Search Results (167)

Malignant mediastinal tumors are a group representing some of the most demanding oncological challenges for early, multi-level, and successful management. The timely identification of any suspicious clinical symptomatology is urgent in achieving an accurate, staged histological diagnosis, in order to follow up with an equally detailed medical therapeutic plan (interventional or not) and determine the principal goals regarding efficient overall treatment in these patients. We report a case of a 24-year-old male patient with an incident-free prior medical history. An initial chest X-ray was performed after the patient reported short-term, consistent moderate chest pain symptomatology, early work fatigue, and shortness of breath. The following imaging procedures (chest CT, PET-CT) indicated the presence of an anterior mediastinal mass (meas. ~11 cm × 10 cm × 13 cm, SUV: 8.7), applying additional pressure upon both right heart chambers. The Alpha-Fetoprotein (aFP) blood levels had exceeded at least 50 times their normal range. Two consecutive diagnostic attempts with non-specific histological results, a negative-for-malignancy fine-needle aspiration biopsy (FNA-biopsy), and an additional tumor biopsy, performed via mini anterior (R) thoracotomy with “suspicious” cellular gatherings, were performed elsewhere. After admission to our department, an (R) Video-Assisted Thoracic Surgery (VATS) was performed, along with multiple tumor biopsies and moderate pleural effusion drainage. The tumor’s measurements had increased to DMax: 16 cm × 9 cm × 13 cm, with a severe degree of atelectasis of the Right Lower Lobe parenchyma (RLL) and a pressure-displacement effect upon the Superior Vena Cava (SVC) and the (R) heart sinus, based on data from the preoperative chest MRA. The histological report indicated elements of a combined, non-seminomatous germ-cell mediastinal tumor, posthuberal-type teratoma, and embryonal carcinoma. The imminent chemotherapeutic plan included a “BEP” (Bleomycin^®/Cisplatin^®/Etoposide^®) scheme, which needed to be modified to a “VIP” (Cisplatin^®/Etoposide^®/Ifosfamide^®) scheme, due to an acute pulmonary embolism incident. While the aFP blood levels declined, even reaching normal measurements, the tumor’s size continued to increase significantly (DMax: 28 cm × 25 cm × 13 cm), with severe localized pressure effects, rapid weight loss, and a progressively worsening clinical status. Thus, an emergency surgical intervention took place via median sternotomy, extended with a complementary “T-Shaped” mini anterior (R) thoracotomy. A large, approx. 4 Kg mediastinal tumor was extracted, with additional RML and RUL “en-bloc” segmentectomy and partial mediastinal pleura decortication. The following histological results, apart from verifying the already-known posthuberal-type teratoma, indicated additional scattered small lesions of combined high-grade rabdomyosarcoma, chondrosarcoma, and osteosarcoma, as well as numerous high-grade glioblastoma cellular gatherings. No visible findings of the previously discovered non-seminomatous germ-cell and embryonal carcinoma elements were found. The patient’s postoperative status progressively improved, allowing therapeutic management to continue with six “TIP” (Cisplatin^®/Paclitaxel^®/Ifosfamide^®) sessions, currently under his regular “follow-up” from the oncological team. This report underlines the importance of early, accurate histological identification, combined with any necessary surgical intervention, diagnostic or therapeutic, as well as the appliance of any subsequent multimodality management plan. The diversity of mediastinal tumors, especially for young patients, leaves no place for complacency. Such rare examples may manifest, with equivalent, unpredictable evolution, obliging clinical physicians to stay constantly alert and not take anything for granted. Full article

Background and Objectives: Severe sepsis complicated by refractory shock is associated with high mortality. Adding continuous hemofiltration to venovenous extracorporeal membrane oxygenation (ECMO) may accelerate clearance of inflammatory mediators and improve haemodynamic stability, but evidence remains limited. We analysed 44 consecutive septic-shock patients treated with combined ECMO-hemofiltration (ECMO group) and compared them with 92 septic-shock patients managed without ECMO or renal replacement therapy (non-ECMO group). Methods: This retrospective single-centre study reviewed adults admitted between January 2018 and March 2025. Demographic, haemodynamic, laboratory and outcome data were extracted from electronic records. Primary outcome was 28-day mortality; secondary outcomes included intensive-care-unit (ICU) length-of-stay, vasopressor-free days, and change in Sequential Organ Failure Assessment (SOFA) score at 72 h. Results: Baseline age (49.2 ± 15.3 vs. 52.6 ± 16.1 years; p = 0.28) and APACHE II (27.8 ± 5.7 vs. 26.9 ± 6.0; p = 0.41) were comparable. At 24 h, mean arterial pressure rose from 52.3 ± 7.4 mmHg to 67.8 ± 9.1 mmHg in the ECMO group (mean change [∆] + 15.5 mmHg, p < 0.001). Controls exhibited a modest 4.9 mmHg rise that did not reach statistical significance (p = 0.07). Inflammatory markers decreased more sharply with ECMO (IL-6 ∆ −778 pg mL⁻¹ vs. −248 pg mL⁻¹, p < 0.001). SOFA fell by 3.6 ± 2.2 points with ECMO versus 1.6 ± 2.4 in controls (p = 0.01). Twenty-eight-day mortality did not differ (40.9% vs. 48.9%, p = 0.43), but ICU stay was longer with ECMO (median 12.5 vs. 9.3 days, p = 0.002). ΔIL-6 correlated with ΔSOFA (ρ = 0.46, p = 0.004). Conclusions: ECMO-assisted hemofiltration improved early haemodynamics and organ-failure scores and accelerated cytokine clearance, although crude mortality remained unchanged. Larger prospective trials are warranted to clarify survival benefit and optimal patient selection. Full article

The recovery of carotenoids, particularly lycopene, from industrial tomato by-products is contingent upon the composition of the raw material, the harvesting season, and the specifics of the extraction process. Industrial tomato by-product from three harvest seasons (S1, S2, and S3) was revalorized and used as a lycopene natural source. Pressurization-assisted extraction of lycopene was carried out using two types of refined sunflower oil (high oleic, HO, and low oleic, LO). The carotenoid and tocopherol content, as well as the fatty acid profile, were analyzed in the resulting HO and LO oil samples, and thermooxidation stability was evaluated. Lycopene recovery was found to be higher in the LO oil than in the HO oil using the by-product from the S3 harvest. Conversely, the tocopherol content declined in both oil types following the incorporation of the S3 by-products. The addition of by-products did not affect the thermooxidation stability of the HO oil. Conversely, the thermooxidation stability of the LO oil increased by about 3.2 ± 0.6 h, irrespective of the season. The findings of this study demonstrate that the addition of tomato by-product, regardless of its lycopene content, provides a protective effect against the thermooxidation of conventional sunflower oil. Full article

This study employed high-pressure ultrasonic-microwave-assisted extraction (HP-UMAE) to extract gingerols from ginger. The extraction yield and total polyphenol content of the extracts were determined. Their antioxidant activity was assessed by DPPH and ABTS radical scavenging assays, and compared with extracts obtained by leaching extraction, reflux extraction, ultrasonic-assisted extraction (UAE), microwave-assisted extraction (MAE), and ultrasonic-microwave-assisted extraction (UMAE). The results demonstrated that HP-UMAE achieved the highest extraction yield and the strongest ABTS radical scavenging activity among the evaluated methods. Furthermore, HP-UMAE extracts exhibited the highest concentrations of key gingerol constituents: 6-gingerol (14.29 mg/L), 8-gingerol (0.38 mg/L), 10-gingerol (1.95 mg/L), and 6-shogaol (4.32 mg/L). This enhanced efficacy is attributed to the synergistic combination of ultrasonic cavitation and microwave-induced thermal effects under elevated pressure. This synergy creates conditions promoting cellular wall disruption, facilitating the release of intracellular components, while concurrently enhancing solvent penetration and gingerol solubility. Scanning electron microscopy (SEM) analysis confirmed the significant structural damage inflicted on ginger cell walls following HP-UMAE treatment. The process parameters for HP-UMAE were optimized using single-factor experiments. The optimal extraction conditions were determined as follows: microwave power 800 W, ultrasonic power 1000 W, liquid-to-solid ratio 55:1, and temperature 100 °C (corresponding pressure 2 MPa). Under these optimized parameters, the extraction yield and ABTS radical scavenging rate reached their peak performance, yielding values of 4.52% and 43.23%, respectively. Full article

This study investigates the sequential extraction of lipids and saponins from C. frondosa viscera. Lipids were extracted using supercritical carbon dioxide (scCO₂) in the presence of ethanol (EtOH) as a co-solvent. Subsequently, the lipid-extracted viscera underwent three saponin extraction approaches, scCO₂-scCO₂, scCO₂-EtOH, and scCO₂-hot water, resulting in saponin-rich extracts. Process parameter investigation for saponin extraction from scCO₂-defatted viscera revealed minimal effects of temperature, pressure, extraction time, static extraction, and EtOH concentration on saponin yields, allowing for milder operational conditions (35 °C, 20 MPa, 30 min dynamic extraction, 75% EtOH at 0.5 mL/min) to achieve energy-efficient recovery. Continuous EtOH feeding predominates the scCO₂ extraction of saponins. The sequential scCO₂ extraction of lipid and saponins yielded saponins at 9.13 mg OAE/g, while scCO₂ extraction of lipid followed by a 24 h 70% EtOH extraction of saponins achieved 16.26 mg OAE/g, closely matching the optimized ultrasonic-assisted extraction of saponins (17.31 mg OAE/g) from hexane-defatted samples. Antioxidant activities of saponin-rich extracts obtained in the sequential scCO₂-EtOH extraction (17.12 ± 4.20% DPPH scavenging) and the sequential scCO₂-scCO₂ extraction (16.14 ± 1.98%) were comparable to BHT (20.39 ± 0.68%), surpassing that of hexane-defatted ultrasonic extracts (8.11 ± 1.16%). The optimized scCO₂-EtOH method offers a sustainable alternative, eliminating toxic solvents while maintaining high saponin yields and bioactivity. Full article

The valorization of agri-food waste has emerged as a global priority. In this context, fruit seed waste is being investigated for oil extraction due to its richness in bioactive compounds with remarkable health benefits. This review (2020–2025) focuses on the current state of eco-friendly extraction techniques for obtaining high-yield oils enriched with compounds such as tocopherols, polyphenols, fatty acids, phytosterols, and carotenoids. A comparison of the present method with conventional extraction techniques reveals several notable distinctions. Conventional methods are generally characterized by prolonged extraction times, elevated temperatures, and high amounts of solvents and/or energy. The findings of this review suggest that the extraction methodologies employed exerts a substantial influence on the yield and bioactive composition of the oil, which in turn affects its health-promoting properties. Furthermore, the results have demonstrated that alternative methodologies (microwave-assisted extraction, ultrasound-assisted extraction, pressurized liquid extraction, electric pulse extraction, enzyme-assisted extraction, subcritical extraction, and combinations thereof) have analogous oil yields in comparison with conventional methods. In addition, these oils present a superior bioactive profile with feasible potential in industrial and health applications. The novelty of this work lies in its emphasis on the valorization of fruit seed waste, as well as its sustainable approach. This sustainable approach utilizes experimental design strategies, the implementation of developments that employ comprehensive ecological metrics, and the latest trends in the application of artificial intelligence. Full article

Cannabis (Cannabis sativa L.) contains numerous secondary metabolites with different bioactivities. Extraction methods differ in their efficiency in recovering metabolites from plant material, and thus cannabis extracts vary significantly in their composition and activity. We aimed to develop a repeatable and accurate HPLC-MS method for the determination of nine common cannabinoids and compare two widely used extraction techniques: ultrasound-assisted extraction (UAE) with methanol and supercritical CO₂ extraction (SFE). Inflorescences of the Kompolti cultivar were used as the plant material. On a polar C18 column, more than thirty compounds were well separated within 25 min; thirteen cannabinoids were identified and eight of them were quantified, with cannabidiol and its acidic precursor being the most abundant. Additionally, three spectrophotometric assays were employed for extract characterization: the total phenolic content, total flavonoid content, and DPPH radical scavenging capacity. The SFE extract, obtained using ethanol as a co-solvent under low pressure (<100 bar) and temperature (<45 °C), was more enriched than the UAE extract (181.62 ± 2.90 vs. 140.64 ± 13.24 mg quercetin equivalents/g of dry extract) and cannabinoids (446.29 ± 22.66 vs. 379.85 ± 17.16 mg/g of dry extract), especially cannabinoid acids. However, UAE achieved greater recovery from the plant material (cannabinoids: 83.42 ± 5.15 vs. 68.84 ± 3.49 mg/g of plant material) and showed superior antioxidant capacity (DPPH IC₅₀: 2.50 ± 0.18 vs. 3.37 ± 0.07 mg/mL). Notwithstanding the observed partial decarboxylation, the high repeatability (RSD < 15%, n = 11) of the entire analytical workflow involving UAE extraction and LC-MS analysis renders it suitable for routine analyses. This study contributes to the ongoing efforts toward the quality control and valorization of C. sativa. Full article

As sustainability gains prominence, the circular economy has encouraged the valorization of agri-food by-products, which are rich in phenolic compounds known for their antioxidant and anti-inflammatory properties. Conventional extraction methods commonly employ organic solvents, which contradict green chemistry principles. Natural deep eutectic solvents (NaDESs) have emerged as environmentally friendly alternatives for recovering bioactive compounds from food waste. This review investigated recent studies (2020–2024) on ultrasound (UAE), microwave (MAE), and pressurized liquid extraction (PLE) using NaDESs to extract phenolic compounds from agri-food by-products. A total of 116 publications were initially identified, of which 19 met the inclusion criteria. UAE combined with NaDESs proved effective, particularly for fruit and oilseed residues. MAE achieved good yields for phenolic acids and flavonoids but showed limitations on high temperatures. PLE, though less explored, demonstrated promising results when optimized for temperature, pressure, and NaDES composition. The combination of NaDESs with assisted extraction techniques enhanced yield, selectivity, and environmental performance compared to conventional approaches. These findings highlight a greener and more efficient strategy for phenolic recovery within a biorefinery framework. Ultimately, this approach contributes to the sustainable management and valorization of agri-food by-products, supporting circular economy principles and the development of cleaner extraction technologies for functional ingredients. Full article

Conventional lithium extraction from spodumene via sulfuric acid roasting can achieve up to 98% recovery but suffers from high energy use, acidic residues, and purification complexity. This review evaluates alternative methods for both α- and β-spodumene, aiming for improved sustainability. For α-spodumene, Na₂SO₄–CaO salt roasting achieved >95% recovery at 900 °C via water leaching. Sodium carbonate roasting–NaOH leaching and mechanical activation–Na₂SO₄ roasting reached 95.9% and ~92%, respectively. High-pressure NaOH leaching reached 95.8%, while alkaline decomposition–acid leaching yielded 53.2–84.1%. Microwave-assisted calcination achieved up to 97% recovery, and fluoride-based roasting gave 93–98% but raised environmental concerns. Bioleaching is eco-friendly but slow, with <3.5% recovery. For β-spodumene, high-pressure leaching using sodium carbonate (>94%), sodium sulfate (90.7%–93.3%), sodium chloride (~93%), and nitric acid (~95%) provided high recoveries. Atmospheric leaching with HF and H₃PO₄ yielded ~90% and ~40%, respectively, while carbonic acid leaching reached 75% after multiple stages. Chlorination roasting achieved near-complete recovery. The Metso-Outotec high-pressure sodium carbonate leaching process is set for industrial-scale implementation at the Keliber project in 2025, confirming its scalability. Overall, these emerging processes have the potential to reduce energy input, reagent demand, and waste generation, offering practical pathways toward more sustainable lithium production from spodumene. Full article

Plasma arc welding (PAW) is commonly employed for welding medium and thick plates due to its capability of single-side welding and double-side forming. Ensuring welding quality necessitates real-time precise identification of the melting state. However, the intricate interaction between the plasma arc and the molten pool, along with substantial signal noise, poses a significant technical hurdle for achieving accurate real-time melting state identification. This study introduces a magnetically controlled method for identifying plasma arc melt-through, which integrates arc voltage and arc pool pressure. The application of an alternating transverse magnetic field induces regular oscillations in the melt pool by the plasma arc. The frequency characteristics of the arc voltage and pressure signals during these oscillations exhibit distinct mapping relationships with various fusion states. A hybrid feature extraction model combining gray correlation analysis (GRA) and the Pearson correlation coefficient (PCC) is devised to disentangle the nonlinear, non-smooth, and high-dimensional repetitive features of the signals. This model extracts features highly correlated with the fusion state to construct a feature vector. Subsequently, this vector serves as input for the fusion classification model, CNN-SVM, facilitating fusion state identification. The experimental results of melt-through under various welding speeds demonstrate the robustness of the proposed method for identifying melt-through through magnetic field-assisted melt pool oscillation, achieving an accuracy of 96%. This method holds promise for integration into the closed-loop quality control system of plasma arc welding, enabling real-time monitoring and control of melt pool quality. Full article

Sunflower press cake (SPC), a by-product of the edible oil industry, represents a promising source of plant-based protein. This study aimed to investigate and optimize protein recovery from SPC using conventional (CE) and advanced extraction techniques, including Ultrasound and Microwave-Assisted Extraction (UMAE), Pressurized Liquid Extraction (PLE) and Enzyme-Assisted Extraction (EAE). The protein content both in extracts and in the precipitated mass was measured through Lowry assay, while the amino acid profile of the extracted proteins under optimal conditions was analyzed via High-Performance Liquid Chromatography (HPLC). Extraction parameters were optimized using response surface methodology (RSM) for each method. Among the novel methods studied, UMAE and PLE demonstrated superior efficiency over CE, yielding higher protein recovery in significantly shorter extraction times. Optimal UMAE conditions (10 min, 0.03 g/mL, 450 W microwave power, and 500 W ultrasound power) yielded a precipitation yield (PY) of 21.2%, protein recovery in extract (PR_E) of 79.9%, and protein recovery in precipitated mass (PR_P) of 66.3%, with a protein content (PC_P) of 902.60 mg albumin eq./g. Similarly, optimal PLE conditions (6 min, 0.03 g/mL, and 50 °C) resulted in PY, PR_E, and PR_P of 17.7, 68.9, and 47.4%, respectively, with a PC_P of 932.45 mg albumin eq./g. EAE using Aspergillus saitoi protease was comparatively less effective. The amino acid profiling confirmed SPC as a valuable protein source, with glutamic acid, arginine, and aspartic acid being the most abundant. These results highlight the potential of UMAE and PLE as efficient strategies for valorizing edible oil industry by-products into high-quality protein ingredients for food and biotechnological applications. Full article

The deterioration of the Carica papaya L. fruit caused by Colletotrichum gloeosporioides highlights the importance of postharvest packaging for extending papaya shelf life. To this end, in this present study, pectin/gelatin-based food packaging (FPC) was enriched with Azadirachta indica hydroethanolic extract (HNE), obtained by pressurized liquid extraction (PLE) and microwave-assisted extraction (MAE). The HNE showed a high concentration of phenolic compounds, with values of 2893 mg GAE/100 g extract (PLE) and 3136 mg GAE/100 g extract (MAE). The packaging thickness incorporated with HNE (FPC + HNE) did not significantly differ (FPC + HNE-PLE: 0.10 ± 0.01, and FPC + HNE-MAE: 0.16 ± 0.04) from the packaging control (FPC: 0.11 ± 0.00). Nevertheless, the FPC + HNE exhibited enhanced elongation (FPC + HNE-PLE: 10.33 ± 0.2%, and FPC + HNE-MAE: 9.50 ± 0.2%) compared to FPC (8.00 ± 0.0%). Variations in water vapor permeability (FPC: 5.2 g·mm/d·m²·kPa, FPC + HNE-PLE: 2.0 g·mm/d·m²·kPa, and FPC + HNE-MAE: 6.9 g·mm/d·m²·kPa) and tensile strength (FPC: 13.76 ± 0.79 MPa, FPC + HNE-PLE: 16.45 ± 2.25 MPa, and FPC + HNE-MAE: 9.24 ± 2.01 MPa) values were observed among all samples. FPC + HNE-PLE resulted in 0% deterioration by Colletotrichum gloeosporioides over 15 days. The antifungal FPC + HNE-PLE provides a promising way to reduce postharvest losses and extend the shelf life of papaya fruit. Full article

Several strategies, including UV detection with a diode array detector (DAD), laser-induced fluorescence (LIF), derivatization reactions, the use of micelles in the separation buffer, as well as online preconcentration techniques based on pressure-assisted electrokinetic injection (PAEKI), and offline preconcentration using solid-phase extraction (SPE) columns containing quaternary amine groups with a chloride counterion, were investigated for the simultaneous separation and signal amplification of free thyroid hormones (THs) in biological samples. Moreover, a sensitive method for the quantification of THs in selected biological samples using micellar electrokinetic capillary chromatography with LIF detection (MEKC-LIF) was developed. The THs present in biological samples (L-tyrosine, T2, T3, rT3, T4, and DIT) were successfully separated in less than 10 min. The analytes were separated following a derivatization procedure with fluorescein isothiocyanate isomer I (FITC). A background electrolyte (BGE) composed of 20 mM sodium tetraborate (Na₂B₄O₇) and 20 mM sodium dodecyl sulphate (SDS) was employed. Key validation parameters such as linearity, precision, limits of detection (LOD), and limits of quantification (LOQ) were determined. The use of PAEKI for the electrophoretic determination of free THs demonstrates significant potential for monitoring these hormones in real urine samples due to its high sensitivity and efficiency. Full article

Cili (Rosa roxburghii Tratt) fruit is a nutrient-rich edible plant known for its antioxidant and hepatoprotective properties. However, conventional extraction methods often lead to the degradation of its bioactive compounds. In this study, we developed a low-temperature homogenate-assisted high-pressure disruption extraction (HHPD) method to obtain a phytochemically enriched cili fruit extract (HHPD-CFE). The chemical characterization of the HHPD-CFE showed that it contained higher levels of polyphenols, polysaccharides, and superoxide dismutase (SOD) than those in conventional squeeze extraction. The hepatoprotective effects of the HHPD-CFE were evaluated in oxidative stress-induced liver injury and hepatic fibrosis models. The HHPD-CFE mitigated oxidative damage by reducing malondialdehyde while enhancing SOD and glutathione activity. Additionally, the HHPD-CFE inhibited the activation of hepatic stellate cells (HSC-T6) and reduced collagen deposition, suggesting a protective role against liver fibrosis. These findings support that the HHPD-CFE is a promising botanical extract with enriched bioactive compounds and liver-protective properties. This study supports the potential application of optimized extraction techniques to preserve thermosensitive compounds and improve the efficacy of functional foods for liver health. Full article

This study investigates the valorization of tomato by-products—peels, seeds, and juice—through innovative extraction and bioprocessing techniques. Lycopene recovery from tomato peels was optimized using ultrasound- and microwave-assisted extraction (UAE-MAE) with ethyl lactate as the solvent. The optimal conditions (0.03 g/mL, 500 W microwave power, 600 W ultrasound power) yielded a lycopene content of 37.08 mg/100 g of peels and an extraction yield (EY) of 91.20%. For tomato seeds, oil extraction methods, including conventional stirring, UAE-MAE, Soxhlet extraction, and pressurized liquid extraction (PLE), were evaluated. Conventional stirring achieved the highest oil yield (19.66%), followed closely by UAE-MAE (19.53%). However, PLE produced the highest lycopene content (44.0 mg/100 g oil) and significant levels of linoleic acid (544.7 mg/g oil), though Soxhlet extraction yielded slightly more (608.9 mg/g oil). Tomato juice was processed into high-nutritional value vinegar via a two-stage fermentation process. The final product had 5.42% acidity, a pH of 2.85, and retained a high lycopene content (9.19 mg/100 g). This study underscores the potential of innovative extraction and bioprocessing strategies for the valorization of tomato by-products, promoting waste reduction and the development of high-value functional products in alignment with principles of the circular bioeconomy. Full article