Search Results (716)

Introduction: Actinic cheilitis (AC) is a common precancerous condition affecting the lips, primarily caused by prolonged ultraviolet radiation exposure. Various treatment options are available. However, the optimal treatment approach remains a subject of debate. Objective: To summarize and compare practice-relevant interventions for AC. Materials and Methods: A pre-defined protocol was registered in PROSPERO (CRD42021225182). Systematic searches in Medline, Embase, and Central, along with manual trial register searches, identified studies reporting participant clearance rates (PCR) or recurrence rates (PRR). Quality assessment for randomized controlled trials (RCTs) was conducted using the Cochrane Risk of Bias tool 2. Uncontrolled studies were evaluated using the tool developed by the National Heart, Lung, and Blood Institute. The generalized linear mixed model was used to pool proportions for uncontrolled studies. A pairwise meta-analysis for RCTs was applied, using the odds ratio (OR) as the effect estimate and the GRADE approach to evaluate the quality of the evidence. Adverse events were analyzed qualitatively. Results: A comprehensive inclusion of 36 studies facilitated an evaluation of 614 participants for PCR, and 430 patients for PRR. Diclofenac showed the lowest PCR (0.53, 95% confidence interval (CI) [0.41; 0.66]), while CO₂ laser showed the highest PCR (0.97, 95% CI [0.90; 0.99]). For PRR, Er:YAG laser showed the highest rates (0.14, 95% CI [0.08; 0.21]), and imiquimod the lowest (0.00, 95% CI [0.00; 0.06]). In a pairwise meta-analysis, the OR indicated a lower recurrence rate for Er:YAG ablative fractional laser (AFL)-primed methyl-aminolevulinate photodynamic therapy (MAL-PDT) (Er:YAG AFL-PDT) compared to methyl-aminolevulinate photodynamic therapy (MAL-PDT) alone (OR = 0.22, 95% CI [0.06; 0.82]). The CO₂ laser showed fewer local side effects than the Er:YAG laser, while PDTs caused more skin reactions. Due to qualitative data, comparability was limited, highlighting the need for individualized treatment. Conclusions: This study provides a complete and up-to-date evidence synthesis of practice-relevant interventions for AC, identifying the CO₂ laser as the most effective treatment and regarding PCR and imiquimod as most effective concerning PRR. Full article

This study investigates the mechanical, tribological, and electrochemical behaviour of a novel precipitation-hardenable martensitic alloy produced by selective laser melting (SLM). The alloy was specifically engineered with an optimised composition, free from cobalt and molybdenum, and featuring reduced nickel content (7 wt.%) and 8 wt.% chromium. It has been developed as a cost-effective and sustainable alternative to conventional maraging steels, while maintaining high mechanical strength and a refined microstructure tailored to the steep thermal gradients inherent to the SLM process. Several ageing heat treatments were assessed to evaluate their influence on microstructure, hardness, tensile strength, retained austenite content, dislocation density, as well as wear behaviour (pin-on-disc test) and corrosion resistance (polarisation curves in 3.5%NaCl). The results indicate that ageing at 540 °C for 2 h offers an optimal combination of hardness (550–560 HV), tensile strength (~1700 MPa), microstructural stability, and wear resistance, with a 90% improvement compared to the as-built condition. In contrast, ageing at 600 °C for 1 h enhances ductility and corrosion resistance (Rp = 462.2 kΩ; Ecorr = –111.8 mV), at the expense of a higher fraction of reverted austenite (~34%) and reduced hardness (450 HV). This study demonstrates that the mechanical, surface, and electrochemical performance of this novel SLM-produced alloy can be effectively tailored through controlled thermal treatments, offering promising opportunities for demanding applications requiring a customised balance of strength, durability, and corrosion behaviour. Full article

This study focuses on the analysis of soliton solutions within the framework of the time-fractional cubic–quintic nonlinear Schrödinger equation (TFCQ-NLSE), a powerful model with broad applications in complex physical phenomena such as fiber optic communications, nonlinear optics, optical signal processing, and laser–tissue interactions in medical science. The nonlinear effects exhibited by the model—such as self-focusing, self-phase modulation, and wave mixing—are influenced by the combined impact of the cubic and quintic nonlinear terms. To explore the dynamics of this model, we apply a robust analytical technique known as the sub-ODE method, which reveals a diverse range of soliton structures and offers deep insight into laser pulse interactions. The investigation yields a rich set of explicit soliton solutions, including hyperbolic, rational, singular, bright, Jacobian elliptic, Weierstrass elliptic, and periodic solutions. These waveforms have significant real-world relevance: bright solitons are employed in fiber optic communications for distortion-free long-distance data transmission, while both bright and dark solitons are used in nonlinear optics to study light behavior in media with intensity-dependent refractive indices. Solitons also contribute to advancements in quantum technologies, precision measurement, and fiber laser systems, where hyperbolic and periodic solitons facilitate stable, high-intensity pulse generation. Additionally, in nonlinear acoustics, solitons describe wave propagation in media where amplitude influences wave speed. Overall, this work highlights the theoretical depth and practical utility of soliton dynamics in fractional nonlinear systems. Full article

Segregative phase separation technology demonstrates substantial potential for precise molecular fractionation in food and biomaterial applications. The investigation elucidates the causal relationship between viscosity variations and phase separation dynamics, which govern molecular fractionation in GA/HPMC composite systems. By conducting a comparative analysis of two GA subtypes (CGA and SGA) and three HPMC grades with controlled viscosity gradients, we utilized gel permeation chromatography-multi-angle laser light scattering (GPC-MALLS) coupled with rheological characterization to elucidate the critical relationship between continuous phase viscosity and fractionation efficiency. Notably, increasing HPMC viscosity significantly intensified phase separation, resulting in selective enrichment of arabinogalactan-protein complexes: from 6.3% to 8.5% in CGA/HPMC systems and from 27.3% to 36.5% in SGA/HPMC systems. Further mechanistic investigation revealed that elevated HPMC viscosity enhances thermodynamic incompatibility while slowing interfacial mass transfer, synergistically driving component redistribution. These findings establish a quantitative viscosity–fractionation relationship, offering theoretical insights for optimizing GA/HPMC systems in emulsion stabilization, microencapsulation, and functional biopolymer purification via viscosity-mediated phase engineering. Full article

In order to improve the microstructure and corrosion resistance of entropy alloy in the FeCrNi system, laser melting deposition technology was used as a preparation method to study the effects of different contents of Al and Ti on the microstructure and corrosion resistance of entropy alloy in FeCrNi(AlTi)_x (x = 0.17, 0.2, and 0.24). The results show that the addition of Al and Ti elements can change the phase structure of the alloy from a single FCC phase structure to an FCC + BCC biphase structure. The BCC phase volume fraction of FeCrNi(AlTi)_0.2 is the highest among the three alloys, reaching 37.5%. With the addition of Al and Ti content, the grain of the alloy will be refined to a certain extent. In addition, the dual-phase structure will also improve the corrosion resistance of the alloy. In 3.5 wt.% NaCl solution, the increase of Al and Ti content can effectively improve the protection of the passivation film on the surface of the entropy alloy in FeCrNi(AlTi)_x, effectively inhibit the large-scale corrosion phenomenon on the alloy surface, and thus improve the corrosion resistance of the alloy. In a certain range, increasing the content of Al and Ti elements in the FeCrNi(AlTi)_x system can improve the corrosion resistance of the alloy. Full article

Interpenetrating phase composites (IPCs) have demonstrated tremendous potential across various fields, particularly those based on triply periodic minimal surface (TPMS) structures, whose uniquely interwoven lattice architectures have attracted widespread attention. However, current research on the dynamic mechanical properties of such IPC remains limited, and their impact resistance and damage mechanisms are yet to be thoroughly understood. In this study, a novel design of two volume fractions of IPCs based on the TPMS IWP configuration is developed using Python-based parametric modeling, with the Ti6Al4V alloy TPMS scaffolds fabricated via selective laser melting (SLM) and the AlSi12 reinforcing phase through infiltration casting. The influence of Ti alloy volume fraction and strain rate on the dynamic mechanical behavior of the Ti/Al IPC is systematically investigated using a split Hopkinson pressure bar (SHPB) experimental setup. Microscopic characterization validates the effectiveness and reliability of the proposed IPC fabrication method. Results show that the increasing Ti alloy volume fraction significantly affects the dynamic mechanical properties of the IPC, and IPCs with different Ti alloy volume fractions exhibit contrasting mechanical behaviors under increasing strain rates, attributed to the dominance of different constituent phases. This study enhances the understanding of the dynamic behavior of TPMS-based IPCs and offers a promising route for the development of high-performance energy-absorbing materials. Full article

Striae distensae (SD), or stretch marks, are a common aesthetic concern with limited effective treatment options. This prospective, single-center, open-label study aimed to evaluate the efficacy and safety of 1470 nm non-ablative laser therapy in improving skin texture and reducing SD dimensions. Twenty healthy female volunteers (aged 19–56) with SD of varying stages underwent three laser sessions at three-week intervals. Treatments were delivered using energy densities of 28–35 mJ per point with spot spacing of 0.8–1.2 mm, uniformly delivered over the affected SD lesions. Assessments were performed at baseline, Day 14, Day 35, Day 56–70, and Day 118–132. SD depth and width were measured using high-frequency ultrasound; aesthetic improvement was assessed using the Global Aesthetic Improvement Scale (GAIS), alongside clinical and photographic evaluations. A statistically significant, progressive reduction in SD size was observed: mean depth decreased from 0.34 mm (SD = 0.16) to 0.18 mm (SD = 0.15), and width decreased from 6.58 mm (SD = 2.65) to 4.40 mm (SD = 2.52) by Day 118–132 (p < 0.01 for both). Most participants reported improvement on GAIS at each follow-up. No severe adverse events occurred; only mild, transient erythema and edema were noted. In conclusion, 1470 nm non-ablative laser therapy showed significant efficacy and a favorable safety profile in SD treatment, offering a promising non-invasive option based on fractional thermal stimulation and selective dermal absorption. Full article

In this study, camel milk (CM) and Gir cow milk (GCM) were fermented through cofermentation via yeast–lactic cultures, i.e., Lacticaseibacillus rhamnosus (M9, MTCC 25516) and Saccharomyces cerevisiae (WBS2A, MG101828), and their antioxidant and antidiabetic effectiveness were studied. To optimize the growth conditions, the level of proteolysis was evaluated by exploring various inoculation levels (1.5, 2.0 and 2.5%) as well as incubation durations (0, 12, 24, 36 and 48 h). Peptides were extracted and purified through 2D gel electrophoresis as well as SDS–PAGE. Water-soluble extracts (WSEs) of ultrafiltered (UF) peptide fractions were evaluated via reversed-phase high-performance liquid chromatography (RP-HPLC) to identify the peptide segments. By applying the Peakview tool, peptide sequences obtained from liquid chromatography–mass spectrometry (LC/MS) were reviewed by comparison with those in the BIOPEP database. Furthermore, the elevated levels of TNF-α, IL-6, IL-1β and nitric oxide (NO) in RAW 267.4 cells treated with lipopolysaccharide (LPS) are considerably lower than those in cultured CM and GCM. Protein macromolecules in CMs and GCMs have been captured via confocal laser scanning microscopy (CLSM) and Fourier transform infrared (FTIR) spectroscopy both before and after fermentation. Full article

Background and Objectives: This study aimed to assess whether the addition of fractional CO₂ laser therapy to standard pharmacologic treatment with Mirabegron, a β3-adrenoceptor agonist, enhances the clinical outcomes in the management of overactive bladder syndrome (OAB) in postmenopausal women. Materials and Methods: Τhis was a prospective, randomized, double-blind, sham-controlled trial including 50 postmenopausal women with moderate-to-severe OAB symptoms. Participants were randomized (1:1) to receive mirabegron 50 mg daily in combination with either active fractional CO₂ laser therapy (Group A) or sham laser treatment (Group B). Both groups underwent three monthly sessions of vaginal laser treatment and were followed for a total of four months. Clinical assessments were performed at baseline and monthly visits (T0–T3), using validated instruments including the Overactive Bladder Questionnaire (OAB-q), King’s Health Questionnaire (KHQ), Urinary Distress Inventory (UDI-6), Pelvic Floor Impact Questionnaire (PFIQ-7), Patient Global Impression of Improvement (PGI-I), and 3-day voiding diaries. The trial was registered at ClinicalTrials.gov (Identifier: NCT03846895). Results: Significant symptom improvement was observed within both groups over time, with reductions in urinary frequency, urgency, nocturia, and incontinence episodes, as well as improvements in quality-of-life scores. However, intergroup comparisons revealed no statistically significant differences in any primary or secondary outcomes. Both treatment modalities demonstrated similar effectiveness across all measured parameters. Conclusions: In this randomized controlled trial, the adjunctive use of fractional CO₂ laser therapy did not offer additional clinical benefit beyond mirabegron monotherapy in the short-term management of OAB. These findings underscore the need for further investigation into tailored therapeutic strategies, particularly in populations with overlapping genitourinary syndrome of menopause or more refractory OAB symptoms. Full article

A flexible and highly sensitive piezoresistive strain sensor was fabricated through the application of CO₂ laser ablation on a composite film composed of multi-walled carbon nanotubes, carbon black, and polydimethylsiloxane (MWCNT/CB/PDMS). The results of scanning electron microscopy (SEM) surface analysis shows that the “bush-like” conductive structure on the PDMS-based composite material membrane post-laser ablation is formed. Transmission electron microscopy (TEM) images and X-ray diffraction (XRD) spectra of the ablation products indicated the formation of an amorphous carbon layer on the surface of carbon nanomaterials due to laser ablation. Experimental findings revealed that the sensitivity (GF) value of the sensor based on CNT0.6CB1.0-P3.0 is up to 584.7 at 5% strain, which is approximately 14% higher than the sensitivity 513 of the sensor previously prepared by the author using CO₂ laser ablation of MWCNT/PDMS composite films. The addition of a very small volume fraction of CB particles significantly enhances the piezoresistive sensitivity of the sensor samples. Combined with the qualitative analysis of microscopic morphology characterization, CB and MWCNT synergistically promote the deposition of amorphous carbon. This phenomenon increases the probability of tunnel effect occurrence in the strain response region of the sensor, which indirectly confirms the synergistic enhancement effect of the combined action of CB and MWCNT on the piezoresistive sensitivity of the sensor. Full article

To improve the combustion performance of boron powder, a method was developed for synthesizing boron–magnesium–titanium (B-Mg-Ti) ternary composite powders with controlled metal content. Boron–magnesium (B-Mg) base materials were first prepared via electrical explosion, followed by the incorporation of titanium powder at varying mass fractions (1 wt.%, 3 wt.%, 5 wt.%, and 7 wt.%) through mechanical ball milling. Field emission scanning electron microscopy (FE-SEM) revealed that the addition of titanium promoted a more uniform dispersion of magnesium within the boron agglomerates. Moreover, nanoscale titanium particles were observed to be embedded on the particle surfaces, confirming successful microscale composite formation. Particle size distribution was measured using a Malvern 3000 laser particle size analyzer, and results showed that the particle size of the ternary composites decreased gradually with increasing titanium content. Specific surface area was determined via the Brunauer–Emmett–Teller (BET) method, with all samples exhibiting values greater than 15 m²/g, indicating good surface reactivity. Furthermore, the rheological behavior of the B-Mg-Ti composite powders, when combined with terminal hydroxyl polybutadiene (HTPB)—a typical binder in solid propellants—was evaluated. Viscosity measurements were conducted using a rotational rheometer at constant temperatures of 20 °C and 70 °C. The results demonstrated a marked decrease in viscosity with increasing titanium content, suggesting that titanium incorporation enhances the flowability of the composite powders. This study systematically evaluated the influence of titanium content on the structural and physicochemical properties of B-Mg-Ti composite powders, thereby providing a valuable experimental foundation for the optimized design of boron-based combustion systems and the enhancement of their processing and application performance. Full article

Laser cutting processes entail the cutting of metal sheets by the emission of a laser source that melts the material along defined paths, potentially generating incidental metal nanoparticles (IMNPs). These particles have been associated with genotoxicity, oxidative stress, and pro-inflammatory responses. However, quantitative data on IMNP emissions remain limited. This study assessed IMNP emissions from CO₂ and fiber laser cutting through two monitoring days at a high-precision metalworking facility in Italy. The first day dealt with environmental monitoring, while the second included both personal and environmental monitoring. Personal sampling consistently indicated elevated particle number concentrations and lung-deposited surface area, with average values reaching up to five times the background level (161,960 n/cm³) and peak concentrations as high as 2,781,962 particles/cm³. Environmental concentrations increased significantly only during CO₂ stainless steel cutting (95,670 n/cm³). Depending on the process, 73–89% of the emitted particles were <300 nm, with substantial enrichment in the nanoparticle fraction. Emission profiles varied by laser source, metal, and sheet thickness, with the highest concentrations recorded during CO₂-laser cutting of stainless steel. These findings provide preliminary evidence of occupational exposure to IMNPs during laser cutting and highlight the need for systematic exposure assessments to quantify the potential occupational health risk. Full article

Background/Objectives: Chronic lung diseases are among the leading causes of death worldwide. In the treatment of these diseases, non-steroidal anti-inflammatory drugs can be effective. We have previously developed an excipient formulation alongside a modern manufacturing protocol, which we aim to further investigate. We have chosen two new model drugs, meloxicam (MX) and its water-soluble salt, meloxicam-potassium (MXP). The particles in dry powder inhaler (DPI) formulation were expected to have a spherical shape, fast drug release, and good aerodynamic properties. Methods: The excipients were poloxamer-188, mannitol, and leucine. The samples were prepared by spray drying, preceded by solution preparation and wet grinding. Particle size was determined by laser diffraction, shape by scanning electron microscopy (SEM), crystallinity by powder X-ray diffraction (PXRD), interactions by Fourier-transform infrared spectroscopy (FT-IR), in vitro drug dissolution by paddle apparatus, and in vitro aerodynamic properties by Andersen cascade impactor and Spraytec^® device. Results: We achieved the proper particle size (<5 μm) and spherical shape according to laser diffraction and SEM. The XRPD showed partial amorphization. FT-IR revealed no interaction between the materials. During the in vitro dissolution tests, more than 90% of MX and MXP were released within the first 5 min. The best products exhibited an aerodynamic diameter of around 4 µm, a fine particle fraction around 50%, and an emitted fraction over 95%. The analysis by Spraytec^® supported the suitability for lung targeting. Conclusions: The developed preparation process and excipient system can be applied in the development of different drugs containing DPIs. Full article

The density of SLMed (Selective Laser Melting) Ti-22Al-25Nb alloy was improved through hot isostatic pressing (HIP) treatment, and the influence of HIP and solution aging on the microstructure of Ti-22Al-25Nb alloy in the as-deposited state was examined. The results indicate that following (1100 °C + 300 MPa)/3 h-HIP, the specimen densities have risen to 99.71%, porosity has markedly decreased, and internal flaws have been eradicated. Microstructural analysis reveals a significant presence of GBα₂ (GB, Grain Boundary) along grain boundaries, with GBLO + α₂ (GBL, Grain Boundary Lath; O, Orthorhombic) laths extending parallel from the grain boundaries into the intragranular region. Additionally, a limited number of cross or snowflake O + α₂ lath clusters and acicular O phases are precipitated within the B2 (B, Body-centered cubic) phase in the HIPed state, characterized by isotropic and linear grain boundaries. The GBLα₂ and GBLO exhibit two growth modes: sympathetic nucleation and interfacially unstable nucleation. During the solid solution treatment following HIP, as the solid solution temperature rises, the acicular O phase, GBLO, lath O phase, lath α_2, and GBα₂ sequentially dissolve, increasing the volume fraction of the B2 phase. After HIP, the aging microstructure is primarily characterized by the proliferation of the acicular O phase precipitated from the B2 phase and retaining the lath O phase in a solid solution. The precipitation of GBLO in the original solid solution is suppressed, and the GBLα₂ in the original solid solution partially decomposes into rimO, resulting in coarse grain size and significant internal decomposition of α₂. Following solution treatment and aging at 920 °C, the proliferation of the acicular O phase enhances ductility, resulting in ideal overall characteristics with a yield strength (YS) of 760.81 MPa, ultimate tensile strength (UTS) of 869.32 MPa, and elongation (EL) of 2.683%. This study demonstrates that the HIP treatment and the modification of solution aging parameters can substantially increase the density and refine the microstructure of Ti-22Al-25Nb alloy, hence enhancing its mechanical properties. Full article

Conventional WC-Co hard metals have proven to be difficult to manufacture by means of laser powder bed fusion (PBF-LB), resulting in residual pores, crack formation, foreign phase formation, and the inhomogeneous growth of the carbide phase. Alternative compositions such as the W-C-Ti system presented in this study need to be investigated. Through the employment of a high-throughput screening approach, 11 alloy compositions were investigated to determine the influence of the carbon content and tungsten–titanium ratios on microstructure formation and basic mechanical properties. Two screenings were conducted, with one varying the carbon content (10–35 at.%) and the other adjusting the W/Ti ratios (10:90 to 60:40 at.%). Microstructural analyses using scanning electron microscopy (SEM), X-ray diffraction (XRD), and hardness measurements provided insights into phase formation, grain distribution, and mechanical properties. The results showed that increasing the carbon content significantly enhanced the hardness (from 681 HV (10 at.% C) to 1898 HV (35 at.% C)) due to higher δ-(Ti,W)C_1−x carbide phase fractions. Alloys with a higher tungsten content exhibited finer microstructures and an improved crack resistance while maintaining a high hardness (1900–2100 HV). This study identified an alloy with 32.5 at.% W, 32.5 at.% Ti, and 35 at.% C as a promising candidate for further investigation, with properties similar to those of a conventional WC-Co hard metal. Full article