Search Results (45,671)

Corn processing waste represents an abundant, renewable, and low-cost lignocellulosic resource with considerable potential for environmental remediation applications. Large quantities of residues generated during corn processing, including cobs, husks, bran, and other by-products, are produced annually and can be utilized directly as native biomass or converted through thermochemical processes into hydrochars and biochars. This systematic review provides a comparative analysis of native corn processing biomass, hydrochars produced via hydrothermal carbonization, and biochars obtained through pyrolysis, with a focus on their potential as adsorbents for the removal of organic and inorganic pollutants from soil and water systems. Particular attention is given to the influence of thermochemical conversion processes on the physicochemical properties of the materials, including surface chemistry, porosity, functional groups, and structural characteristics, which govern adsorption mechanisms such as ion exchange, electrostatic interactions, surface complexation, hydrogen bonding, and π–π interactions. Furthermore, the advantages and limitations of each material type are discussed, together with key environmental and techno-economic considerations related to their production and practical application, including indicative production costs (USD per kg of adsorbent) and cost–performance relationships in terms of adsorption capacity. By linking biomass conversion processes, material properties, and adsorption performance, this review aims to provide a comprehensive overview of corn processing waste valorization and to support the development of sustainable adsorbent materials for soil and water remediation. A total of 36 studies were included in the qualitative synthesis following PRISMA guidelines. Full article

Virtual Reality (VR) has emerged as a non-pharmacological intervention for managing pain and anxiety during medical procedures. This study presents a systematic review with complementary bibliometric analysis of the scientific literature on the clinical effectiveness of VR in healthcare settings. A structured search was conducted across five databases (Web of Science (WoS), Scopus, PubMed, EMBASE, and MEDLINE), identifying 627 records, of which 26 studies met the inclusion criteria. Data were extracted on study design, population, type of intervention, and clinical outcomes related to pain and anxiety. Most included studies reported reductions in perceived pain and/or anxiety when VR was used as an adjunctive intervention, particularly in pediatric and procedural contexts. However, findings were heterogeneous in terms of study design, VR modalities, and outcome measures, limiting quantitative synthesis. The bibliometric analysis indicates growing research interest, with a strong focus on clinical outcomes, while evidence related to implementation and healthcare system integration remains limited. Overall, VR appears to be a promising complementary tool for improving patient experience during medical procedures. However, further high-quality studies with standardized methodologies are needed to establish its effectiveness and facilitate future meta-analyses. Full article

Indoor Environmental Quality (IEQ) strongly influences health, comfort, and learning performance in academic buildings, yet assessment practices remain fragmented and rarely aligned with sustainability goals. This study conducted a PRISMA 2020-guided systematic literature review to identify, screen, and map IEQ indicators for educational facilities and to develop a sustainability-aligned framework for classroom evaluation. Searches of Google Scholar, Scopus, and Web of Science (2010–2025) yielded 365 records; after de-duplication and eligibility screening, 142 peer-reviewed studies were included. From these, 118 unique IEQ indicators were extracted and classified into six domains: thermal comfort, indoor air quality, acoustic quality, visual comfort, environmental quality, and spatial quality. Using sustainability-oriented screening criteria (measurability, relevance, reliability, data accessibility, understandability, and long-term applicability), 50 indicators (42%) were retained as methodologically robust, while 68 (58%) were excluded due to weak standardization or limited practical applicability. The retained indicators were systematically mapped to the environmental, social, and economic pillars and aligned with key SDGs (3, 4, 7, 11, and 13). The resulting Sustainability-Aligned IEQ Indicator Framework integrates quality-screened indicators with pillar/SDG alignment and a mixed-method pathway that combines objective monitoring and occupant perception, supporting context-sensitive evaluation, particularly for naturally ventilated and tropical learning environments. Full article

Glycolysis is a defining feature of cancer metabolism, originally described by the Warburg effect. Increasing evidence indicates that cancer-associated glycolysis is not uniformly upregulated but dynamically rewired in response to oncogenic signaling, cellular demands, and microenvironmental cues. However, a framework integrating its temporal evolution and functional roles across tumorigenesis remains limited. In particular, how glycolytic rewiring drives malignant transformation, adapts during tumor progression, and generates context-dependent vulnerabilities has not been systematically synthesized. In this review, we examine glycolysis as a dynamic metabolic network evolving throughout tumor development. We discuss how early glycolytic rewiring, driven by oncogenic signaling and metabolic–epigenetic coupling, supports cell fate transitions and establishes redox and biosynthetic capacity during tumorigenesis. We then outline how glycolysis is remodeled during tumor progression through coordinated transcriptional, epigenetic, and post-translational regulation, as well as microenvironmental interactions and metabolic heterogeneity. Furthermore, we highlight glycolysis as an integrative hub linking immune evasion, cell death regulation, and metabolic plasticity, and discuss how glycolytic rewiring creates context-dependent metabolic dependencies that may be therapeutically exploited, along with emerging technologies that enable high-resolution characterization of tumor metabolism. Together, this review provides a conceptual framework for understanding glycolytic rewiring in cancer and outlines potential avenues for targeting metabolic vulnerabilities. Full article

Platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) are promising regenerative treatments for lumbar degenerative disc disease (DDD), but their comparative efficacy is unclear. This systematic review and indirect meta-analysis, conducted according to PRISMA guidelines and the PICOS framework, evaluated their effects on pain, function, and safety. PubMed, Scopus, and Web of Science were systematically searched, yielding 1694 records, of which 21 studies (nine randomized controlled trials [RCTs] and 12 prospective studies) were included. Data were analyzed qualitatively and quantitatively, and risk of bias was assessed using RoB 2 and ROBINS-I. Meta-analyses of randomized controlled trials (RCTs) examined pain and disability at 6 and 12 months using a random-effects model. Indirect comparisons were performed using the Bucher method. Qualitative synthesis showed that PRP consistently reduced pain (often > 50%) and improved function, frequently outperforming corticosteroids. MSCs provided sustained benefits, with follow-up extending up to 72 months in some studies. Quantitative meta-analysis of five RCTs demonstrated that PRP significantly reduced pain at 6 months (mean difference [MD] −16.4 mm) and disability (ODI −12.7), with effects persisting at 12 months in one study. In contrast, MSCs showed a modest but significant reduction in pain (MD −4.3 mm) and minimal functional improvement. Indirect comparisons favored PRP over MSCs at 6 months. Both treatments exhibited favorable safety profiles, with mostly mild and transient adverse events. Overall, PRP appears more effective than MSCs in the short to mid-term, although both therapies are safe. Further high-quality head-to-head RCTs are needed to confirm these findings and define optimal clinical indications. Full article

The logical structure of approximation algorithms has been identified by the scientific community in four principal parts: tuning parameters, generating initial solutions, generating neighbor solutions, and stopping algorithm execution. A review of the literature specifically for the algorithms Threshold Accepting (TA) and Tabu Search (TS) indicates that, in most cases, choices are performed on one or several of these logical parts, often implicitly guided by expert knowledge for improving algorithm performance. However, these design choices, particularly in the selection of initialization and neighborhood strategies, are rarely analyzed in a systematic and reproducible manner. A formal experimental framework is presented to systematically analyze logical structure design choices, which are typically based on empirical expertise, by isolating and evaluating the combined effects of methodologies in the logical parts of initialization and neighborhood under controlled conditions of TA and TS algorithms in solving the one-dimensional Bin Packing Problem (BPP). A total of 324 benchmark instances were used to assess multiple algorithmic variants. Performance was evaluated in terms of solution quality and computational effort, supported by graphical analysis and statistical methods, including Wilcoxon signed-rank tests, effect size measures, bootstrap-based confidence intervals, and linear regression. The experimental results consistently show that the simpler internal logical structure of TA and TS algorithms, specifically with a probability-guided initialization combined with a single neighborhood operator, can achieve a better balance between solution quality and computational effort compared to more complex alternatives in general instances of BPP. Full article

Background: This study aims to systematically review the current literature on the application of radiomic features and artificial intelligence (AI) in the diagnosis and prognosis of common peripheral nerve-related conditions, including carpal tunnel syndrome (CTS), chronic inflammatory demyelinating polyneuropathy (CIDP), polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin abnormalities (POEMS) syndrome, and in distinguishing between benign and malignant tumors. Methods: A comprehensive literature search was conducted in PubMed and Google Scholar for studies published between January 2019 and September 2025. Inclusion criteria comprised studies that used radiomics or AI-based radiomics approaches with diagnostic or prognostic purposes in peripheral nerve disorders. Results: A total of 40 studies were identified, of which 17 met the inclusion criteria. Among these, 9 studies employed magnetic resonance imaging (MRI), including one combined with PET/CT, while 8 used ultrasound (US). Most studies were retrospective and limited by small sample sizes, lack of external validation, and predominance of single-center designs. Conclusions: Since a seminal study published in 2019, there has been increasing evidence supporting the role of radiomics and AI in improving the diagnosis and prognosis of peripheral nerve disorders, particularly using MRI and US. However, significant challenges remain, including variability in imaging data, segmentation complexity, and limited availability of validated datasets. Future advancements in imaging technologies and multidisciplinary collaboration are essential to enhance clinical applicability. Full article

The global wine industry generates approximately 20 million tonnes of organic residues annually, representing a significant environmental and management challenge. While phenolic compounds from winery by-products have been extensively studied, protein and peptide fractions remain underutilised. This review provides a systematic overview of proteins derived from major winery side streams, including grapevine leaves, stems, pomace, seeds, and wine lees, with emphasis on their characterisation and recovery. Conventional and emerging extraction strategies are evaluated, with particular attention to green technologies such as ultrasound-assisted extraction (UAE), pulsed electric fields (PEF), and natural deep eutectic solvents (NADES) in the context of sustainable and resource-efficient processing. Enzymatic hydrolysis is discussed as a key approach for converting complex proteins into bioactive peptides with antioxidant, antimicrobial, and antihypertensive properties. Potential applications in agriculture, plant protection, animal nutrition, and food systems are considered, together with the implications of the EU circular economy regulatory framework. Overall, winery by-products are highlighted as promising nitrogen-rich secondary resources, and the review outlines valorisation pathways supporting nutrient recycling, waste reduction, and the development of a more sustainable agricultural bioeconomy. Full article

Pulmonary fibrosis, encompassing idiopathic pulmonary fibrosis (IPF) and other fibrosing interstitial lung diseases (ILDs) with a progressive phenotype (PPF), represents a group of chronic, life-threatening conditions associated with significant morbidity, mortality, and socioeconomic burden. Despite advances in antifibrotic therapies, traditional disease-centered management alone is insufficient to address the multidimensional needs of affected patients. This comprehensive review advocates for a holistic, patient-centered approach to the management of pulmonary fibrosis, integrating pharmacological interventions with systematic comorbidity assessment, pulmonary rehabilitation, psychosocial support, nutritional optimization, early palliative care, social and community reinforcement, and digital health technologies. We examine the evidence supporting each dimension of holistic care, discuss current barriers to implementation—including healthcare fragmentation, limited multidisciplinary protocols, and scarce resources—and outline future perspectives centered on precision medicine and integrated care models. By shifting from a purely organ-focused paradigm to a comprehensive, multidisciplinary strategy, clinicians can improve not only disease outcomes but also quality of life and overall well-being for patients living with fibrosing ILDs. Full article

Since the 1960s, research on sea-level rise (SLR) and land subsidence has grown significantly; however, comprehensive syntheses remain limited. This study presents a systematic review of 2171 publications spanning 1964–2025, combining a global perspective with a regional focus on the Gulf of Guinea, a critically underrepresented region within the African continent. The results show a steady increase in publications, exceeding 80 per year since 2015. A combined bibliometric and content analysis approach was adopted, integrating large-scale metadata analysis with an in-depth evaluation of 166 full-text studies corresponding to 311 study sites. Bibliometric analyses highlight four main themes: (1) factors driving SLR and subsidence, including climate, geophysical, and human effects; (2) monitoring methods such as tide gauges, GPS, and InSAR-based land motion tracking; (3) impacts on coastal communities, and ecosystems; and (4) strategies for adaptation and mitigation. A comparative assessment of global research output and Low-Elevation Coastal Zone (LECZ) exposure reveals a marked spatial mismatch, with critically vulnerable regions, such as the Gulf of Guinea, remaining significantly underrepresented (44 studies). The synthesis identifies key conceptual, methodological, and practical research gaps. Addressing these gaps requires holistic frameworks that integrate SLR and subsidence, long-term monitoring networks, advanced modeling, and evidence-based adaptation strategies. By linking bibliometric evidence with the interpretation of research trends and gaps, this study provides an analytical basis for supporting monitoring strategies, coastal planning, and adaptive responses. Additionally, the results highlight priority directions for future research directions in the Gulf of Guinea region. Full article

Coronary artery disease (CAD), including acute coronary syndromes, frequently co-occurs with depression and is associated with adverse outcomes. Trace elements may influence shared biological pathways, including oxidative stress, inflammation, and neurovascular signaling. This study evaluated the association between trace element status and depressive symptoms in CAD. A systematic review was conducted in accordance with PRISMA 2020 guidelines and prospectively registered in PROSPERO (CRD420251231129). PubMed, Scopus, and the Cochrane Library were searched from inception to 2 December 2025. Studies assessing trace element concentrations in adults with CAD and depressive symptoms were eligible. Due to limited direct evidence, partially aligned and indirect studies were also included. Data were synthesized narratively. Of 699 records, four studies were included. No studies fulfilled Tier 1 criteria. The available evidence consisted of partially aligned (Tier 2) and indirect (Tier 3) studies. Lower zinc and magnesium levels and higher copper concentrations were suggested to be associated, based exclusively on Tier 2–3, low-certainty, predominantly indirect evidence. Interventional studies reported modest improvements following zinc or combined magnesium and zinc supplementation, although not in CAD-specific populations. Evidence directly addressing trace elements and depression in CAD is extremely limited and largely indirect. Current data do not support causal inference or clinical recommendations. Findings should be considered exploratory and hypothesis-generating. Full article

Delayed cerebral ischemia (DCI) is a major complication of aneurysmal subarachnoid hemorrhage (aSAH), strongly associated with neurological deterioration and poor outcomes. Its pathophysiology remains incompletely understood and involves multiple interacting processes. Increasing evidence highlights the role of redox imbalance triggered by hemoglobin breakdown and the subsequent generation of reactive species, leading to vascular dysfunction, impaired nitric oxide signaling, and inflammatory activation This review aims to summarize current knowledge on redox-related mechanisms involved in DCI and to explore the potential role of the peroxiredoxin (PRDX) family in this setting. A narrative review of experimental and preclinical studies was performed, focusing on molecular pathways associated with vascular regulation, cellular injury, and antioxidant defense. Particular attention was given to the distribution and biological functions of PRDX isoforms within the central nervous system. This work addresses a topic not previously systematically discussed, the potential involvement of PRDX proteins in aSAH-related complications. By integrating available data, it provides a conceptual framework linking PRDX to mechanisms relevant for DCI. The manuscript serves as a starting point for future research, particularly translational and clinical studies in humans, which are necessary to verify the relevance of these findings and to better understand their potential clinical implications. Full article

Ultrafast fiber lasers operating near 2 μm have emerged as a critical platform for advancing mid-infrared photonics due to their narrow pulse durations, high peak powers, and broad tunability. These sources exploit the rich energy-level structures of Tm³⁺ and Ho³⁺ doped fibers and reside within an atmospheric transmission window, enabling applications spanning nonlinear microscopy, precision micromachining, optical frequency metrology, biophotonics, and free-space optical communication. Recent progress in low-loss fiber fabrication, dispersion-engineered cavity design, and mode-locking technologies has significantly expanded the performance boundaries of 2 μm ultrafast fiber lasers. This review systematically examines the underlying pulse-formation mechanisms and categorizes state-of-the-art mode-locking approaches. Representative laser architectures are compared with respect to pulse duration, energy scalability, repetition-rate enhancement, spectral characteristics, and environmental stability. Key application pathways in high-resolution spectroscopy, biomedical diagnostics, and mid-IR supercontinuum generation are highlighted. Finally, the remaining challenges and prospective research directions are discussed to inform the development of next-generation ultrafast photonic sources in the 2 μm band. Full article

Purpose: Neuroinflammation and oxidative stress are increasingly recognized as central, interconnected drivers of neurodegeneration in the visual system. This review examines the pathogenic mechanisms shared across glaucoma, age-related macular degeneration (AMD), diabetic retinopathy (DR), and Alzheimer’s disease (AD), and evaluates the therapeutic rationale for targeting both pathways simultaneously. Methods: A narrative review of peer-reviewed literature was conducted using PubMed. Searches included the following MeSH terms: neuroinflammation, oxidative stress, retinal neurodegeneration, microglia, Müller glia, mitochondrial dysfunction, glaucoma, age-related macular degeneration, diabetic retinopathy, and Alzheimer’s disease. Priority was given to original research, systematic reviews, and high-impact publications from 2000 through 2025. However, seminal foundational works were included regardless of publication date. Studies were selected based on relevance to glial activation, mitochondrial dysfunction, reactive oxygen and nitrogen species, and disease-specific neuronal outcomes. Results: Across all four diseases, persistent microglial and Müller glial activation, mitochondrial electron transport chain dysfunction, and excess reactive oxygen species (ROS) and reactive nitrogen species (RNS) production form a self-amplifying feed-forward loop that accelerates neuronal injury. In glaucoma, these mechanisms drive intraocular pressure-independent retinal ganglion cell loss. In AMD and DR, lipid dysregulation, complement activation, and chronic hyperglycemia sustain oxidative-inflammatory injury to the retinal pigment epithelium, photoreceptors, and neurovasculature. In AD, retinal amyloid deposition and oxidative burden mirror cortical pathology, positioning the retina as a noninvasive biomarker site. Conclusions: Neuroinflammation and oxidative stress constitute unifying upstream mechanisms across major vision-threatening neurodegenerative diseases. Combination therapeutic strategies that simultaneously modulate glial activation and restore redox homeostasis may offer superior neuroprotective efficacy compared to approaches targeting isolated downstream mediators. Full article

Background: Risk stratification of patients with mitral regurgitation (MR), including both primary (degenerative) and secondary (functional) forms, remains challenging, particularly in asymptomatic or minimally symptomatic stages, as clinical assessment and resting echocardiography may underestimate disease severity and functional impairment. Exercise stress echocardiography (ESE) enables dynamic evaluation of regurgitation severity, ventricular performance, and cardiopulmonary response, potentially improving prognostic assessment. Methods: A systematic review was conducted according to PRISMA guidelines. PubMed, Scopus, and EMBASE were searched from inception to March 2026. Studies including adult patients with primary or secondary MR undergoing exercise-based stress echocardiography and reporting clinical outcomes were selected. Studies using exclusively pharmacological stress were excluded. Data were qualitatively synthesized, and continuous variables were summarized as weighted medians and interquartile ranges. In addition, emerging and non-conventional prognostic markers, including anatomical indices such as the modified Haller index (MHI), were explored to provide a more comprehensive risk stratification framework. Results: Nineteen studies were included, encompassing a heterogeneous population in terms of MR etiology, severity, and clinical presentation. During follow-up, a substantial proportion of patients experienced adverse events, including heart failure, mitral valve intervention, or death. Exercise-derived parameters consistently showed strong prognostic value. In particular, exercise-induced worsening of MR severity (increase in effective regurgitant orifice area and regurgitant volume), absence of contractile reserve, elevated filling pressures (E/e’), and exercise-induced pulmonary hypertension were associated with worse outcomes. Reduced functional capacity and impaired right ventricular–pulmonary arterial coupling provided additional prognostic information. Emerging markers, including chest wall configuration assessed by MHI, appeared to further refine risk stratification in selected patient subsets. In contrast, resting parameters were less consistently predictive. Conclusions: ESE provides incremental prognostic information in patients with MR by identifying dynamic abnormalities not evident at rest. Its integration into clinical evaluation, together with novel anatomical and functional markers, may improve risk stratification and support earlier identification of high-risk patients who could benefit from timely intervention. Further studies are needed to standardize methodologies and define clinically relevant thresholds. Full article