Search Results (127)

Photobiomodulation (PBM) has shown promising potential to enhance bone regeneration; however, its optimal delivery parameters and interactions with osteoconductive scaffolds remain insufficiently defined. This preclinical study is the first to incorporate a pilot dosimetry evaluation to standardize 980-nm PBM delivery and ensure that effective irradiance reached the target surface of critical-size calvarial defects in mice. The primary aim was to evaluate the effectiveness of this novel 980-nm PBM protocol delivered using either flat-top (FT) or standard Gaussian (ST) handpieces in enhancing bone regeneration in critical-size defects (CSDs), both with and without Bio-Oss^® grafting. A total of 120 adult mice were allocated into twelve experimental groups (n = 10 per group): untreated (control), Bio-Oss^® alone, PBM alone, and PBM combined with Bio-Oss^®, using either FT or ST handpieces, and evaluated at 30 and 60 days. Animals received 980 nm irradiation at 0.6 W (nominal power output–set on laser interface) in continuous-wave mode for 60 s, three times per week, for two consecutive weeks. Pilot dosimetry included power meter measurements to determine the therapeutic power reaching the defect surface area and temperature monitoring to ensure safe energy delivery. The dosimetry study demonstrated that, after accounting for the optical properties of mouse shaved skin and the Bio-Oss^® graft covered with Bio-Gide^® membrane, the effective irradiance reaching the base of the defect surface area was 1.131 W/cm² for the FT handpiece and 0.413 W/cm² for the ST handpiece. This dose was sufficient to induce significant regenerative effects. Histological, Masson’s trichrome, and immunohistochemical analyses for Runx2, OCN, GLI1, CD34, and CTSK were performed to characterize early and late osteogenic events. The combination of PBM and Bio-Oss^® significantly accelerated bone regeneration compared with PBM alone, with the FT handpiece producing the most uniform and advanced osteogenesis. PBM enhanced progenitor activation, osteoblast differentiation, angiogenesis, matrix deposition, and late-stage remodeling, demonstrating a synergistic effect with the scaffold, whereas Bio-Oss^® alone or defect alone showed limited early regenerative potential. These findings highlight the effectiveness of this novel standardized PBM dosimetry and uniform beam profile (FT), supporting their use as a foundation for future randomized controlled trials in craniofacial bone repair. Full article

In addressing the key technical challenges of achieving ultra-broadband and high film-thickness uniformity for meter-class large-aperture space telescopes, this study utilized a self-developed 4 m-class large-aperture thin-film deposition system. By employing plasma-assisted electron-beam evaporation technology and a co-evaporation method with inner and outer dual-ring multi-evaporation sources, precise control of film-thickness uniformity within a 2 m range was achieved. A composite film structure combining a metal reflective layer and an ultraviolet-enhanced dielectric layer was adopted to realize high reflectivity across an ultra-broad spectrum from ultraviolet to long-wave infrared. Experimental results show that the average reflectance of the composite film reaches 91.52% in the 0.25~0.38 μm spectral band and 99.40% in the 0.38~12 μm spectral band. The thickness uniformity of ZrO₂ and MgF₂ films within the 2 m aperture area was controlled at 1.37% and 3.12%, respectively, meeting the requirements for high uniformity in large-aperture space applications. Radiation testing confirmed that the change in film reflectance is less than 1% under a total irradiation dose of 3.66 × 10⁸ rad(Si), satisfying the demands for operation in harsh space environments. This research provides an innovative solution for thin-film technology in large-aperture, ultra-broad-spectrum space optical systems and holds significant value for engineering applications. Full article

Chronic obstructive pulmonary disease (COPD) is a major health burden in India with limited real-world data on triple inhaler therapy. This prospective, open-label, multi-center, single-arm, phase 4 study (October 2023–August 2024) assessed the effectiveness and safety of glycopyrronium/formoterol fumarate/budesonide (GFB) triple therapy, administered as metered-dose inhaler (MDI) or dry-powder inhaler (DPI), in Indian COPD patients. Symptomatic patients aged ≥40 years with minimum one exacerbation in the past year and receiving dual or monotherapy were included. GFB was delivered as MDI or DPI based on physician and patient preference. Primary outcomes were changes from baseline in trough forced expiratory volume in 1 s (FEV₁), forced vital capacity (FVC), and modified medical research council (mMRC) score over 24 weeks, with assessment of exacerbations, hospitalizations, rescue medication use, and safety. In 184 patients (70.65% male, mean age 53.7 years), GFB significantly improved FEV₁, FVC, and mMRC scores. Eleven mild exacerbations were reported without hospitalization; 17.39% used rescue salbutamol largely in the first 4 weeks. GFB was well tolerated, with mild-to-moderate adverse events in 14.67%, and outcomes were comparable between MDI and DPI. Our findings support GFB as safe and effective treatment in real-world COPD management. Full article

Microfluidics enables precise manipulation of scarce Traditional Chinese Medicine (TCM) samples while accelerating analysis and enhancing sensitivity. Device-level structures explain these gains: staggered herringbone and serpentine mixers overcome low-Reynolds-number constraints to shorten diffusion distances and reduce incubation time; flow-focusing or T-junction droplet generators create one-droplet–one-reaction compartments that suppress cross-talk and support high-throughput screening; “Christmas-tree” gradient generators deliver quantitative dosing landscapes for mechanism-aware assays; micropillar/weir arrays and nanostructured capture surfaces raise surface-to-volume ratios and probe density, improving capture efficiency and limits of detection; porous-membrane, perfused organ-on-a-chip architectures recreate apical–basolateral transport and physiological shear, enabling metabolism-aware pharmacology and predictive toxicology; wax-patterned paper microfluidics (µPADs) use capillary networks for instrument-free metering in field settings; and lab-on-a-disc radial channels/valves exploit centrifugal pumping for parallelised workflows. Framed by key performance indicators—sensitivity (LOD/LOQ), reliability/reproducibility, time-to-result, throughput, sample volume, and sustainability/cost—this review synthesises how such structures translate into value across TCM quality/safety control, toxicology, pharmacology, screening, and delivery. Emphasis on structure–function relationships clarifies where microfluidics most effectively closes gaps between chemical fingerprints and biological potency and indicates practical routes for standardisation and deployment. Full article

Background/Objectives: Triboelectrification in fluid systems, and specifically in hydrofluorocarbon (HFC)-based propellants, used in pressurised metered-dose inhalers (pMDIs) remains understudied despite its impact on aerosol behaviour and does delivery. This study investigates how ethanol concentration affects charge generation and dissipation in HFC-152a (1,1-difluoroethane; R152a) flowing through low-density polyethylene (LDPE) tubing, a common valve-stem material in pMDIs. Methods: Controlled experiments measured electrical current, charge accumulation, and flow stability for HFC-152a with varying ethanol concentrations in LDPE tubing. Statistical analysis (two-way ANOVA, p < 0.05) assessed the effects of the propellant and material. Comparative tests include R134a (1,1,1,2-tetrafluoroethane) and R227ea (1,1,1,2,3,3,3-heptafluoropropane), and the tubing materials are polybutylene terephthalate (PBT), polyvinyl chloride (VINYL), polyoxymethylene (POM), and LDPE. Results: Increasing ethanol concentration produced larger measured currents, reduced net charge accumulation, and improved flow stability; these effects are attributed to ethanol’s higher dielectric constant and conductivity enhancing charge mobility and dissipation. Significant propellant x material interactions were found (p < 0.05): R152a generated the largest responses with PBT and VINYL (~16 nA and ~5.6 nA, respectively), R227ea showed higher responses with POM and LDPE (~8 nA), and R134a delivered the highest flow rates across materials but exhibited limited electrical responsiveness. Conclusions: Ethanol addition mitigates undesirable electrostatic effects in HFC-based propellants by promoting charge dissipation. The results demonstrate the strong material dependence of triboelectric behaviour and underline the importance of optimising propellant–polymer pairings to minimise the electrostatic adhesion of aerosolised particles and improve pMDI drug delivery performance. Full article

Background: The core management of most individuals with asthma and COPD is daily treatment with inhalers such as inhaled corticosteroids (ICS) and long-acting bronchodilators. The two main types of inhalers used are pressurized metered-dose inhalers (pMDIs) and dry powder inhalers (DPIs). Different studies have shown low adherence to inhaler treatments among subjects with asthma and COPD. In this study, we explored the differences in adherence between pMDIs and DPIs of combined ICS and long-acting β₂-agonist inhalers (ICS + LABA) in a large cohort, free from commercial biases. Methods: In this historical prospective study, we included all adult subjects with asthma and/or COPD who acquired at least one ICS + LABA inhaler between 2016 and 2019. We carried out propensity score matching and then compared the maximal number of pMDIs and DPIs purchased in any continuous 12 months during the study period. We also compared once-a-day DPIs with twice-a-day DPIs. Results: Of the 36,998 matched subjects, 5897 (15.9%) purchased pMDIs. The overall median [IQR] inhalers purchased for pMDIs and DPIs were 1 [1, 4] and 3 [1, 8], respectively; for subjects with asthma, 1 [1, 3] and 2 [1, 6]; for subjects with COPD, 1 [1, 3] and 3 [1, 10]; and for subjects with asthma–COPD overlap, 2 [1, 7] and 6 [2, 12]. For all the comparisons, p < 0.001. The once-a-day DPI group had a slight but significantly better adherence than the twice-a-day DPI group. Conclusions: For ICS + LABA therapy, the number of DPIs purchased was significantly greater than the number of pMDIs purchased, as well as the once-a-day DPI relative to the other DPIs. Overall, subjects with asthma and/or COPD had low adherence to all inhalers, with the highest adherence observed among subjects with asthma–COPD overlap. Full article

Background/Objectives: Children with myelomeningocele (MMC) often experience lower extremity muscular contractures, which can impact their functional mobility. While standing programs have demonstrated benefits for children with other neuromuscular conditions, there is limited evidence on their use in ambulatory children with MMC who have joint deformities. This single-subject design study examined the impact of a home-based standing program on two ambulatory children with MMC, focusing on lower extremity muscle flexibility, functional movement quality, gait velocity, and participation in daily activities. Methods: Two children participated in a multi-phase single-subject (ABABA) withdrawal design beginning with the baseline phase and then alternating between the intervention and withdrawal phases. The intervention consisted of 60-minute standing sessions, five days a week, using a sit-to-stand stander (STSS) with support and supervision from a physical therapist (PT) and the parent. Primary outcomes included goniometric passive range of motion (PROM) and 10-Meter Walk Test (10 MWT). Secondary outcomes included the Pediatric Neuromuscular Recovery Scale (Peds NRS) and the Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT). Results: Improvements in hip and knee muscle flexibility were observed during the intervention phases, with some loss during the withdrawal phase. Functional movement quality improved in both children. Gait velocity and participation in daily activity scores remained stable during intervention phases. Parental feedback reflected increased independence and high engagement with the home program. One child discontinued due to a heel injury, highlighting the need for individualized support. Conclusions: Personalized standing programs may improve muscle flexibility and functional movement quality in ambulatory children with MMC. Further research is warranted to determine the optimal dosing regimen, ensure safety, and assess long-term functional outcomes. Full article

Recent concerns regarding artificial intelligent (AI) technologies have spurred studies into improving wastewater treatment efficiency and identifying low-carbon processes. Treating one cubic meter of wastewater necessarily consumes a certain amount of chemicals and energy. Approximately 20% of the total chemical consumption is attributed to phosphorus and nitrogen removal, with the exact proportion varying based on treatment quality and facility size. To promote sustainability in wastewater treatment plants (WWTPs), there has been a shift from traditional control systems to AI-based strategies. Research in this area has demonstrated notable improvements in wastewater treatment efficiency. This review provides an extensive overview of the literature published over the past decades, aiming to advance the ongoing discourse on enhancing both the efficiency and sustainability of chemical dosing systems in WWTPs. It focuses on AI-based approaches utilizing algorithms such as neural networks and fuzzy logic. The review encompasses AI-based wastewater treatment processes: parameter analysis/forecasting, model development, and process optimization. Moreover, it summarizes six promising areas of AI-based chemical dosing, including acid–base regents, coagulants/flocculants, disinfectants/disinfection by-products (DBPs) management, external carbon sources, phosphorus removal regents, and adsorbents. Finally, the study concludes that significant challenges remain in deploying AI models beyond simulated environments to real-world applications. Full article

Background: Inhaled corticosteroids (ICSs) are a cornerstone in asthma management, particularly during exacerbations, when high doses are often prescribed. However, patient concerns about potential side effects such as increased appetite, weight gain, and metabolic disturbances may reduce adherence, compromising treatment outcomes. While oral corticosteroids (OCSs) are well known to induce such effects, the metabolic impact of short-term high-dose ICSs remains poorly studied. Objective: This prospective pilot study aimed to assess whether a 14-day course of high-dose ICSs in adults with stable asthma induces changes in appetite, dietary intake, leptin levels, or body weight. Methods: Thirty-five adults (19 males, 16 females; mean age 48.7 ± 15.1 years) with stable mild asthma received ≥400 µg/day extrafine beclomethasone dipropionate/formoterol via pressurized metered-dose inhaler for 14 days. Participants underwent assessments at baseline and after 14 days, including body weight, BMI, fasting serum leptin levels, dietary intake (evaluated using 24 h dietary recalls), and appetite (measured via a visual analogue scale). Results: No significant changes were observed in body weight (mean change: −0.38 kg; 95% CI: −0.81 to 0.05; p = 0.083) or BMI (p = 0.912) following high-dose ICS use. Similarly, serum leptin levels (mean change: 0.13 ng/mL; 95% CI: −3.47 to 3.72; p = 0.945), subjective appetite scores (mean change: −4.93 mm; 95% CI: −13.64 to 3.79; p = 0.267), and dietary energy intake (mean change: +255 kJ/day; 95% CI: −380 to 891; p = 0.431) did not differ significantly post-intervention. Conclusions: Short-term high-dose ICS therapy in adults with mild asthma may not significantly affect appetite, dietary intake, leptin levels, or body weight. These findings support the metabolic safety of short-term high-dose ICSs and may help alleviate patient concerns, improving adherence during exacerbation management. Full article

The aim of the research was to reduce the irregularity of mineral fertilizer granule flow by developing a tedder-vaulting breaker that prevents the formation of vaults over the sowing windows of the seeder hopper. Existing dosing devices for mineral fertilizers do not provide stable application of the required doses of mineral fertilizers due to vaulting as well as accumulation and sticking of fertilizers in hoppers. In order to achieve a stable and precise metering of high fertilizer doses, a crank tedder is suggested to be mounted inside the hopper. Its function is to break the constantly appearing dynamic vaults above the sowing windows and to crush the fertilizer clods, i.e., to provide the fertilizer sowing units with a continuous flow of material. Theoretical studies were carried out using methods of classical and applied mechanics, special sections of higher mathematics. The following optimal parameters were established: the tedder blade width 0.05–0.09 m, the radius of the elbow 0.028–0.034 m, the blade installation angle 23–27°, and the kinematic mode of the tedder k = 1.5–1.9. Experimental studies have shown that the use of a crank tedder provides a stable flow of mineral fertilizer granules through sowing windows and reduces the sowing unevenness between seeding units by 12–15% and sowing instability by 7–10%. At the same time, the degree of damage to granules of 1–5 mm size is insignificant and is within 2.8–3.5%. Full article

This review explores recent advancements in inhaled nanoparticle formulations and inhalation devices, with a focus on various types of nanoparticles used for inhalation to treat inflammatory lung diseases and the types of devices used in their delivery. Medical nebulizers have been found to be the most appropriate type of inhalation devices for the pulmonary delivery of nanoparticles, since formulations can be prepared using straightforward techniques, with no need for liquefied propellants as in the case of pressurized metered dose inhalers (pMDIs), or complicated preparation procedures as in the case of dry powder inhalers (DPIs). We demonstrated examples of how formulations should be designed considering the operation mechanism of nebulizers, and how an interplay of factors can affect the aerosol characteristics of nanoparticle formulations. Overall, nanoparticle-based formulations offer promising potential for the treatment of inflammatory lung diseases due to their unique physicochemical properties and ability to provide localized drug delivery in the lung following inhalation. Full article

This study presents the MSPAT (Multispectral Soil Plant Analysis Tool), a device designed for assessing leaf nitrogen concentrations in maize crops under field conditions. The MSPAT includes the AS7265x sensor, which has 18 bands and covers the spectrum from 410 to 940 nm. This device was designed to be portable, using the ESP32 microcontroller and incorporating such functionalities as data storage on a MicroSD card, communication with a smartphone via Wi-Fi, and geolocation of acquired data. The MSPAT was evaluated in an experiment conducted at the Federal University of Ceará (UFC), where maize was subjected to different doses of nitrogen fertiliser (0, 60, 90, 120, 150, and 180 kg·ha⁻¹ N). Spectral readings were taken at three phenological stages (V5, V10, and R2) using the MSPAT, an SPAD-502 chlorophyll meter, and a FieldSpec PRO FR3 spectroradiometer. After the optical measurements were taken, the nitrogen concentrations in the leaves were determined in a laboratory by using the Kjeldahl method. The data analysis included the calculation of normalised ratio indices (NRIs) using linear regression and the application of multivariate statistical methods (PLSR and PCR) for predicting leaf nitrogen concentrations (LNCs). The best performance for the MSPAT index (NRI) was obtained using the 900 nm and the 560 nm bands (R² = 0.64) at stage V10. In the validation analysis, the MSPAT presented an R² of 0.79, showing performance superior to that of SPAD-502, which achieved an R² of 0.70. This confirms the greater potential of the MSPAT compared to commercial equipment and makes it possible to obtain results similar to those obtained using the reference spectroradiometer. The PLSR model with data from the FieldSpec 3 provided important validation metrics when using reflectance data with first-derivative transformation (R² = 0.88, RMSE = 1.94 and MAE = 1.28). When using the MSPAT, PLSR (R² = 0.75, RMSE = 2.77 and MAE = 2.26) exhibited values of metrics similar to those for PCR (R² = 0.75, RMSE = 2.78 and MAE = 2.26). This study validates the use of MSPAT as an effective tool for monitoring the nutritional status of maize to optimize the use of nitrogen fertilisers. Full article

Ensuring microbial safety in drinking water distribution networks is a critical challenge, particularly in healthcare facilities where waterborne infections pose significant risks. This study presents the implementation of the eBooster^TM electrochemical disinfection system, developed by Ecas4 Australia, as a maintenance-free solution for microbial control in hospital water supplies. Unlike previous electrochemical disinfection technologies, which suffered from scale buildup and required frequent maintenance, the eBooster^TM system utilizes periodic polarity reversal to prevent electrode fouling, enabling continuous operation without external intervention. The technology has been adopted by several regional hospitals in Queensland, Australia, and this paper focuses on Dalby Hospital, where two eBooster^TM systems were installed at water meters to provide residual disinfection in an in-line configuration. Performance data collected over nearly 2 years demonstrated consistent chlorine generation for microbial control with minimal energy consumption (less than 2 kWh/day). The system’s ability to adapt to fluctuating flow rates while maintaining consistent disinfectant levels highlights its reliability in real-world applications. This work emphasizes the potential of electrochemical disinfection as a sustainable alternative to chemical dosing in drinking water systems, offering a maintenance-free, cost-effective, and environmentally friendly solution for long-term microbial safety in healthcare and other critical settings. Full article

Background: Defined as a self-selected speed of <0.4 m/s, chronic stroke survivors falling in this category are classified as “severe”, usually homebound and sedentary, and they experience worse outcomes. Limited rehabilitation strategies are available to improve walking speed and related outcomes in this subgroup, and questions regarding effective rehabilitation options remain. The objective of this study was to determine the effects of backward (BLTT) and forward (FLTT) locomotor treadmill training on overground walking speed, spatiotemporal symmetry, and dynamic postural stability. Methods: In this single-center, assessor-blinded, randomized controlled pilot trial, 14 stroke survivors with severe waking impairment underwent 12 sessions of BLTT (n = 7) or FLTT (n = 7). The primary outcome was the proportion of participants reaching clinically meaningful important difference (MCID) on the 10-meter walk test following training completion. Secondary outcomes were between-group differences in walking speed, spatiotemporal symmetry, and completion time on the 3-meter timed up and go (3M TUG) at 24 h, 30 days, and 90 days POST. Results: Two subjects in the BLTT group (28.6%) and one (14.3%) in FLTT achieved MCID following training; however, most subjects did not, with significant variability in response. At 24 h POST, the median (IQR) percent change in walking speed was 28.9 (9.01–36.7) and 17.4 (12.6–39.7) with BLTT and FLTT, respectively; however, no between-group differences were seen (p = 0.80) at this time point or at 30 (p > 0.99) and 90 (p > 0.99) days follow up. Likewise, there were no significant between-group differences in spatiotemporal symmetry and the 3M TUG across time points. Conclusions: While preliminary, this study found that 12 training sessions did not lead to group-level achievement of MCID for walking speed in our cohort and found no significant between-group differences in walking capacity or dynamic postural stability. Future well-powered dosing trials and mechanistically driven studies are needed to optimize and identify predictors of training response. Full article

The use of winemaking waste compost as an alternative fertilization treatment for vines of the Chelva grape variety was researched. Three different organic amendments (1 kg/m, 2 kg/m, and 3 kg/m) of winemaking waste compost were applied, and a no-applied-amendments condition served as the control. The wines were elaborated according to a traditional white winemaking process. The solid phase extraction (SPE) technique and gas chromatography coupled to mass spectrometry (GC-MS) techniques were, respectively, used for the isolation of wine volatile compounds and their identification and quantification. A total of 81 aroma compounds were identified and quantified in Chelva wines, independently of the fertilization treatment used. The results bring to light that the application of organic amendments from winemaking waste compost during vine cultivation produced changes in the concentration of wine volatile compounds, especially for the varietal aroma compounds. These results show that the use of wine-distillery compost as a vine fertilization treatment is a viable alternative to traditional fertilization methods, particularly when the fertilization dose is 2 Kg/linear meter. Full article