Search Results (1,881)

Background and Objectives: The masseteric artery (Ma) enters the masseter muscle (Mm) together with the masseteric nerve (Mn) via the mandibular notch. Morphological detail on the intramuscular course of the Ma and its relationship to the Mn remains scarce to date. When utilizing the Mn in facial reanimation surgery, a constant relationship between the Ma and Mn could be used for intramuscular orientation when preparing the Mn and for an indirect localization via ultrasound. This study examines the intramuscular course of the Ma and its relationship to the Mn. Materials and Methods: Sixty hemicrania obtained from thirty postmortem individuals aged between 54 and 99 years and embalmed using the Thiel methods were examined. Results: Four types of Ma were identified according to their endpoint in the Mm. In 5% of cases, no Ma could be identified (Type 0), 48.3% (Type 1) terminated within the upper third, 41.7% (Type 2) in the middle third, and 5% (Type 3) in the lower third. The Ma consistently entered the Mm inferior and in 85% of cases additionally slightly posterior to the Mn. The main trunk of the Ma crossed the Mn in the upper third of the Mm in 31.7% of cases, in the middle third in 23.3%, and in the lower third in 1.7% of cases. Of these, 13.3% had the Ma crossing the Mn. Smaller branches crossed the Mn in 45% of cases. Conclusions: If an Ma is present, it may be used for intramuscular orientation and indirect location of the Mn via the mandibular notch. Since the Ma reaches the lower third of the muscle in only a few cases, it is unsuitable for intramuscular orientation to locate the Mn via a distal approach. Full article

Background and Objectives: Atopic dermatitis (AD) is a prevalent, chronic, relapsing itchy skin disorder, affecting up to 20% of the pediatric population. Topical corticosteroids are the cornerstone of AD treatment, but their use is often limited due to topical corticosteroid phobia among parents. Research on chronic illnesses highlights the significant role of personality traits in treatment adherence, with emotional stability and conscientiousness—within the framework of the Five-Factor Model—emerging as key predictors. The aim of our study was to examine the relationship between parental personality traits and their adherence to the treatment of their children with AD. Materials and Methods: A cross-sectional study was conducted at the Department of Dermatovenereology, University Hospital of Split, involving 90 parents of children diagnosed with AD. Personality traits were evaluated using the abbreviated version of the International Personality Item Pool Big-Five Personality Questionnaire (IPIP 50s). Treatment adherence was assessed through a valid and reliable questionnaire, the Morisky Medication Adherence Scale (MMAS-8). Statistical analyses were performed using JASP v.0.18.1.0. Results: According to MMAS-8, only a small proportion of the sample reported having high adherence (14.4%). The only significant associations between personality traits and adherence were found between conscientiousness and adherence and emotional stability and adherence, where more conscientious participants and more emotionally stable participants reported higher scores. Conclusions: The results suggest that parents of children with AD with higher scores on conscientiousness and emotional stability are more likely to demonstrate better treatment adherence. These insights may encourage a holistic and multidisciplinary approach to the treatment of children with AD, with an emphasis on providing psychological support to both the children and their parents in order to improve treatment adherence and the further clinical course of the disease. Full article

Background and Objectives: The masseteric nerve (Mn) is increasingly used for facial reanimation because of its reliable location, high axon count, low donor morbidity, and favorable clinical outcomes. Precise topographic knowledge of the Mn relative to reproducible intraoperative landmarks is essential for safe dissection. This study investigated the intramuscular position of the Mn relative to two defined reference lines. Materials and Methods: Seventy-two hemicrania from 36 individuals (aged 54–99 years) embalmed postmortem using the Thiel method were examined. Measurements were referenced to two defined anatomical lines: the angle–canthus line (ACL), extending from the mandibular angle to the lateral canthus of the eye, and the articular eminence line (AEL), extending from the articular eminence to the base of the zygomatic temporal process. Results: The Mn crossed the ACL at an average distance of 39.9 ± 5.9 mm from the mandibular angle with up to four branches. The first intramuscular branch arose 15.6 ± 4.7 mm superior to the ACL. The Mn was located 4.9 ± 1.9 mm anterior to the articular eminence and 4.7 ± 1.5 mm inferior to the AEL, coursing at an average angle of 68.5 ± 11.6° to the AEL. The AEL and ACL provide reliable and clearly defined reference lines for locating the Mn and improve intraoperative reproducibility. The Mn followed a predictable oblique course and was consistently identified in the masseter muscle (Mm) beneath an intramuscular aponeurosis. Nerve diameter varied by site, underscoring the need for standardized measurement locations. Distal localization along the ACL may enable preservation of early intramuscular branches and reduce donor morbidity. Further studies should evaluate axon counts at defined points and clarify the relationship of the Mn to the masseteric artery for better intramuscular orientation during dissection. Conclusions: The Mn can be located within a 63 mm² area beneath the AEL at the masseter entry and more distally on the ACL. ACL-based access may protect the first intramuscular branch of the Mn and the temporal branch of the facial nerve (TBFN), and it represents a potential alternative for smile reconstruction for patients with preserved eye closure. Full article

Background and Objectives: Pemphigus vulgaris (PV) is a rare autoimmune blistering disease caused by IgG au-toantibodies against desmoglein 1 and/or desmoglein 3, leading to flaccid blisters on the skin and mucous membranes. The course of PV during pregnancy represents a special clinical challenge due to immunological changes accompanying physiological immunosuppression and the need to protect the developing fetus. Materials and Methods: To analyze the current state of knowledge, a literature review was performed covering the years 2015–2025. Publications describing PV diagnosed during pregnancy or in neonates were screened, and nine case reports discussing ten patients meeting the inclusion criteria were selected for detailed analysis. In this study, we also present our own clinical case of PV in pregnancy to complement the literature review and provide practical insight into disease management. Results: In most cases, the disease was diagnosed in the first trimester of pregnancy, and the most common symptoms were flaccid blisters and erosions of the oral mucosa. The diagnosis was confirmed by direct immunofluorescence (DIF) and ELISA testing. The first-line treatment remained systemic glucocorticosteroids (GCS), mainly prednisolone, which is considered the safest. In resistant cases, intravenous immunoglobulins (IVIg) were used, which were considered effective and safe, though their use may limit the transplacental transfer of autoantibodies to the fetus. In newborns, the symptoms rarely occurred, were mild, and resolved spontaneously. Drugs with proven teratogenic effects, such as methotrexate, cyclophosphamide, and mycophenolate mofetil, are contraindicated during pregnancy. In the case of rituximab therapy, it is recommended to postpone pregnancy for at least 12 months after the completion of treatment to minimize the potential risk of immunosuppression in the newborn. Conclusions: The treatment of PV during pregnancy requires close interdisciplinary cooperation. Therapy should be carefully individualized, taking into account both therapeutic efficacy and fetal safety. Perhaps then, pregnancy-related pemphigus diseases, given their peculiarities, should be classified as a distinct variety within the desmosomal type of autoimmune blistering diseases. Full article

Chemical emergencies in transport are rare but operationally demanding. This study presents a framework that converts the timeline of a real intervention involving a cyclohexylamine leak after a tanker truck overturned into a Petri net and subsequently into an absorbing Markov model. This provides decision-oriented indicators for the intervention phases and enables what-if analysis. Application to a case study shows that the capacity of the decontamination line has a significant impact on the duration of the incident resolution, while introducing a small probability of returning from technical measures to decontamination slightly prolongs the course while leaving the certainty of successful completion unchanged. Mapping between activities, Petri net locations, and aggregated states promotes transparency and the repeatability of procedures and highlights activities with a high number of repeat visits. The outputs are useful for decision making related to personnel and material resources, post-review analyses, and exercise planning. The limitations lie in calibration to a single incident, the partial use of expertly estimated parameters, and the approximate conversion of “steps” to time. Future work will focus on multiple cases, finer-grained time handling, and explicit capacity modelling. Full article

Background and Objectives: The average prevalence of sensitization to house dust mite in developed countries is more than 20%. The three major allergens of D. pteronyssinus—Der p 1, Der p 2, and Der p 23—have been associated with asthma severity. Allergen-specific immunotherapy (ASIT) is the only personalized and effective treatment that can change the natural course of allergic diseases such as allergic rhinitis or allergic asthma. Despite ASIT being an established treatment method, its effectiveness is still assessed using patient-reported outcome measures that determine quality of life, and there are no objective biomarkers that can accurately and reliably indicate the therapeutic efficacy of ASIT. This study aimed to monitor sensitization profiles to allergens, assess the effectiveness of ASIT, and evaluate total nasal symptom score (TNSS) and quality of life after six months of ASIT treatment. Materials and Methods: The molecular allergy diagnostic system was used to assess changes in patients’ sensitization profiles to allergens, and the validated questionnaires RQLQ and TNSS were used for quality-of-life assessment. Results: After 6 months of ASIT treatment against house dust mite allergens, a statistically significant increase in sIgE against the Der p 23 component was noted. In addition, a significant decrease in practical problems and an improvement in patients‘ emotional state were observed, while the TNSS score remained unchanged. Conclusions: Continuous monitoring of the Der p 23 component during further stages of ASIT is, therefore, essential to determine whether the observed changes reflect de novo sensitization or represent an immunological response to therapy. Full article

Background: Canine lymphoma comprises the majority of haematopoietic malignancies in veterinary clinical practice. Several prognostic factors have been studied and, more recently, there has been an increased interest in the role of the lymphocyte-to-monocyte ratio (LMR) for its prognostic value. To date, the prognostic value of absolute monocyte and lymphocyte counts as well as LMR at the time of relapse in dogs with diffuse large B-cell lymphoma has not been evaluated. The purpose of the present study was to investigate whether the absolute monocyte, lymphocyte or LMR at relapse can predict clinical outcomes for relapsed diffuse large B-cell lymphoma dogs treated with chemotherapy. Additionally, the parameters were evaluated for their prognostic value at the time of diagnosis and throughout different timepoints during the course of their first-line chemotherapy treatment. Materials and Methods: We retrospectively analysed data from 50 dogs with relapsed diffuse large B-cell lymphoma, treated with a CEOP-based first-line chemotherapy protocol. Lymphocyte and monocyte count and LMR were evaluated at different timepoints: at diagnosis, during chemotherapy and at the time of relapse. Overall survival time (OS) and disease-free interval (DFI), as well as overall survival time from relapse (OS_r), were measured. Friedman nonparametric ANOVA was used to compare blood cell counts at different timepoints. Spearman rank correlation was used to test for association between blood cell count at various timepoints with the duration of remission and survival time. Results: Monocyte and lymphocyte counts and LMR at the time of first relapse were not found to be adverse prognostic factors for OS_r in this population of dogs. Monocyte and lymphocyte counts differed significantly between different timepoints during the chemotherapy protocol. Conclusions: Absolute monocyte and lymphocyte counts and LMR at the time of relapse were not found to be prognostic indicators of OS_r in this population of dogs with multicentric lymphoma. Additional studies evaluating absolute monocyte and lymphocyte counts during chemotherapy treatment and following completion of chemotherapy in larger population of dogs are needed to assess whether these counts have clinical utility in detecting disease progression. Full article

Background and Purpose: Surgical treatment of lower-extremity fractures can result in postoperative complications. Irrespective of specific surgical procedures, postoperative outcomes may be influenced by pre-existing comorbidities, as well as by the severity of the injury. This study investigates whether (I) internal factors and (II) external factors are associated with (III) postoperative complication rates. Material and Methods: A prospective study was conducted at a Level I trauma center between 2014 and 2018. A cohort of 416 patients with surgical treatment after traumatic long bone fractures of the lower extremities was assessed, with comorbidities along with factors such as age, malnutrition, and impaired mobility systematically evaluated. Injury severity was classified using the Abbreviated Injury Scale; fracture type and location using the AO/OTA classification; and postoperative complications using the Clavien–Dindo system. Results: Across the cohort, internal factors such as immobility and malnutrition were associated with an increased complication rate. Age showed a weak correlation. Obesity demonstrated a trend toward a protective effect. Patients with femoral fractures exhibited a higher prevalence of cardiovascular comorbidities, with heart failure representing the most pronounced risk factor. In the subgroup with lower leg fractures, chronic heart disease also remained a significant predictor of complications. Correlation analysis further revealed a significant positive association between injury severity and the occurrence of complications across the overall cohort. Conclusions: This study provides valuable insights into risk factors for complicated postoperative courses. Injury severity appears to be a promising predictor of complication risk in patients with leg fractures. Reduced mobility and malnutrition, likewise, were significantly associated with increased complication rates; these may represent the most readily addressable modifiable risk factors. All data were collected using validated, user-friendly classification systems that may be suitable for predictive modeling. Full article

Quantum sensing with nitrogen vacancy (NV) defects in diamond enables detection of extremely small changes in temperature, host material strain, and magnetic and electric fields. Action potential detection has previously been demonstrated with cardiac tissue and whole organisms using NV defects in bulk diamond crystals. Nanodiamonds (NDs) with NV defects were previously used as effective fluorescent markers, as they do not bleach under laser illumination like conventional fluorescent dyes. Subcellular-level action potential recording with NDs is yet to be demonstrated. Here, we report our results on the confocal imaging of NDs and the feasibility of optically detected magnetic resonance (ODMR) experiments with Cath.-a-differentiated (CAD) mouse brain cells. 10 nm and 60 nm NDs were shown to diffuse into cells within 30 min with no additional surface modification, as confirmed with confocal imaging. In contrast, 100 nm and 140 nm NDs were observed to remain localized on the cell surface. ND photoluminescence (PL) signals did not bleach over the course of 5 h long imaging studies. ODMR technique was used to detect externally applied millitesla-level magnetic fields with NDs in cell solutions. In summary, NDs were shown to be effective, non-bleaching fluorescent markers in mouse brain cells, with further potential for use in action potential recording at the subcellular level. Full article

Introduction: The contribution of SARS-CoV-2 infection to the severity of placental alterations in preeclampsia remains unclear. This study aimed to evaluate the morphological changes in placentas of women who experienced COVID-19 during pregnancy, with a focus on the presence or absence of preeclampsia. Materials and Methods: The study included placentas from: (1) patients with both COVID-19 during pregnancy and preeclampsia (n = 20, 2022); (2) patients with COVID-19 during pregnancy without preeclampsia (n = 20, 2022); (3) patients with preeclampsia but without COVID-19 (n = 5, 2019); (4) patients with physiological pregnancies without COVID-19 or gestational complications (n = 5, 2019). Histological and immunohistochemical examinations of the placentas were performed using antibodies against the SARS-CoV-2 spike protein, DPP4 (CD26), and VEGF. Results: Placentas from patients with both COVID-19 and preeclampsia demonstrated the most pronounced stromal and vascular alterations, including pseudo-infarctions and villous fibrosis. Chorangiosis, excessive fibrinoid deposition in the intervillous space, and accelerated villous maturation with an increased number of syncytial knots were more common in the preeclampsia groups, regardless of prior COVID-19 infection. Symptomatic forms of coronavirus infection were associated with more severe manifestations of malperfusion. Expression of the SARS-CoV-2 spike protein was detected in 78% of syncytiotrophoblast cells and 37% of decidual cells in 28 of 40 placentas from women with previous COVID-19, while its presence in the vascular endothelium, macrophages, and villous fibroblasts was focal, as was CD26 expression. VEGF expression did not differ significantly between patients with and without COVID-19. Conclusions: COVID-19 is associated with more pronounced stromal–vascular alterations in the placenta; however, not all of these changes are directly caused by the virus itself but rather reflect the severe course of preeclampsia. Inflammatory alterations are nonspecific for COVID-19, even though CD26 and the SARS-CoV-2 spike protein are detectable in nearly all placental structures, whereas VEGF levels remain comparable to those observed in placentas prior to the coronavirus pandemic. Full article

In manufacturing processes, both material processing methods and the resulting microstructure play a fundamental role in determining material behavior during component fabrication and subsequent service conditions. Materials produced by additive manufacturing exhibit a unique microstructure due to the rapid heating and solidification cycles inherent to the process, distinguishing them from conventionally cast counterparts and leading to differences in mechanical and functional properties. This article presents problems related to the longitudinal turning of Ti6Al4V titanium alloy elements produced by the casting and powder laser sintering (DMLS) methods. The authors made an attempt to establish a procedure for determining the optimal parameters of finishing cutting while minimizing the specific cutting force, taking into account the criterion of machined surface quality. In the course of the experiments, the influence of the cutting data on the cutting force values, surface roughness parameters, and chip shape was examined. The material hardening state during machining and the variability of the specific cutting force as a function of the cross-sectional shape of the cutting layer were also tested. The authors presented a practical application of the proposed optimization algorithm. It was found that by changing the shape of the cross-section of the cutting layer, it was possible to carry out the turning process with significantly reduced specific cutting force (from 2300 N/mm² to 1950 N/mm²) without deteriorating the surface roughness. Full article

Designing laboratory experiences that support both skill development and conceptual understanding is a persistent challenge in introductory chemistry education—especially within accelerated or compressed course formats. To address this need, we developed and implemented a systems-thinking-based laboratory module on error analysis for a large introductory chemistry course at Brown University, composed primarily of first-year students (approximately 150–200 students in the spring semesters). Unlike traditional labs that isolate single techniques or concepts, this module integrates calorimetry, precipitation reactions, vacuum filtration, and quantitative uncertainty analysis into a unified experiment. Students explore how procedural variables interact to affect experimental outcomes, promoting a holistic understanding of accuracy, precision, and uncertainty. The module is supported by multimedia pre-lab materials, including faculty-recorded lectures and interactive videos developed through Brown’s Undergraduate Teaching and Research Awards (UTRA) program. These resources prepare students for hands-on work while reinforcing key theoretical concepts. A mixed-methods assessment across four semesters (n > 600) demonstrated significant learning gains, particularly in students’ ability to analyze uncertainty and distinguish between accuracy and precision. Although confidence in applying significant figures slightly declined post-lab, this may reflect increased awareness of complexity rather than decreased understanding. This study highlights the educational value of integrating systems thinking into early-semester laboratory instruction. The module is accessible, cost-effective, and adaptable for a variety of institutional settings. Its design advances chemistry education by aligning foundational skill development with interdisciplinary thinking and real-world application. Full article

Surplus cyanobacterial biomass can serve as a low-cost sorbent for polishing nitrate-contaminated waters. We compared raw cyanobacterial biomass (Leptolyngbya sp.) with its hydrochar produced by hydrothermal carbonization. Despite an approximately tenfold increase in BET area after carbonization (4.08 vs. 0.5 m² g⁻¹), the hydrochar performed worse than the native material under all tested conditions. Batch tests (C₀ = 20 to 100 mg N L⁻¹; dose = 0.067 g L⁻¹) reached equilibrium within 25 min, achieving removal rates ranging from 40% up to 56%. Nonlinear fits showed that the pseudo-first-order model simulates the time courses with physically consistent parameters, while the equilibrium data in the studied window were represented by the Freundlich isotherm. In fixed-bed trials, the biomass treated 58 bed volumes to the nitrate-N compliance value of 11.3 mg N L⁻¹, compared with 27 bed volumes for the hydrochar; the breakthrough profiles were modeled using the Yoon–Nelson equation and nonlinear regression. Over the conditions examined, performance tracked surface chemistry and charge characteristics rather than area, consistent with contributions from specific interactions and uptake within the cellular matrix. These results support minimally processed cyanobacterial biomass as a practical option for energy-lean nitrate polishing under the frame of the circular economy. Full article

Integrating sustainability principles into higher education curricula is a global imperative, yet it poses significant challenges for faculty development, particularly across diverse disciplinary and cultural contexts. This paper explores how the process of embedding sustainability into university courses acts as a catalyst for educator transformation, influencing faculty identity, pedagogical method, and professional agency. Drawing on a qualitative multiple case study conducted at two international universities in the United Arab Emirates and Qatar, this study analyzes teaching artefacts, course materials, and reflective journals from courses spanning information systems, business analytics, digital marketing, and media and communication. The CoDesignS Framework served as both a design and analytical scaffold to align teaching practices with key sustainability competencies and transformative pedagogies. Findings demonstrate that sustainability integration encourages not only deeper student engagement but also meaningful professional growth for educators, shifting their roles from content experts to co-designers of learning. This paper contributes a practitioner-led, contextually grounded model for embedding Education for Sustainable Development (ESD) and argues that empowering faculty through flexible, reflective frameworks such as CoDesignS may be more effective than top-down compliance approaches in driving institutional change. Full article