleness in CAC. However, its dynamic performance shows the opposite advantage. Under impact loads, the energy absorption capacity is enhanced by 32.6–140.3%, compared to ordinary concrete (OC) due to the energy dissipation mechanism of pore platic deformation. Through the modification techniques, such as aggregate pre-treatment (acid washing/coating), incorporation of auxiliary cementitious materials (silica fume increases strength by 16.4%), fibre reinforcement (carbon fibres enhance flexural strength by 33.3%), and replacement with novel cementitious materials (magnesium sulphate cement improves chloride ion binding capacity by 90.7%), the mechanical properties and durability of CAC can be significantly optimised. This paper highlights gaps in current research regarding the high strain rate (>200 s⁻¹) dynamic response, multi-factor coupled durability in marine environments, and the engineering application of alkali-activated materials, providing theoretical basis for future research directions. Full article

To reduce CO₂ emissions into the environment, the automotive sector uses microalloyed structural steels coated with electrophoretic paint in various components, such as the chassis, to reduce weight and increase corrosion resistance. AHSSs are coated with electrophoretic paint (E-coat). Still, to improve adhesion, they undergo a pretreatment, such as zinc phosphate or zirconium oxide. This research will analyze the effects and behavior of these coatings during corrosion on a complex-phase (CP) 780 AHSS using different electrochemical techniques, including cyclic potentiodynamic polarization (CPP), electrochemical noise (EN), and electrochemical impedance spectroscopy (EIS). The CP 780 AHSS was immersed in a 3.5 wt. % sodium chloride solution. Results show that AHSS CP 780 presented a mixed corrosion mechanism due to the heterogeneity of the surface of the zinc phosphate and zirconium oxide pretreatments. On the other hand, the samples with an E-coat paint coating and pretreatment (Zn₃(PO₄)₂/E-coat and ZrO₂/E-coat) have the lowest current densities with values of 6.44 × 10⁻¹¹ 1.02 × 10⁻⁹ A/cm² and also do not show a tendency towards localized corrosion or negative hysteresis. Full article

Background: Tuberculous meningitis (TBM) is a severe central nervous system infection that can lead to cerebral vasculitis and infarction. This study aimed to evaluate changes in cerebral perfusion and vasculitis on magnetic resonance imaging (MRI) before and after anti-tuberculosis treatment, focusing on both infarcted and non-infarcted brain regions and comparing them with age-matched controls. Methods: Quantitative arterial spin labeling (ASL) perfusion and black-blood vessel wall MRI were performed at diagnosis and after 3–6 months of treatment in TBM patients and healthy controls. Regions of interest included infarcted areas, the contralateral normal brain, and TBM-affected regions without infarction. Cerebral blood flow (CBF), perfusion grading, and vasculitis were assessed and correlated with clinical stage and disease severity. Results: In total, 73 TBM patients and 26 controls were included. Among the patients, 26 (35.6%) had acute infarctions, mainly in the basal ganglia and corona radiata, and 65 (89.0%) exhibited vasculitis predominantly involving anterior circulation. Pretreatment MRI showed significantly reduced CBF in infarcted regions compared with contralateral brain and controls (p < 0.05), and both contralateral and non-infarcted TBM regions also showed lower CBF than controls (p < 0.05). After treatment, CBF increased significantly in non-infarcted regions (p < 0.05), and post-treatment perfusion grade correlated with TBM stage and vasculitis severity. Conclusions: TBM-related infarcts demonstrated marked hypoperfusion, while non-infarcted regions exhibited reversible ischemic changes. ASL and vessel wall imaging can quantitatively monitor treatment response and vascular inflammation, as well as predict late infarction in TBM patients. Full article