Search Results (659)

Background: Peripheral nerve injuries, especially involving the facial nerve, present unique reconstructive challenges due to their complex functional demands and limited regenerative potential. While autografts remain the gold standard, their drawbacks—such as donor-site morbidity and limited availability—have driven interest in processed nerve allografts. Acellular grafts, in particular, offer promising off-the-shelf alternatives without the need for immunosuppression. Methods: We conducted a narrative review of the literature (1990–2023), identifying 55 peer-reviewed studies via PubMed, Embase, and Cochrane Library. The studies included clinical and preclinical work on motor nerve regeneration using processed nerve allografts, with particular attention to outcomes in facial nerve repair. Two independent reviewers conducted abstract screening, full-text review, and data extraction. Results: Processed nerve allografts show encouraging motor recovery in gaps under 50 mm, with recovery rates of up to 85% reported. Outcomes decrease significantly in longer gaps (>50–60 mm) and in complex cases, including facial nerve repairs, where evidence remains sparse and largely extrapolated from broader motor nerve data. Registry data (e.g., RANGER) support their use but are limited by heterogeneity and lack of randomization. Conclusions: Processed nerve allografts represent a viable alternative to autografts in selected cases—especially short to mid-length motor nerve defects. However, their role in facial nerve reconstruction remains insufficiently studied. Further trials are needed to address specific anatomical and functional challenges in this subgroup and to clarify long-gap efficacy. Full article

Background: Multisegmental lumbar degenerative disease (ms-LDD) is a common condition in older adults, often requiring surgical intervention. While rigid stabilization remains the gold standard, it is associated with complications such as adjacent segment disease (ASD), higher blood loss, and longer recovery times. The Dynesys dynamic stabilization system offers an alternative by preserving motion while stabilizing the spine. However, data comparing Dynesys with fusion in multisegmental cases are limited. Objective: This study evaluates the clinical and radiographic outcomes of Dynesys dynamic stabilization versus rigid stabilization in the treatment of ms-LDD. Methods: A retrospective analysis was conducted on 53 patients (mean age: 62.25 ± 15.37 years) who underwent either Dynesys dynamic stabilization (n = 27) or PLIF (n = 26) for ms-LDD involving at least seven motion segments. Clinical outcomes were assessed using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI), while radiological parameters such as lumbar lordosis (LL), sagittal vertical axis (SVA), and spinopelvic parameters (pelvic incidence, pelvic tilt and, sacral slope) were analyzed. A two-stage surgical approach was employed in the Dynesys group to enhance osseointegration, particularly in elderly osteoporotic patients. Results: Both groups showed significant improvements in VAS and ODI scores postoperatively (p < 0.001), with no significant differences between them. However, the Dynesys group demonstrated superior sagittal alignment correction, with a significant increase in LL (p < 0.002) and a significant decrease in SVA (p < 0.0015), whereas changes in the rigid stabilization group were not statistically significant. Additionally, the Dynesys group had fewer complications, including a lower incidence of ASD (0 vs. 6 cases). The two-stage technique facilitated improved screw osseointegration and reduced surgical risks in osteoporotic patients. Conclusions: Dynesys dynamic stabilization is an effective alternative to rigid stabilization in ms-LDD, offering comparable pain relief and functional improvement while preserving motion and reducing ASD risk. The two-stage approach enhances long-term stability, making it particularly suitable for elderly or osteoporotic patients. Further long-term studies are needed to confirm these findings. Full article

This study investigates the impact of two comminution technologies—Vertical Shaft Impactors (VSI) and High-Pressure Grinding Rolls (HPGR)—on gold flotation performance, using ore samples from the Ballarat Gold Mine, Australia. The motivation stems from the growing need to improve energy efficiency and flotation recovery in mineral processing, particularly under increasing economic and environmental constraints. Despite the widespread use of HPGR and VSI in the industry, limited comparative studies have explored their effects on downstream flotation behavior. Laboratory-scale experiments were conducted across particle size fractions (300–600 µm) using two collector types—Potassium Amyl Xanthate (PAX) and DSP002 (a proprietary dithiophosphate collector) to assess differences in flotation recovery, concentrate grade, and specific energy consumption. The results reveal that HPGR produces more fines and micro-cracks, enhancing liberation but also increasing gangue entrainment and energy demand. Conversely, VSI produces coarser, cubical particles with fewer slimes, achieving higher flotation grades and recoveries at lower energy input. VSI at 600 µm demonstrated the highest flotation efficiency (4241) with only 9.79 kWh/t energy input. These findings support the development of hybrid or tailored comminution strategies for improved flotation selectivity and sustainable processing. Full article

Electrostatic separation is a promising technology for the recovery of valuable metals from electronic waste, particularly from printed circuit boards (PCBs). This study explores the application of electrostatic separation for the selective recovery of metallic and non-metallic fractions from crushed PCBs (PCBs). The process exploits the differences in electrical properties between conductive metals and non-conductive polymers and ceramics, facilitating their separation through applied electric fields. The raw materials were pre-treated via mechanical comminution using shredders and hammer mills to achieve an optimal particle size distribution (<3 mm), which enhances separation efficiency. Ferrous materials were removed prior to electrostatic separation to improve process selectivity. Key operational parameters, including particle size, charge accumulation, environmental conditions, and separation efficiency, were systematically analysed. The results demonstrate that electrostatic separation effectively recovers high-value metals such as copper and gold while minimizing material losses. Additionally, the process contributes to the sustainability of e-waste recycling by enabling the recovery of non-metallic fractions for potential secondary applications. This work underscores the significance of electrostatic separation as a viable technique for e-waste management and highlights optimization strategies for enhancing its performance in large-scale recycling operations. Full article

This study investigates the potential of sulfuric acid modified wheat straw, polysaccharide-rich agricultural byproduct, as a low-cost adsorbent for the selective adsorption of Au(III) ions from aqueous solutions. The wheat straw was treated with concentrated sulfuric acid to enhance its surface properties and functional groups, particularly sulfonic and oxygen-containing functional groups. Adsorption experiments were performed under various conditions, including acid concentrations ranging from 1.0 to 3.0 mol/L, contact times from 1 to 6 h, and initial Au(III) concentrations of 60.36, 90.0, and 150.0 mg/L. The highest adsorption efficiency, 99.0%, was achieved at an acid concentration of 1.0 mol/L. Furthermore, it was determined that an increase in the initial Au(III) concentration from 60.36 mg/L to 150.0 mg/L resulted in a 4.5 times increase in maximum adsorption capacity under optimal conditions. Kinetic modeling revealed that the adsorption process followed pseudo-second order kinetics, suggesting chemisorption as the rate-limiting step. Characterization techniques such as SEM/EDS, XRD, BET and XPS confirmed structural modification, surface sulfonating, and the successful adsorption and reduction of Au(III) to elemental gold (Au⁰) on the modified straw surface. This work demonstrates that modified wheat straw is a promising, effective, and low cost for the recovery of gold from low-concentration solutions and provides insight into the adsorption and reduction mechanisms at the molecular level. Full article

Mineralogical variability exerts a profound influence on the flotation performance of Platinum Group Metal (PGM) ores, particularly those from the Platreef deposit, where complex associations and textures influence recovery, grade, and kinetics. This study integrates the Mode of Occurrence (MOC) and mineral associations into a modified Kelsall flotation kinetics model, optimized using a Particle Swarm Optimization (PSO) algorithm, to improve prediction accuracy. Batch flotation tests were conducted on eight samples from two lithologies—Pegmatoidal Feldspathic Pyroxenite (P-FPX) and Feldspathic Pyroxenite (FPX)—with mineralogical characterization performed using MLA, QEMSCAN, and XRD. PGMs in liberated (L) and sulfide-associated (SL) forms accounted for up to 90.6% (FPX1), exhibiting high fast-floating fractions (θ_f = 0.77–0.84) and fast flotation rate constants (K_f = 1.45–1.78 min⁻¹). In contrast, PGMs locked in silicates (G class) showed suppressed kinetics (K_f < 0.09 min⁻¹, K_s anomalies up to 8.67 min⁻¹) and were associated with lower recovery (P-FPX3 = 83.25%) and increased model error (P-FPX4 = 57.3). FPX lithologies achieved the highest cumulative recovery (FPX4 = 90.35%) and the best concentrate grades (FPX3 = 116.5 g/t at 1 min), while P-FPX1 had the highest gold content (10.45%) and peak recovery (94.37%). Grade-recovery profiles showed steep declines after 7 min, particularly in slow-floating types (e.g., P-FPX2, FPX2), with fast-floating lithologies stabilizing above 85% recovery at 20 min. The model yielded R² values above 0.97 across all samples. This validates the predictive power of MOC-integrated flotation kinetics for complex PGM ores and supports its application in geometallurgical plant design. Model limitations in capturing complex locked ore textures (SAG, G classes) highlight the need for reclassification based on floatability indices and further integration of machine learning methods. Full article

An electrochemical aptasensor was developed for the rapid and sensitive detection of ciprofloxacin (CPX) in milk samples. The device was fabricated on a polyethylene terephthalate (PET) substrate using a screen-printing technique with carbon-based conductive ink. Gold nanoparticles (AuNPs) were incorporated to enhance aptamer immobilization and facilitate electron transfer at the electrode surface. The sensor’s analytical performance was optimized by adjusting key parameters, including AuNP volume, DNA aptamer concentration, and incubation times for both the aptamer and the blocking agent (6-mercapto-1-hexanol, MCH). Differential pulse voltammetry (DPV) measurements demonstrated a linear response ranging from 10 to 50 nmol L⁻¹ and a low detection limit of 3.0 nmol L⁻¹. When applied to real milk samples, the method achieved high recovery rates (101.4–106.7%) with a relative standard deviation below 3.1%, confirming its robustness. This disposable and cost-effective aptasensor represents a promising tool for food safety monitoring, with potential for adaptation to detect other pharmaceutical residues in dairy products. Full article

We are reporting the development of a high-performance, non-enzymatic electrochemical biosensor for selective lactate detection, integrating laser-induced graphene (LIG), gold nanoparticles (AuNPs), and a molecularly imprinted polymer (MIP) synthesized from poly(3,4-ethylenedioxythiophene) (PEDOT). The LIG electrode offers a highly porous, conductive scaffold, while electrodeposited AuNPs enhance catalytic activity and signal amplification. The PEDOT-based MIP layer, electropolymerized via cyclic voltammetry, imparts molecular specificity by creating lactate-specific binding sites. Cyclic voltammetry confirmed successful molecular imprinting and enhanced interfacial electron transfer. The resulting LIG/AuNPs/MIP biosensor demonstrated a wide linear detection range from 0.1 µM to 2500 µM, with a sensitivity of 22.42 µA/log(µM) and a low limit of detection (0.035 µM). The sensor showed excellent selectivity against common electroactive interferents such as glucose and uric acid, long-term stability, and accurate recovery in artificial saliva (>95.7%), indicating strong potential for practical application. This enzyme-free platform offers a robust and scalable strategy for continuous lactate monitoring, particularly suited for wearable devices in sports performance monitoring and critical care diagnostics. Full article

Objectives: Tibial shaft fractures (TSFs) represent the most common diaphyseal fractures in adults. The gold-standard treatment is intramedullary nailing. Recently, the suprapatellar technique has been increasingly adopted due to its ability to reduce complications associated with the infrapatellar approach. Currently, no clinical score for leg fractures comprehensively assesses the entire lower limb. Therefore, we reviewed the main lower-limb scores available in the literature and developed a new clinical evaluation tool for tibial shaft fractures. The aim of our study was to report our experience with both techniques, to compare the outcomes of our prospective study with the international literature, and to propose a new, easy-to-apply, and reproducible clinical score that evaluates the specific functions of the entire lower limb. Methods: We conducted a prospective analysis of 920 tibial shaft fractures treated with intramedullary nailing via either a suprapatellar or infrapatellar approach. Patients were divided into two groups: Group A, including 420 patients treated with the infrapatellar approach; Group B, including 500 patients treated with the suprapatellar approach. Follow-up included clinical and radiographic assessments at 1, 3, and 6 months, and annually thereafter. We evaluated differences in patient positioning, operation time, radiation exposure, healing rate, incidence of pseudarthrosis and infection, return to ambulation, residual knee pain and fracture site, persistent lameness, and deformities. For the clinical assessment, we devised a new score—the Catania Hospital Score (CHS)—by integrating the most relevant clinical items from existing lower-limb evaluation tools. The CHS includes anterior knee pain (20 points), lameness (5 points), swelling (10 points), stair-climbing ability (10 points), tibial pain (15 points), the ability to perform daily activities (20 points), and evaluation of deformities (varus/valgus, shortening, rotation, and recurvatum/procurvatum (40 points)), for a total of 120 points. Results: Statistically significant differences were observed in Group B regarding a shorter surgical time, a reduced patient positioning time, and decreased radiation exposure. The CHSs were significantly better for Group B at the 3- and 6-month follow-ups. No statistically significant differences were found in infection or pseudarthrosis rates between the two groups. Notably, no cases of chronic knee pain were reported in patients treated with the suprapatellar approach. Conclusions: Both surgical approaches are valid and effective. However, our findings indicate that the suprapatellar approach reduces the complications of the infrapatellar technique, improves postoperative outcomes, and does not result in chronic knee pain. The CHS provides a comprehensive, practical, and reproducible tool to assess functional recovery in patients treated with intramedullary tibial nailing. Full article

Herein, a novel, highly efficient electrochemical adsorption method is introduced for detection of the potent anti-inflammatory synthetic corticosteroid, dexamethasone (DEX). Unlike conventional electrochemical techniques that rely on high reduction potentials, the proposed sensor offers an alternative adsorption-based mechanism with a gold nanostar-modified glassy carbon electrode (AuNS|GCE). This enables DEX detection at a less negative or moderate reduction potential of +200 mV, circumventing potential window limitations of a GCE and providing a suitable microenvironment for detection in biological media. DEX is known to effectively prevent or suppress symptoms of inflammation due to its small applied dosage; however, an overdose thereof in the human body could lead to adverse drug effects such as gastrointestinal perforation, seizures, and heart attacks. Therefore, a sensitive method is essential to monitor DEX concentration in biofluids such as urine. NMGA-capped AuNSs were leveraged to enhance the active surface area of the sensing platform and allow adsorption of DEX onto the gold surfaces through its highly electronegative fluorine atom. Under optimized experimental conditions, the developed AuNS|GCE sensor showed excellent analytical performance with a remarkably low limit of detection (LOD) of 1.11 nM, a good sensitivity of 0.187 µA.nM⁻¹, and a high percentage recovery of 92.5% over the dynamic linear range of 20–120 nM (linear regression of 0.995). The favourable electrochemical performance of this sensor allowed for successful application in the sensitive determination of DEX in synthetic urine (20% v/v in PBS, pH 7). Full article

Hydroxychloroquine (HCQ), a cornerstone therapeutic agent for autoimmune diseases, requires precise serum concentration monitoring due to its narrow therapeutic window. Current HCQ monitoring methods such as HPLC and LC-MS/MS are sensitive but costly and complex. While electrochemical sensors offer rapid, cost-effective detection, their large chambers and high sample consumption hinder point-of-care use. To address these challenges, we developed a microfluidic electrochemical sensing platform based on a screen-printed carbon electrode (SPCE) modified with a hierarchical nanocomposite of gold nanoparticles (AuNPs), copper-based metal–organic frameworks (Cu-MOFs), and multi-walled carbon nanotubes (MWCNTs). The Cu-MOF provided high porosity and analyte enrichment, MWCNTs established a 3D conductive network to enhance electron transfer, and AuNPs further optimized catalytic activity through localized plasmonic effects. Structural characterization (SEM, XRD, FT-IR) confirmed the successful integration of these components via π-π stacking and metal–carboxylate coordination. Electrochemical analyses (CV, EIS, DPV) revealed exceptional performance, with a wide linear range (0.05–50 μM), a low detection limit (19 nM, S/N = 3), and a rapid response time (<5 min). The sensor exhibited outstanding selectivity against common interferents, high reproducibility (RSD = 3.15%), and long-term stability (98% signal retention after 15 days). By integrating the nanocomposite-modified SPCE into a microfluidic chip, we achieved accurate HCQ detection in 50 μL of serum, with recovery rates of 95.0–103.0%, meeting FDA validation criteria. This portable platform combines the synergistic advantages of nanomaterials with microfluidic miniaturization, offering a robust and practical tool for real-time therapeutic drug monitoring in clinical settings. Full article

This study explores Bayesian Ridge Regression and PyMC-based probabilistic modelling to predict the cumulative grade of gold based on key operational variables in gold flotation. By integrating prior knowledge and quantifying uncertainty, the Bayesian approach enhances both interpretability and predictive accuracy. The dataset includes variables such as crusher type, particle size, power, time, head grade, and collector type. Comparative analysis reveals that PyMC outperforms traditional Sklearn models, achieving an R² of 0.92 and an MSE of 102.37. These findings highlight the potential of Bayesian models for robust, data-driven process optimization in mineral processing. The higher cumulative gold grade observed for VSI products and PAX collector usage may be attributed to the superior liberation efficiency of VSI, which produces more angular and cleanly fractured particles, enhancing collector attachment. PAX, being a strong xanthate, shows high affinity for sulphide mineral surfaces, particularly under the flotation conditions used, thereby improving selectivity and recovery. Full article

Background/Objectives: Patients recovering from COVID-19 often experience persistent respiratory symptoms, necessitating pulmonary function monitoring. While clinical spirometry is the gold standard, home spirometry offers a remote alternative. This study evaluated the validity of an ultrasonic home-based spirometer for monitoring lung function in post-COVID-19 pneumonia patients over 12 weeks. Methods: This prospective study included 30 post-COVID pneumonia patients who underwent clinical spirometry at weeks 4, 8 and 12. Participants performed weekly home spirometry using the SpiroHome Personal^® device. Agreement between home and clinical spirometry was assessed using a Bland–Altman analysis, intraclass correlation coefficients (ICCs), and Pearson correlation coefficients. Pulmonary function changes over time were analyzed using repeated measures ANOVA. Results: Home spirometry showed strong agreement with clinical spirometry for forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1), with ICC values exceeding 0.92. The Bland–Altman analysis demonstrated minimal bias, though limits of agreement exceeded the clinically accepted threshold of ±150 mL. FEV1/FVC ratios showed greater variability. Pulmonary function improved significantly over 12 weeks for both methods (p < 0.002). Patient adherence to home spirometry remained high, with a median of 18.50 sessions [IQR: 15.00–26.00] and an overall compliance rate of 98.33% ± 9.13%. Conclusions: Home spirometry provides reliable pulmonary function measurements, particularly for FVC and FEV1, supporting its role as a remote monitoring tool. Despite minor variability in FEV1/FVC, home spirometry enables frequent assessment of lung function recovery, potentially reducing hospital visits and improving patient management. Full article

Background: Musculoskeletal injuries are frequent in handball players due to the high-impact nature of the sport. Accurate diagnosis and tailored treatment are essential for recovery. Magnetic resonance imaging (MRI) has become the gold standard for evaluating complex sports-related injuries. This case report aims to assess the role of MRI in diagnosing trauma in professional handball players and the effectiveness of individualized treatment approaches. Methods: Four male members of the “Politehnica” Timișoara first team who sustained match- or training-related injuries between January 2023 and December 2024 underwent an 1.5 T MRI. Individualized conservative protocols included rest, NSAIDs, physiotherapy, and graded kinesitherapy. Results: The first case involved a right back with a knee hematoma and a vastus lateralis tear. Conservative treatment led to recovery. The second case was a left back with peripheral neuropathy caused by hamstring avulsion at the ischial tuberosity. Conservative therapy alleviated symptoms. The third case involved a left winger with adductor muscle tears, which recovered with conservative management. The fourth case, a goalkeeper, had a type III navicular fracture misdiagnosed on radiography, correctly identified via MRI and treated conservatively. Conclusions: MRI is invaluable in diagnosing handball-related injuries, enabling accurate assessments and effective individualized treatment, resulting in early recovery. Full article

This research focuses on finding an environmentally friendly method for extracting gold from a sulfide flotation concentrate. In this study, an ammonia–copper–thiosulfate leaching system was utilized for the extraction of gold. The flotation concentrate sample contains about 190 ppm of gold, 160 ppm of silver, and 6.89% of copper. To achieve an optimized gold extraction, various parameters, such as thiosulfate, ammonia and copper concentrations, pulp density, pH, stirring rate, temperature, and time, were investigated. About 87% of gold was leached under the following conditions: 0.5 M S₂O₃²⁻, 1.0 M NH₃, 0.1 M Cu²⁺, a stirring rate of 350 rpm, a pH of 12, a pulp density of 10% solids, a temperature of 25 °C, and a leaching time of 2 h. Additionally, to improve the economic effectiveness of the leaching system, thiosulfate consumption was investigated by utilizing different additives, such as diethylenetriamine (DETA), glycerol, and ammonium dihydrogen phosphate (ADP). The results showed that with the use of ADP, gold extraction increased from 87% to 91% while reducing copper dissolution. Additionally, the thiosulfate consumption also decreased from 0.37 M to 0.3 M. The inclusion of ADP was particularly effective, enhancing gold extraction efficiency and reducing reagent consumption, thereby making the process more sustainable. Considering the high economic value of gold, the optimization of recovery efficiency is prioritized over reagent costs in this study. Overall, this study indicates that the optimized ammonia–copper–thiosulfate leaching system with ADP additive is a promising environmentally friendly method for the extraction of gold. Full article