Search Results (863)

Background: Immediate implant placement in the esthetic zone, particularly in Class II extraction sockets with partial facial bone loss, presents challenges in achieving soft and hard tissue stability. Customized computer-aided design/computer-aided manufacturing (CAD/CAM) titanium abutments may offer advantages over prefabricated stock abutments. This study compared the clinical, radiographic, and patient-reported outcomes of customized CAD/CAM titanium abutments versus stock Laser-Lok stock abutments. Materials and methods: In a single-center, double-blind randomized clinical trial, 48 patients received immediate maxillary anterior implants restored with either customized CAD/CAM titanium abutments (n = 24) or stock titanium abutments (n = 24). Primary outcomes included peri-implant probing depth (PD), mucosal height, Pink Esthetic Score (PES), crestal bone level changes, and patient satisfaction assessed at baseline, 6, and 12 months post-loading. Statistical analysis included effect sizes and 95% confidence intervals. Results: At 12 months, the customized abutment group showed significantly shallower PD (mean difference: −0.54 mm; 95% CI: −0.72 to −0.35; p < 0.001), higher PES (12.21 ± 0.35 vs. 10.41 ± 1.17; p < 0.0001; Cohen’s d = 2.08), and less crestal bone loss (1.75 ± 0.36 mm vs. 2.33 ± 0.52 mm; p < 0.0001). Patient satisfaction scores were also higher in the customized group (p = 0.003). Within-group improvements were observed in both groups over time. No implant failures occurred. Conclusions: At 1-year follow-up, customized CAD/CAM titanium abutments demonstrated improved peri-implant soft tissue parameters, esthetics, and patient satisfaction compared to stock abutments. While these findings support their use in esthetically demanding immediate implant cases, the short-term duration and single-center design warrant further long-term multicenter studies to confirm durability. Trial registration: Registered at ClinicalTrials.gov on 19/01/2025 (NCT06791655). Full article

Background/Objectives: Obesity is a growing problem in the feline population worldwide. An extract of unripe avocado (AvX) has been shown to attenuate gains in body weight and body fat in mice fed a high-fat diet. The aim of this study was to evaluate the effects of overweight/obesity and AvX on gut microbiota (GM) and fecal metabolomics in cats with natural overweight/obesity. Methods: Ten naturally overweight/obese and ten lean purpose-bred domestic shorthair cats were included in this study. In a prospective, randomized, double-blind study, one group of overweight/obese cats received AvX, while the second group received maltodextrin for 16 weeks. Fecal samples were collected after spontaneous defecation at specific time points and submitted for analysis. Fecal samples of overweight/obese cats collected before administration of AvX/maltodextrin were also compared to fecal samples of lean cats. Results: There was a significant difference in the clustering of GM over time in the AvX group and between lean and overweight/obese cats. The abundance of Firmicutes in the group of cats receiving AvX decreased compared to baseline. AvX induced a trend toward an increased abundance of Dialister sp. and a trend of decreased abundances of SMB53, Roseburia sp., Blautia producta, Acidaminococcus sp., Akkermansia sp., Adlercreutzia sp., and Collinsella aerofaciens. The metabolites that significantly differed after AvX administration included tryptophan, indole-3-acetate, nicotinamine, and glycyl-proline. At the species level, abundances of Prevotella sp., Turicibacter sp., Clostridium sp., Veillonella sp., Dialister sp., Catenibacterium sp., Eubacterium biforme, Desulfovibrio sp., and Campylobacter sp. were significantly higher in lean cats. Abundances of Coriobacterium sp. and Ruminococcus gnavus were significantly higher in overweight/obese cats. Additionally, LEfSe analysis identified Dialister as the genus associated with AvX administration and Dialister, Prevotella, Ruminococcus, Campylobacter, Catenibacterium, Clostridium, Helicobacter, Eubacterium, Pseudoramibacter, Veillonella, S247, Turicibacter, and Phascolarctobacterium as bacteria associated with the lean state. Genus Coriobacterium and Enterococcus were associated with overweight/obesity. A correlation between the concentration of metabolites significantly different between the AvX/placebo groups and the abundances of detected bacterial taxa at the genus level was assessed and described. Conclusions: There are significant differences in the GM between lean and overweight/obese cats. AvX consumption appears to affect the composition of GM and fecal metabolite concentrations in naturally overweight/obese cats. Full article

This paper presents a blind source separation (BSS)-based framework for joint communication and sensing (JCAS) in in-band full-duplex (IBFD) multiple-input multiple-output (MIMO) systems operating under time-varying channel conditions. Conventionally, self-interference (SI) in IBFD systems is a major obstacle to recovering the signal of interest (SOI). Under the JCAS paradigm, however, this high-power SI signal presents an opportunity for efficient sensing. Since each transceiver node has access to the original SI signal, its environmental reflections can be exploited to estimate channel conditions and detect changes, without requiring dedicated radar waveforms. We propose a blind source separation (BSS)-based framework to simultaneously perform self-interference cancellation (SIC) and extract sensing information in IBFD MIMO settings. The approach applies the Fast Independent Component Analysis (FastICA) algorithm in dynamic scenarios to separate the SI and SOI signals while enabling simultaneous signal recovery and channel estimation. Simulation results quantify the trade-off between estimation accuracy and channel dynamics, demonstrating that while FastICA is effective, its performance is fundamentally limited by a frame size optimized for the rate of channel variation. Specifically, in static channels, the signal-to-residual-error ratio (SRER) exceeds 22 dB with 500-symbol frames, whereas for moderately time-varying channels, performance degrades significantly for frames longer than 150 symbols, with SRER dropping below 4 dB. Full article

Aiming at addressing the defect of the data blindness of a LiDAR point cloud in transparent media such as glass in low illumination environments, a new method is proposed to realize covert target reconnaissance, identification and ranging using the fusion of a shimmering polarized image and a laser LiDAR point cloud, and the corresponding system is constructed. Based on the extraction of pixel coordinates from the 3D LiDAR point cloud, the method adds information on the polarization degree and polarization angle of the micro-light polarization image, as well as on the reflective intensity of each point of the LiDAR. The mapping matrix of the radar point cloud to the pixel coordinates is made to contain depth offset information and show better fitting, thus optimizing the 3D point cloud converted from the micro-light polarization image. On this basis, algorithms such as 3D point cloud fusion and pseudo-color mapping are used to further optimize the matching and fusion procedures for the micro-light polarization image and the radar point cloud, so as to successfully realize the alignment and fusion of the 2D micro-light polarization image and the 3D LiDAR point cloud. The experimental results show that the alignment rate between the 2D micro-light polarization image and the 3D LiDAR point cloud reaches 74.82%, which can effectively detect the target hidden behind the glass under the low illumination condition and fill the blind area of the LiDAR point cloud data acquisition. This study verifies the feasibility and advantages of “polarization + LiDAR” fusion in low-light glass scene reconnaissance, and it provides a new technological means of covert target detection in complex environments. Full article

This paper introduces a robust and imperceptible video watermarking framework designed for blind extraction in dynamic video environments. The proposed method operates in the spatial domain and combines multiscale perceptual analysis, adaptive Just Noticeable Difference (JND)-based quantization, and temporal redundancy via multiframe embedding. Watermark bits are embedded selectively in blocks with high perceptual masking using a QIM strategy, and the corresponding DCT coefficients are estimated directly from the spatial domain to reduce complexity. To enhance resilience, each bit is redundantly inserted across multiple keyframes selected based on scene transitions. Extensive simulations over 21 benchmark videos (CIF, 4CIF, HD) validate that the method achieves superior performance in robustness and perceptual quality, with an average Bit Error Rate (BER) of 1.03%, PSNR of 50.1 dB, SSIM of 0.996, and VMAF of 97.3 under compression, noise, cropping, and temporal desynchronization. The system outperforms several recent state-of-the-art techniques in both quality and speed, requiring no access to the original video during extraction. These results confirm the method’s viability for practical applications such as copyright protection and secure video streaming. Full article

Skin aging causes reduced hydration, elasticity, and increased wrinkles. Recent safety and compliance concerns over oral collagen supplements have increased interest in plant-based alternatives like Hibiscus sabdariffa with antioxidant and anti-aging properties. However, clinical evidence regarding its efficacy remains limited. We aimed to evaluate the effects of this plant-based collagen alternative (VC-H1, Hibiscus Enzyme Extract) supplement on skin hydration, transepidermal water loss (TEWL), desquamation, elasticity, and wrinkle reduction in photoaged individuals. A randomized, double-blind, placebo-controlled clinical trial was conducted with 98 participants (aged 35–60 years) presenting with dry skin and periorbital wrinkles. Participants randomly received 1.5 g/day of VC-H1 or placebo for 12 weeks. Skin hydration, TEWL, deep moisture, keratin index, elasticity, and wrinkle parameters were assessed at baseline, 6 weeks, and 12 weeks. VC-H1 supplementation significantly increased skin hydration, reduced the TEWL and keratin index, and improved deep moisture content for those receiving it compared with the controls. Wrinkle depth significantly decreased, and skin elasticity also improved. Those in the VC-H1 group showed greater overall improvement than those in the control group. Oral VC-H1 supplementation significantly improved skin hydration, elasticity, and wrinkle reduction, suggesting its potential as a plant-based alternative to traditional collagen supplements for skin rejuvenation. Full article

Background: Reducing cardiovascular risk markers is an essential target in chronic kidney disease (CKD). Thus, this study aimed to evaluate the effect of royal jelly plus green propolis supplementation on cardiovascular disease (CVD) risk factors in patients with CKD undergoing hemodialysis (HD). Methods: This randomized, double-blind, placebo-controlled trial involved HD patients allocated to receive either royal jelly plus green propolis EPP-AF^® (100 mg RJ + 500 mg GP) or placebo capsules daily for 2 months. Before and after the intervention period, the biochemical parameters, inflammatory cytokines, and uremic toxins were measured. Results: A total of 38 HD patients completed the 2-month supplementation study, with 19 patients in each group. After 2 months, the treated group showed a significant reduction in plasma levels of IL-6 (0.78 to 0.63 pg/mL, p = 0.008) and total cholesterol (138.60 to 111.85 mg/dL, p = 0.03), whereas no changes were observed in the placebo group. Uremic toxins did not change after intervention. Conclusion: Apitherapy with RJ + GP EPP-AF^® extract significantly reduced plasma IL-6 and total cholesterol in HD patients. This supplementation shows promise as a non-pharmacological strategy to reduce cardiovascular risk markers in this population. Full article

This systematic review aimed to evaluate the effectiveness of teriparatide (TP) in guided bone regeneration (GBR). An electronic search without language or date restrictions was performed in PubMed, Web of Science, Scopus, Scielo, and gray literature for articles published until June 2025. Inclusion criteria considered studies evaluating the effect of TP on bone regeneration, analyzed using SYRCLE’s Risk of Bias tool. Twenty-four preclinical studies were included, covering diverse craniofacial models (mandibular, calvarial, extraction sockets, sinus augmentation, distraction osteogenesis, segmental defects) and employing systemic or local TP administration. Teriparatide consistently enhanced osteogenesis, graft integration, angiogenesis, and mineralization, with potentiated effects when combined with various biomaterials, including polyethylene glycol (PEG), hydroxyapatite/tricalcium phosphate (HA/TCP), biphasic calcium phosphate (BCP), octacalcium phosphate collagen (OCP/Col), enamel matrix derivatives (EMDs), autografts, allografts, xenografts (Bio-Oss), strontium ranelate, and bioactive glass. Critically, most studies presented a moderate-to-high risk of bias, with insufficient randomization, allocation concealment, and blinding, which limited the internal validity of the findings. TP shows promising osteoanabolic potential in guided bone regeneration, enhancing bone formation, angiogenesis, and scaffold integration across preclinical models. Nonetheless, its translation to clinical practice requires well-designed human randomized controlled trials to define optimal dosing strategies, long-term safety, and its role in oral and craniomaxillofacial surgical applications. Full article

Rolling element bearings serve as critical transmission components in industrial automation systems, yet their fault signatures are susceptible to interference from strong background noise, complex operating conditions, and nonlinear impact characteristics. Addressing the limitations of conventional methods in adaptive parameter optimization and weak feature enhancement, this paper proposes an innovative diagnostic framework integrating Improved Goose optimized Variational Mode Decomposition (IGOOSE-VMD), RobustICA, and CYCBD. First, to mitigate modal aliasing issues caused by empirical parameter dependency in VMD, we fuse a refraction-guided reverse learning mechanism with a dynamic mutation strategy to develop the IGOOSE. By employing an energy-feature-driven fitness function, this approach achieves synergistic optimization of the mode number and penalty factor. Subsequently, a multi-channel observation model is constructed based on optimal component selection. Noise interference is suppressed through the robust separation capabilities of RobustICA, while CYCBD introduces cyclostationarity-based prior constraints to formulate a blind deconvolution operator with periodic impact enhancement properties. This significantly improves the temporal sparsity of fault-induced impact components. Experimental results demonstrate that, compared to traditional time–frequency analysis techniques (e.g., EMD, EEMD, LMD, ITD) and deconvolution methods (including MCKD, MED, OMEDA), the proposed approach exhibits superior noise immunity and higher fault feature extraction accuracy under high background noise conditions. Full article

Background: Pre-season training is critical for developing tolerance to high physical demands in professional soccer, and nitric oxide (NO) precursors such as dietary nitrate (NO₃⁻) and citrulline malate (CM) can support performance and recovery during this demanding phase. This study aimed to examine the effects of a four-week supplementation protocol combining 500 mg of NO₃⁻ from amaranth extract and 8 g of CM (NIT + CM) on external training load and post-match recovery in professional female soccer players during pre-season. Methods: A randomized, double-blind, placebo-controlled trial was conducted with 34 female soccer players who received either the NIT + CM product or a placebo for four weeks during pre-season. Global positioning system (GPS)-derived external load was recorded throughout the intervention. Performance tests—a countermovement jump (CMJ) test and the Wingate anaerobic test (WAnT)—and blood sampling for plasma NO₃⁻ and nitrite (NO₂⁻) concentrations were conducted at baseline and the day after a competitive match. Results: The supplementation with NIT + CM increased maximal speed (Vmax) throughout training and match play. During post-match testing, the NIT + CM group exhibited a significantly smaller decline in mean (P_mean) and minimum (P_min) power during the WAnT, along with reduced power loss in both the first (0–15 s) and second (15–30 s) intervals. Plasma NO₃⁻ concentrations significantly increased from baseline in the NIT + CM group and remained elevated 24 h after the final dose, confirming sustained systemic exposure. Conclusions: Chronic NIT + CM supplementation may enhance Vmax and help preserve anaerobic performance the day after a match. These effects could reflect improved tolerance to high training loads and sustained NO₃⁻ availability during recovery. Full article

Blind and visually impaired (BVI) people face significant challenges in perception, navigation, and safety during travel. Existing infrastructure (e.g., blind lanes) and traditional aids (e.g., walking sticks, basic audio feedback) provide limited flexibility and interactivity for complex environments. To solve this problem, we propose a real-time travel assistance system based on deep learning. The hardware comprises an NVIDIA Jetson Nano controller, an Intel D435i depth camera for environmental sensing, and SG90 servo motors for feedback. To address embedded device computational constraints, we developed a lightweight object detection and segmentation algorithm. Key innovations include a multi-scale attention feature extraction backbone, a dual-stream fusion module incorporating the Mamba architecture, and adaptive context-aware detection/segmentation heads. This design ensures high computational efficiency and real-time performance. The system workflow is as follows: (1) the D435i captures real-time environmental data; (2) the processor analyzes this data, converting obstacle distances and path deviations into electrical signals; (3) servo motors deliver vibratory feedback for guidance and alerts. Preliminary tests confirm that the system can effectively detect obstacles and correct path deviations in real time, suggesting its potential to assist BVI users. However, as this is a work in progress, comprehensive field trials with BVI participants are required to fully validate its efficacy. Full article

The effectiveness of ultrasound (US)-guided compared with blind corticosteroid injections for the treatment of plantar fasciitis (PF) remains uncertain. This meta-analysis aimed to evaluate the clinical benefits of US-guided over blind injections in patients with PF. A systematic search of PubMed, Embase, Web of Science, and Scopus was conducted, collecting articles published up to 20 April 2025. Randomized controlled trials comparing US-guided and blind corticosteroid injections for PF were included. The extracted outcome measures, i.e., visual analog scale (VAS), heel tenderness index (HTI), tenderness threshold (TT), and plantar fascia thickness, were assessed at short- (2–6 weeks) and long-term (≥12 weeks) follow-ups. Compared with the blind injection group, the US-guided group showed significantly greater improvement in TT at both short- and long-term follow-ups, as well as a greater reduction in plantar fascia thickness. However, no significant differences were found between the two groups in VAS and HTI scores. US-guided corticosteroid injections provide superior clinical benefits compared with blind injections in patients with PF, particularly in enhancing mechanical pain tolerance and reducing plantar fascia thickness. Nevertheless, these findings should be interpreted with caution due to the limited methodological quality of the included studies. Full article

Objective: Lower third impacted molar extraction, despite being a routinary procedure for oral and maxillo-facial surgeons, may often result in a significantly negative impact in patient’s post-operatory quality of life. Among others, treatments based on oxygen-enriched oils have been shown to provide valuable therapeutic benefits in promoting wound healing, and therefore improving the immediate post-operatory symptomatology. The aim of this triple-blinded randomized controlled study is to supplement the existing evidence in the scientific literature by assessing the effectiveness of NovoX^®-Drop (Moss S.p.A., Lesa, Novara), a specific type of oxygen enriched oil-based device in reducing pain and inflammatory stimulus of post-surgical wounds following the extraction of lower third impacted molars. Materials and methods: Seventy-one patients undergoing surgical extraction of a single lower third impacted molar were randomly assigned to receive either NovoX^®-Drop (Group A) or a glycerin-based gel (Group B). Additionally, both patient groups followed the same standard therapy with amoxicillin-clavulanic acid and ibuprofen. Data were collected preoperative (T0) and after three (T3) and seven (T7) days postoperative in order to assess the following outcomes: mean visual analogue scale (VAS) score during the seven days protocol treatment, total duration of nonsteroidal anti-inflammatory drug (NSAID) usage, trismus (maximum mouth opening) and facial oedema. Results: Group A (treatment group) reported significatively lower pain levels at T7 compared to group B (average VAS value during the week: Group A: 3.57 ± 0.39 cm; Group B: 4.47 ± 0.40 cm; p-value = 0.0014) despite a significatively shorter period of NSAID usage (average NSAID usage duration: Group A: 2.43 ± 0.38 days; Group B: 3.38 ± 0.44 days; p-value = 0.00001). Therefore, trismus seems to be better controlled in group A, although the difference between the groups did not reach the threshold for statistical significance. Conclusions: The results of this study suggest that application of NovoX^®-Drop is capable of significantly reducing the post-operatory pain as well as NSAID usage, representing a promising and effective option for third impacted molar extraction surgery management. Full article

Prunus leaf extracts are rich in phenolic and flavonoid compounds like rutin, and they are known for their antioxidant potential. This study compares the bioactivity and stability of leaf extracts from Prunus domestica L. (EL), Prunus salicina Lindl. (JL), and Prunus cerasifera Ehrh. (CL) and evaluates the dermal safety of a cream containing the extract with the most favorable in vitro properties for potential cosmetic use. Ethanolic extracts were assessed for total phenolic and condensed tannin contents, as well as antioxidants, using DPPH assay and lipid peroxidation inhibitory activities. The CL extract exhibited moderate total phenolic content, the highest condensed tannin content, and strong antioxidant (IC₅₀ = 22.1 ± 3.1 µg/mL) and anti-lipid peroxidation (62.3 ± 1.0%) activities. Based on these results, CL was incorporated into a cream formulation (CCL), which was then evaluated for physicochemical properties, antioxidant retention, and in vitro skin permeation using Franz diffusion cells. The formulation remained physically stable under ambient conditions and retained antioxidant activity above 74.5% under thermal cycling conditions. Rutin from the CCL formulation was retained within the Strat-M™ membrane (4.0 ± 1.1%), which was 5.7-fold higher than that of the control (0.7 ± 0.6%) over 8 h; however, it was not detected in the receptor chamber under these in vitro conditions. A semi-open patch test conducted on 26 healthy volunteers under double-blind conditions revealed no signs of irritation, confirming the formulation’s dermal safety. Overall, the findings support the feasibility of using P. cerasifera extract as a stable antioxidant component in topical skincare formulations. Full article

Background: The New Zealand pine bark has been demonstrated in vitro to inhibit digestive enzymes involved in carbohydrate digestion (alpha-amylase, alpha-glucosidase, and dipeptidyl-peptidase 4 (DPP-4)). Objective: This study aims to investigate the inhibitory effects of the New Zealand pine bark on sucrose uptake and glycaemic responses in humans. Methods: A single-blind, randomised, placebo-controlled, crossover trial was carried out involving healthy adults (n = 40 (M: 12, F: 28), 30.1 ± 1.3 years, BMI 23.4 ± 0.5 kg/m², HbA1c 32.5 ± 0.6 mmol/mol, FBG 4.7 ± 0.1 mmol/L). A control (75 g of sucrose powder only), and two doses of the pine bark extract (50 and 400 mg) were provided on separate occasions, with 75 g of sucrose mixed in 250 mL of water. Blood samples were collected at −10, 0, 15, 30, 45, 60, 90, and 120 min via a finger prick test. A linear mixed model for repeated measures (SPSS v30, IBM) was applied, and data presented as model-adjusted mean ± SEM. Results: Compared to control (247.5 ± 14.0 mmol/L⋅min), the iAUCglucose was significantly reduced with the 400 mg dose (211.8 ± 13.9 mmol/L⋅min, 14.4% reduction, and p = 0.037), but not with 50 mg dose (220.8 ± 14.2 mmol/L⋅min, 10.8% reduction, and p = 0.184). Compared to control (9.1 ± 0.2 mmol/L), glucose peak value was significantly reduced with the 50 mg dose (8.6 ± 0.2 mmol/L, 5.5% reduction, and p = 0.016) but not with the 400 mg dose (8.7 ± 0.2 mmol/L, 4.4% reduction, and p = 0.093). There were no statistically significant changes in postprandial insulin levels with the pine bark extract compared to control. Conclusions: The New Zealand pine bark extract attenuated sucrose uptake with improved glycaemic responses, and may therefore be useful as a hypoglycaemic adjunct to the diet. Full article