Search Results (30,664)

This study examined the role of e-modules and learning applications in enhancing scientific literacy among Grade 11 Life Sciences learners in a South African secondary school. Grounded in constructivist and connectivist learning theories, the research responded to persistent challenges in learners’ conceptual understanding, scientific reasoning, and application of scientific knowledge. A mixed-methods case study design was employed, combining quantitative pre- and post-test data with qualitative classroom observations and semi-structured learner interviews. Thirty learners participated in a technology-enhanced instructional intervention using curriculum-aligned e-modules delivered through Binogi and Google Classroom. Quantitative findings revealed a statistically significant improvement in scientific literacy following the intervention. Learners’ mean scores increased from 39.20% (pre-test) to 63.07% (post-test), representing a gain of 23.87 percentage points. A paired-samples t-test confirmed that this improvement was extremely significant (t (29) = 11.58, p < 0.0001), with a very large effect size (Cohen’s d = 2.11). Qualitative findings indicated that learners experienced enhanced engagement, improved conceptual clarity, and greater motivation when using digital learning tools, particularly through visualisations, animations, and self-paced learning. However, persistent difficulties with graph interpretation were also identified. The study concludes that the intentional integration of e-modules and learning applications can substantially enhance scientific literacy in Life Sciences by supporting conceptual understanding, reasoning, and learner engagement. These findings highlight the importance of pedagogically guided digital integration and teacher professional development to strengthen science learning outcomes. Full article

Background: Total neoadjuvant therapy (TNT) is increasingly administered in rectal cancer, but compared with concurrent chemoradiotherapy (CRT), data regarding the gastrointestinal (GI) toxicity profile and clinical predictors remain limited. Objectives: To evaluate GI toxicity associated with TNT compared with CRT and to explore clinical predictors of these adverse events (AEs). Methods: This retrospective study included 201 patients with rectal cancer treated with TNT (n = 157) and CRT (n = 44). GI AEs (nausea, vomiting, diarrhea) were graded according to CTCAE v5.0. In the analysis of factors associated with GI AEs, multiple clinical and pathological variables were included using multivariable logistic regression. Results: The composite endpoint “any GI AEs grade ≥ 1” was more frequent in the TNT group compared with the CRT group (33.1% vs. 15.9%; RR = 2.08; 95% CI 1.02–4.25; p = 0.038). Nausea was significantly more frequent in the TNT group (28.7% vs. 9.1%; RR = 3.15; 95% CI 1.20–8.30; p = 0.012), whereas vomiting (9.6% vs. 2.3%; p = 0.203) and diarrhea (17.8% vs. 9.1%; p = 0.242) did not reach statistical significance. In multivariable logistic regression, TNT (OR = 2.65; 95% CI 1.08–6.53; p = 0.032) and female sex (OR = 2.03; 95% CI 1.05–3.77; p = 0.033) were identified as independent predictors of grade ≥ 1 GI AEs. For nausea, TNT remained significant (OR = 4.37; 95% CI 1.45–13.20; p = 0.0089). Upper rectal tumor location was significantly associated with vomiting (p = 0.0054). No grade 3–4 GI AEs were observed in either treatment group. Conclusions: TNT was associated with a higher incidence of mild GI AEs, predominantly driven by nausea, without an increase in severe toxicities. TNT and female sex were identified as independent clinical predictors of an increased risk of GI AEs, while tumor location in the upper third of the rectum was associated with a higher occurrence of vomiting. Full article

In many developing regions, the lack of a continuous cold chain poses a significant challenge for the preservation of table eggs. This study developed bioactive coatings based on citric pectin enriched with Cordia verbenacea DC aqueous extract to maintain egg quality under non-refrigerated conditions (25 days). A total of 144 fresh eggs were divided into a Control group and five treatment groups with increasing extract concentrations (0% to 100%). Quality was assessed through physical, chemical, and microbiological parameters, supported by principal component analysis (PCA) and random forest (RF) modeling. The results showed that all coated eggs maintained significantly higher Haugh units (classified as Grade B) compared to the control (grade C) (p < 0.05). The microbial load on the shell, a fundamental indicator of sanitary-hygienic conditions, was reduced from 70.0 ± 5.8 CFU/egg in the control to zero in the 100% extract treatment. The RF model achieved 97.06% accuracy in classifying the treatments, identifying microbial load and Haugh unit as the primary predictors of quality. This bioactive coating represents a sustainable and low-cost technology to enhance the shelf life and safety of eggs in markets without refrigeration infrastructure. Full article

In addition to the inherent challenges associated with controlling polymerization reactors, the “Sclairtech” technology for the production of Linear Low-Density PolyEthylene (LLDPE) presents specific characteristics (e.g., high temperature and pressure and a residence time in the reactor of less than 1 min) which add further difficulties to the effective control of the main quality parameters of the polymer produced. This work presents a strategy for implementing advanced control in a real LLDPE production unit (“Sclairtech” technology) followed by a systematic evaluation of the economic benefits in accordance with best international practices. Melt Index (MI), density and conversion were considered as controlled variables. The methodology for implementing advanced control involved analysis by resin classes (rotational molding, low-density injection, octene film and high-density injection) and effective contributions such as an innovative strategy for reactor temperature control. The proposed control strategy is capable of efficiently addressing two of the main problems associated with “Sclairtech” technology, namely, the generation of out-of-specification product during grade transitions and wide specification ranges. The benefits analysis involved the use of real process data, a statistical analysis of key variables to identify the dispersion and percentage of out-of-specification products, and the calculation of the net present value of financial indicators capable of validating the investment. Regarding quantitative outcomes, an annual gain of US$ 791,812 was estimated, with US$ 494,883 coming from the reduction in catalyst consumption and US$ 296,929 from other sources (reduction in out-of-specification product and production losses associated with grade transitions). Full article

Primary glomerulonephritis encompasses a diverse group of kidney diseases with variable clinical trajectories and outcomes. Accurate prognostic stratification is critical for guiding individualized management and improving long-term renal survival. This narrative review synthesizes current evidence on the prognostic value of histological grading systems, circulating and urinary biomarkers, and integrative risk prediction models across major primary glomerulonephritis subtypes, including IgA nephropathy, membranous nephropathy, and focal segmental glomerulosclerosis. Emphasis is placed on the utility of established classification systems (e.g., Oxford, MEST-C, chronicity scores), emerging tissue and fluid biomarkers (e.g., PLA2R antibodies, complement components, cytokine profiles), and the validation of multivariable prognostic tools and nomograms. We highlight areas of convergence between histopathologic lesions and molecular markers, as well as the evolving role of machine learning in predictive modeling. Ultimately, combining morphological, biochemical, and algorithmic tools holds promise for precision risk assessment and treatment tailoring in primary glomerulonephritis. Full article

Post-harvest deterioration in strawberries is an urgent and critical issue that requires significant attention. Glycerol monolaurate (GML), a broad-spectrum food-grade antimicrobial agent, faces limited applicability due to its poor water solubility. In this study, a confined encapsulation strategy was employed to encapsulate GML within hydroxypropyl-γ-cyclodextrin (HPγCD), which improved the physicochemical properties of GML and enhanced its stability in the environment. The fiber morphology was observed through scanning electron microscopy (SEM) and transmission electron microscopy (TEM), confirming the presence of a uniform, non-nodular core–shell structure. The Fourier transform infrared spectroscopy (FT-IR) and X-ray diffraction (XRD) validated the successful encapsulation of GML within the cavity of HPγCD. Thermogravimetric analysis (TGA) demonstrated that the thermal stability of the core–shell system was significantly improved. In vitro release followed first-order kinetics (R² = 0.9842), with 79.5% of GML released over 68 h. The DPPH and ABTS assays demonstrated that PLA/GML-HPγCD NF exhibited sustained radical scavenging activity (p < 0.05, ANOVA). Compared to GML-HPγCD NF, PLA/GML-HPγCD NF exhibited prolonged antibacterial activity against Escherichia coli and superior antifungal efficacy in strawberry preservation. Meanwhile, PLA/GML-HPγCD NF significantly reduced lesion diameter and weight loss while maintaining hardness, total soluble solids, and vitamin C content over 8 days of storage. In conclusion, these characteristics highlighted the potential of P/G-HPγCD NF as a promising active packaging material for extending the shelf life of perishable fruits. Full article

Recycled cellulosic fiber (RCF) composites offer significant potential to reduce environmental burdens associated with virgin fiber production; however, their broader adoption remains limited by feedstock variability, recycling-induced degradation, and uncertainty regarding long-term performance. This review critically synthesizes recent advances in RCF composites using a structure–processing–performance–sustainability framework, treating recycled fibers as secondary materials with distinct morphological, chemical, and mechanical characteristics rather than direct substitutes for virgin reinforcements. Emphasis is placed on the effects of fiber shortening, surface damage, moisture sensitivity, and altered surface chemistry on interfacial adhesion, load transfer efficiency, durability, and failure mechanisms. The analysis reveals that many reported performance discrepancies arise from poorly defined structure–property relationships and the absence of standardized characterization, grading, and durability testing protocols for recycled fibers. Addressing these gaps enables more reliable predictive modeling and application-specific material design. Beyond mechanical behavior, the review evaluates various critical factors for integration into higher-value applications such as durability under realistic service conditions, including environmental aging, fire performance, and long-term stability. Emerging strategies such as hybrid reinforcement, environmentally benign surface functionalization, smart functionalities, and recyclable or bio-based matrices are assessed for their potential to enhance multifunctionality and circularity. Overall, the findings indicate that RCF composites can meaningfully contribute to circular material systems if materials design, performance validation, and life-cycle assessment are integrated systematically. Advancing standardized evaluation and aligning materials innovation with circular economy principles are essential to transition RCF composites from downcycled applications to reliable, performance-oriented components in sustainable engineering systems. Full article

Background/Objectives: Vitamin D plays a role in cellular regulation and immune processes relevant to cervical carcinogenesis, yet data on vitamin D status and its determinants in high-burden settings such as South Africa remain scarce. This paper therefore describes the prevalence of vitamin D deficiency, insufficiency, and sufficiency, and explores associated factors among women with cervical lesions. Methods: A descriptive cross-sectional study was conducted among 103 women aged 18–81 years. Women were referred to Nelson Mandela Academic Hospital due to cervical cancer, high-grade squamous intraepithelial lesions (HSILs), or atypical squamous cells—cannot exclude HSIL, or low-grade squamous intraepithelial lesions, or atypical squamous cells of undetermined significance. The total serum 25(OH)D (D₂ + D₃) was quantified using the MAGLUMI 25-OH Vitamin D chemiluminescent immunoassay kit on the MAGLUMI X3 Fully Automatic Chemiluminescence Immunoassay Analyzer (Snibe Diagnostic, Shenzhen New Industries Biomedical Engineering Co., Ltd., Shenzhen, China). Serum vitamin D was categorized according to the Endocrine Society Task Force guidelines. Results: Vitamin D insufficiency was observed in 46.60% of participants and deficiency in 26.21% while only 27.18% had sufficient levels. Overall, vitamin D deficiency or insufficiency was more common than sufficiency (72.82%; 27.18%, p < 0.0001). Among HIV-positive women, 78.26% had vitamin D deficiency or insufficiency compared with 63.33% of HIV-negative women; however, this difference was not statistically significant. Vitamin D deficiency was most prevalent in women with healthy body mass index (BMI, 46.40%) values and decreased significantly with increasing BMI values (p = 0.008). Conclusions: Vitamin D deficiency and insufficiency were common among women with cervical lesions in this rural South African population. Associations with BMI suggest context-specific influences on vitamin D status. Owing to the study’s cross-sectional design and lack of normal cervical cytology participants, the findings are descriptive and exploratory, underscoring the need for longitudinal and comparative research to better define the role of vitamin D in cervical disease. Full article

Background: Although Ki-67 is not included among the grading criteria in the current WHO Classification of Tumours of the Central Nervous System (CNS), it provides valuable, albeit limited, prognostic information. Immunohistochemistry for Ki-67 can reveal uneven proliferation patterns and assist in the assessment of mitotic counts. Several studies indicate that meningiomas with a proliferation index > 4% show recurrence rates comparable to CNS WHO grade 2 (atypical) tumors, while tumors with an index > 20% are associated with mortality rates similar to CNS WHO grade 3 (anaplastic) meningiomas. Issues related to Ki-67 assessment include interobserver variability, the use of different cut-off values among pathologists, and the presence of a complex inflammatory tumour microenvironment, which may lead to an overestimation of the proliferative index (PI). Methods: In this study, we describe how Double Staining Immunohistochemistry (dIHC) with EMA/Ki-67 better highlights neoplastic meningothelial cells compared with single-stain evaluation. Furthermore, the application of Digital Pathology provides quantitative digital data that allow a more accurate assessment of proliferation. Results: Ki-67 expression varied by grade, with digital image analysis (dIHC) showing high agreement with manual assessments. dIHC improved accuracy in evaluating diagnostic and proliferative markers within tumor samples. Conclusions: dIHC combined with DP can support and standardize the evaluation of the proliferative index in meningiomas in routine diagnostic practice. Full article

To address the peak-fluctuating cooling load of ocean-going fishing vessels and the dependency of traditional refrigeration systems on fuel-driven power, this study proposes an exhaust waste-heat-driven ammonia water absorption–compression hybrid refrigeration system. The proposed system was thermodynamically analyzed and simulated based on the principles of heat and mass transfer. Considering the full-cycle cooling demand, an objective optimization model with the goal of minimizing the total operating cost was established and solved using the Northern Goshawk Optimization (NGO) algorithm. Using real data from a fishing company, a voyage cycle of Lu Huang Yuan Yu 105 was selected as a case study. Results showed that NGO outperformed the Genetic Algorithm and Particle Swarm Optimization, achieving the smallest cooling deficit and faster convergence. Compared with the independent compression refrigeration system, the hybrid system reduced the cooling deficit by 9.7%, improved cooling capacity by over 35% during voyage, 5% during fishing, and 2% during processing, while lowering fuel consumption by 10% and efficiently utilizing exhaust heat. Sensitivity analysis identified optimal ranges for ammonia concentration and circulation ratio and highlighted the significant influence of cooling water temperature on system performance. This study provides a valuable reference for the design and optimization of low-grade waste-heat-driven hybrid refrigeration systems in maritime applications. Full article

Background/Objectives: Macular telangiectasia type 2 (MacTel2) is a progressive parafoveal retinal disorder with emerging evidence supporting broader neurodegenerative and metabolic involvement. Given the vulnerability of cochlear structures to systemic and microvascular stressors, this study aimed to investigate whether MacTel2 is associated with measurable auditory dysfunction. Methods: This prospective case–control study included 42 participants: 21 patients with clinically and multimodally confirmed MacTel2 and 21 age- and sex-matched healthy controls. All participants underwent standardized audiological assessment, including tympanometry, conventional and extended high-frequency pure-tone audiometry (0.5–16 kHz), distortion product otoacoustic emissions (DPOAE; 0.5–8 kHz), and click-evoked auditory brainstem response (ABR). Hearing loss was graded using the World Health Organization (WHO) classification based on PTA4 (0.5, 1, 2, and 4 kHz), and a clinically relevant cutoff of PTA4 > 25 dB HL was additionally applied. DPOAE responses were considered absent when the signal-to-noise ratio (SNR) was <6 dB. Results: The MacTel2 and control groups were comparable with respect to age and sex distribution. Patients with MacTel2 demonstrated significantly higher air-conduction thresholds than controls across both conventional and extended high frequencies, with the largest differences observed in the extended high-frequency range (10–16 kHz). PTA4 values were significantly higher in the MacTel2 group in both better- and worse-hearing ears, and the prevalence of clinically relevant hearing loss (PTA4 > 25 dB HL) was significantly greater among MacTel2 patients. DPOAE amplitudes were markedly reduced at all tested frequencies (0.5–8 kHz) in the MacTel2 group, and frequency-specific DPOAE absence/reduction (SNR < 6 dB) was substantially more frequent in MacTel2 than in controls. In contrast, ABR wave I and wave V latencies and the I–V interpeak interval did not differ significantly between groups, suggesting preserved brainstem-level auditory conduction. Within the MacTel2 cohort, no significant correlations were observed between the disease grade and audiological measures. Conclusions: MacTel2 was associated with significantly impaired peripheral auditory function, characterized by elevated conventional and extended high-frequency thresholds and pronounced reductions or the absence of DPOAE responses, while ABR parameters remained comparable to those of controls. These findings support a predominantly cochlear (outer hair cell-related) involvement in MacTel2 and suggest that auditory screening including conventional pure-tone audiometry, with consideration of extended high-frequency audiometry and otoacoustic emissions when feasible, may be clinically relevant in this population. Full article

Background: Addictive disorders are characterized by the dysregulation of neural circuits involved in reward processing, salience attribution, emotional regulation, and cognitive control. Traditional neuroimaging paradigms based on static or two-dimensional stimuli show limited ecological validity and may fail to capture the contextual complexity of real-world addictive triggers. Immersive virtual reality (VR) offers a novel approach to simulate realistic, multisensory environments capable of eliciting craving and emotional responses. Although several reviews have examined VR in addictive disorders, most combined immersive and non-immersive tools and did not restrict inclusion to studies with brain-based outcomes. Methods: This systematic review with narrative synthesis was conducted in PubMed/MEDLINE and APA PsycINFO for studies published up to 30 December 2025. This systematic review followed PRISMA 2020 and was prospectively registered in PROSPERO; due to heterogeneity, findings were synthesized narratively. Eligible studies included human participants with substance-related or behavioral addictions and employed immersive VR paradigms (e.g., head-mounted display–based environments) combined with neuroimaging or neurophysiological measures (EEG, fMRI, fNIRS, PET, or DTI). Risk of bias was assessed using ROB-2 or ROBINS-I, and overall certainty of evidence was evaluated with the GRADE framework. Results: Ten studies met the inclusion criteria, encompassing over 1450 participants with alcohol, nicotine, methamphetamine, opioid use disorders, and internet gaming disorder. Immersive VR was associated with craving-related neural responses across modalities, involving prefrontal, insular, limbic, and striatal networks. EEG studies reported spectral power changes associated with craving and attentional salience, while fMRI, fNIRS, and PET studies demonstrated activation and modulation of executive control and reward-related circuits. Preliminary longitudinal and interventional studies indicate that repeated VR exposure may induce neurobiological changes consistent with therapeutic modulation. Conclusions: Immersive VR combined with neuroimaging supports the use of immersive VR as an ecologically grounded framework to probe addiction-related brain circuits; however, larger trials and standardized reporting are needed to strengthen clinical translation. Future studies should prioritize adequately powered randomized designs, harmonized VR cue-reactivity paradigms, and transparent neuroimaging reporting to enable reproducibility and cumulative inference. Full article

This study investigates the wear behavior and multi-technique characterization of 3D printed thermoplastic polyurethane (TPU) intended for friction layers in transmission belts used in pharmaceutical manipulators. Two flexible TPU grades—TPU 51A and TPU 60A—were printed using fused deposition modeling (FDM) with varying printing temperatures (255–265 °C for 51A; 225–235 °C for 60A) and layer counts (three or four layers). Specimens were evaluated for Shore A hardness, wear resistance (mass loss using a Baroid lubricity tester under dry sliding against carton), tensile properties, crystallinity (XRD), chemical structure (FTIR), thermal stability (TGA), and scanning electron microscopy (SEM). The results show that printing parameters significantly influence the mechanical and tribological behavior of the materials. For TPU 51A, increasing the printing temperature to 265 °C and using four layers led to a substantial reduction in cumulative mass loss, although hardness decreased. In contrast, for TPU 60A, higher printing temperature and layer count increased hardness but also resulted in higher wear. Tensile tests indicated that specimens printed with fewer layers exhibited higher yield strength and strain, indicating improved interlayer bonding. XRD analysis confirmed the predominantly amorphous nature of the printed samples, with a reduction in crystallinity compared to the raw filaments. FTIR spectra showed no significant chemical degradation during printing, while thermogravimetric analysis revealed good thermal stability up to approximately 250–260 °C. The results demonstrate that wear behavior is governed by a combination of hardness, interlayer cohesion, and microstructural organization rather than crystallinity alone. Among the investigated conditions, TPU 51A printed at 265 °C with four layers exhibited the most favorable balance between wear resistance and mechanical properties, highlighting its suitability for friction layer applications. Full article

Background/Objectives: Non-muscle invasive bladder cancer (NMIBC) is characterized by high recurrence rates, requiring frequent diagnostic and therapeutic interventions. This study evaluates the feasibility, safety, oncological outcomes, and economic impact of implementing an in-office laser bladder tumor fulguration protocol. Methods: A descriptive, longitudinal study was conducted between 2020 and 2025 on 65 patients with recurrent NMIBC. Procedures were performed in an outpatient setting under local anesthesia using a flexible cystoscope and a Holmium:YAG (Ho:YAG) laser. The primary endpoint was recurrence-free survival. Secondary endpoints included complication rates (Clavien–Dindo) and a cost-analysis comparison with conventional transurethral resection of the bladder (TURBT). Results: The mean age was 69.4 years, with 89.2% of patients classified as ASA ≥ 2. After a median follow-up of 20.3 months, the recurrence rate was 33.8%, with 0% progression. Most procedures (95.4%) had no complications; only 4.6% presented Clavien–Dindo grade 1 events. Adjuvant mitomycin C was administered in 93.8% of cases. The cost analysis demonstrated substantial economic advantages, with costs reduced by 89.7% versus the 24 h admission model and 82.1% versus the day-surgery model according to regional health-system tariffs. Conclusions: In-office laser fulguration is a safe, effective, and economically sustainable alternative to traditional TURBT for selected low-risk recurrences. It optimizes hospital resources, minimizes anesthetic risk in comorbid patients, and maintains favorable oncological control. Full article

To evaluate whether Bangerter foils (BFs) could serve as a low-cost myopia control intervention, we measured and compared the imaging properties of fifteen BFs from two manufacturers, four myopia control spectacles, and a single-vision lens. Image quality metrics related to light-signaling theories of myopia onset and progression were evaluated in three tests: i. the assessment of the focusing properties through the maximum of the point spread function (MaxPSF), modulation transfer function (MTF), and area under the MTF (AUMTF); ii. the quantification of the scattered light (s) using the optical integration method; and iii. the calculation of the Michelson contrast (MiC) on a binary grating imaged under dark and bright illumination. BFs exhibited lower MaxPSF, AUMTF, and MTF values than the myopia control lenses. Except for one 0.6-graded BF, none of the other BFs mimicked the scattering behavior of the diffusion optics technology lenses. Moreover, BFs showed lower MiC values than with myopia control lenses under both lighting conditions. Although the BFs did not replicate the imaging properties of myopia control lenses, they still demonstrated effective contrast reduction across the lighting conditions. Whether they may help to slow myopia progression remains uncertain, perhaps even unlikely, given the fundamental imaging differences. Full article