Search Results (8,211)

Background/Objectives: Proximal phalangeal fractures account for 38% of all phalangeal fractures, with unstable patterns requiring surgical intervention. Various modalities have been explored, including open reduction and internal fixation, percutaneous K-wire fixation, and intramedullary techniques. This study explores the technical nuances, indication, and outcomes of antegrade cannulated compressive screw (CCS) fixation of proximal phalangeal fractures. Methods: This retrospective case series involved 18 closed proximal phalangeal fractures in 16 patients who underwent intramedullary headless screw fixation between January 2018 and December 2023. Records were reviewed for demographics, fracture characteristics, and screw type. With the metacarpophalangeal joint flexed at 60–75°, a 1 cm longitudinal incision was made, the extensor tendon split, and a 0.9 mm guidewire advanced anterogradely along the phalangeal axis under fluoroscopy. A 2.2 mm or 3.0 mm SpeedTip CCS was selected based on phalanx size and advanced until fully buried below the cartilage line. Postoperatively, patients were immobilized in a volar intrinsic-plus splint, transitioned to a gutter splint within five to seven days, and commenced on range of motion (ROM) exercises within one week. Primary outcomes included radiographic union, Total Active Motion (TAM), QuickDASH scores, and postoperative complications. Results: All fractures were healed within acceptable radiological parameters and with no postoperative complications. Mean TAM was measured to be 216.0° (SD 7.7°, range 200–230°) and mean QuickDASH was 10.1 (SD 2.8, range 5–16). Conclusions: Antegrade intramedullary headless screw fixation demonstrates feasibility, short-term safety, and excellent early functional outcomes for carefully selected unstable proximal phalanx fractures, supporting its role as a minimally invasive alternative in appropriately indicated cases. Full article

Background and Objective: This study aimed to evaluate the impact of early functional rehabilitation on clinical outcomes and tuberosity healing in older patients undergoing reverse shoulder arthroplasty for proximal humeral fractures. We hypothesized that early functional rehabilitation would not compromise tuberosity healing and would result in comparable or improved outcomes versus postoperative immobilization. Methods: This retrospective matched-pair analysis included patients aged 70 years or older who underwent reverse shoulder arthroplasty for proximal humeral fractures, with 12 to 24 months of follow-up. Group allocation was time-based: earlier patients received immobilization and later patients underwent early rehabilitation. Matching was based on sex, age, body mass index, fracture classification (Neer), and glenosphere size. Outcomes included patient-reported scores, range of motion, and radiographic assessment of tuberosity healing using standardized imaging. Results: Forty patients (20 per group) with a mean age of 80.7 years and a mean follow-up of 16.1 months were included. The early rehabilitation group demonstrated significantly higher Constant scores (p = 0.044), age- and sex-adjusted Constant scores (p = 0.033), and greater active external rotation (p = 0.002). Anatomical tuberosity healing was seen in 28 of 40 patients (70%). Greater tuberosity healing occurred in 75% and lesser tuberosity healing in 85% of patients with available axial imaging. One deep infection occurred in the early rehabilitation group and was successfully managed. Conclusions: Early functional rehabilitation after reverse shoulder arthroplasty in older adults with proximal humerus fractures improved functional outcomes without compromising tuberosity healing. Full article

Printed biosensors have attracted increasing attention as platforms for rapid, low-cost, and portable diagnostics because they can be fabricated on flexible or rigid substrates using scalable printing techniques. Their performance is strongly influenced by both the printing process and the materials employed, since factors such as ink rheology, particle dispersion, interfacial behavior, and post-processing conditions directly affect device architecture, sensing performance, and manufacturing reliability. This review summarizes recent advances in printed biosensors from the combined perspectives of printing technologies and functional materials. Commonly employed printing techniques, including inkjet, screen, aerosol jet, and roll-to-roll gravure printing, are discussed with emphasis on their processing characteristics and material requirements. The review also examines key material platforms used in printed biosensors, including carbon-based nanomaterials, metal oxides, metal nanoparticles, conductive polymers, dielectric materials, and hybrid composites, highlighting their roles in electrical conductivity, catalytic activity, biomolecule immobilization, mechanical flexibility, and overall analytical performance. Finally, current challenges and emerging research directions are outlined with respect to ink stability, post-processing strategies, sensor reliability, manufacturability, and practical translation. Overall, this review emphasizes that the development of high-performance printed biosensors depends on the synergistic integration of rational material design with optimized printing strategies. Full article

To address yttrium (Y) contamination from ion adsorption mining, this study developed a combined microbial phytoremediation strategy for dual objectives: ensuring crop safety in Lactuca sativa and enhancing Y recovery by Solanum nigrum. Two specific microbial consortia were constructed from rare earth tailings isolates: inoculant I (bacterial: Enterobacter sp., Serratia sp., Bacillus sp.) applied to L. sativa, and inoculant II (fungal: Penicillium sp., Aspergillus sp., Talaromyces sp.) applied to S. nigrum. Inoculant I increased L. sativa biomass by 26% while reducing Y content in roots and rhizosphere soil solution by 47% and 56%, respectively, potentially through down-regulation of amino acid metabolites. Inoculant II increased Y content in the S. nigrum rhizosphere soil solution by 89%, linked to up-regulation of organic acids and coumarin derivatives. Both consortia reduced plant stress markers and enhanced soil enzyme activities. These findings demonstrate that specialized microbial consortia can differentially regulate Y behavior in the rhizosphere—immobilizing it in a crop for food safety, while enhancing its bioavailability for a hyperaccumulator—offering a targeted strategy for managing rare earth element-contaminated agricultural soils. Full article

Stabilization/solidification (S/S) is a crucial technology for the engineering reuse of oil-contaminated soil. A key challenge, however, is preventing the migration of residual oil under varying hydraulic conditions. This study investigates the efficacy of a lime and fly ash binder in treating oil-contaminated soil. We systematically compared the performance of untreated (UOCS) and treated (TOCS) soils under different aqueous environments (humidity injection, water injection, and permeation). We evaluated oil migration, water-holding capacity, and permeability characteristics. The results demonstrate that the lime–fly ash treatment effectively adsorbed and immobilized oil contaminants, restricting their mobility to a remarkably low range of 0.54% to 4.90%. Furthermore, the S/S treatment significantly improved the soil’s hydraulic properties: it enhanced the water-holding capacity, reduced the soil-water characteristic curve hysteresis, and counteracted the oil-induced hydrophobicity. Consequently, the effective permeation channels were restored, leading to a higher permeability coefficient in TOCS compared to UOCS. Crucially, the hydro-mechanical performance of the treated soil met the criteria of the Solidification/Stabilization Resource Guide, confirming its suitability for engineering applications. Full article

This narrative review examines the clinical application of tiletamine–zolazepam (TZ) in exotic pet and wildlife anesthesia, addressing the complexities inherent in managing a broad taxonomic spectrum with diverse physiological profiles and temperaments. As a fixed-dose combination, TZ is a cornerstone of multimodal protocols designed to achieve balanced anesthesia. Its lyophilized formulation permits reconstitution with various sedative solutions, facilitating low-volume administration, a critical requirement for the immobilization of wildlife and small exotic patients. Given the significant variability in species-specific responses and environmental influences, selecting and adapting appropriate TZ-based protocols remain a challenge for practitioners. By synthesizing heterogeneous data into expert-validated guidance, this review provides specialized and general veterinarians with practical considerations for the judicious use of TZ. Emphasis is placed on integrating TZ within multimodal protocols to mitigate arousal risks, ensure consistent immobilization, and facilitate rapid recovery. This approach seeks to optimize anesthetic outcomes and promote animal welfare across these physiologically diverse populations. Full article

This review proposes a “phenomenon–mechanism–regulation” framework for understanding nitrogen immobilization during the conversion of green waste into growing media. Nitrogen immobilization acts as a double-edged sword: intense short-term immobilization, typically occurring within the first 1–2 weeks after substrate establishment, can rapidly deplete mineral nitrogen and induce plant nitrogen deficiency, whereas the immobilized nitrogen is subsequently incorporated into microbial biomass and lignin-associated organic pools, forming a slow-release reservoir that enhances nitrogen retention and reduces leaching losses. Owing to its extremely high C/N ratio (often >100) and the coexistence of labile carbon fractions and recalcitrant compounds (e.g., lignin and phenolics), green waste exhibits substantially stronger immobilization potential than conventional media. Empirical evidence indicates that nitrogen immobilization can reach 10–115 mg N·L⁻¹ within a few days in wood-derived substrates, and additional fertilization of up to 100 mg N·L⁻¹ may be required to maintain crop growth. Mechanistically, nitrogen immobilization is governed by the coupling of microbial assimilation—driven by stoichiometric C/N imbalance (typically triggered when C/N > 20–25)—and abiotic chemical fixation, including reactions between NH₄⁺/NO₂⁻ and lignin-derived phenolics forming stable organic nitrogen compounds. The relative dominance of these pathways is jointly regulated by carbon quality, nitrogen form, and pH. Based on these mechanisms, regulatory strategies are summarized at multiple scales, including feedstock pretreatment to reduce labile carbon availability, substrate formulation to optimize C/N balance, and model-assisted intelligent fertigation to synchronize nitrogen supply with crop demand. Overall, this study provides a theoretical basis for improving green waste valorization and promoting sustainable horticultural production. Full article

In this study, chicken bone biochar (CBC) was prepared from waste chicken bones via oxygen-limited pyrolysis. A magnetic component (Fe₃O₄) was introduced, and the composite was embedded in a sodium alginate (SA) gel network, successfully constructing magnetic chicken bone biochar/sodium alginate composite gel beads (M-CBC/SA). The experimental results showed that under the conditions of pH = 4.5, 25 °C, and an adsorbent dosage of 0.5 g/L, the removal efficiency of M-CBC/SA toward 50 mg/L U(VI) reached 91.67%, corresponding to an adsorption capacity of 91.67 mg/g. The adsorption process followed the pseudo-second-order kinetic model and the Langmuir isotherm model, with a theoretical maximum adsorption capacity of 322.58 mg/g, indicating that the adsorption was dominated by monolayer chemisorption. The material exhibited excellent magnetic separability and good anti-interference ability against coexisting ions such as K⁺, Na⁺, Cl⁻, and SO₄²⁻, and its adsorption behavior was only weakly affected by ionic strength. Characterization by XRD, FTIR, XPS, SEM-EDS and other techniques revealed that the immobilization mechanism of U(VI) involved the synergistic effects of dissolution–precipitation (the formation of a new autunite phase), surface complexation (involving hydroxyl and phosphate groups), ion exchange (exchange with Ca²⁺), and electrostatic attraction. Using waste chicken bones as the raw material, this composite achieves both efficient uranium immobilization and convenient magnetic separation, fully embodying the environmental concept of “treating waste with waste”, and shows promising application prospects in the treatment of uranium-containing wastewater. Full article

Chlorothalonil is a widely used fungicide in agriculture, but its excessive application can lead to environmental contamination. This study investigated the biodegradation potential of Proteus terrae ZQ02 in free and immobilized forms. Under optimal conditions (37 °C, pH 7), free cells degraded 97.2–98.7% of chlorothalonil (50 mg/L) within seven days. Bacterial microcapsules were prepared using 3% sodium alginate, 2% calcium chloride, and 60 g/L wet biomass, with encapsulation times ranging from 6 to 12 h. The microcapsules displayed uniform size, high mechanical strength, porous structure, and excellent mass transfer, ensuring stable degradation activity. Encapsulated cells demonstrate enhanced tolerance to variations in pH, temperature, and salinity compared to free cells. In soil, microcapsules reduced chlorothalonil half-lives to 1.33–5.45 days for concentrations of 10–30 mg/L, achieving 92–96% degradation over 14–35 days. In tomato-planted soils, encapsulated and free cells degraded 96.3% and 81.6% of residues, respectively, after 28 days, significantly exceeding the control. These findings highlight that immobilization improves the stability, reusability, and efficiency of P. terrae ZQ02, making it a promising strategy for sustainable chlorothalonil biodegradation. The study demonstrates the potential of combining microbial strains with carrier materials for effective pesticide remediation and environmental protection, providing a foundation for large-scale applications in contaminated agroecosystems. Full article

Endocrine therapy is the mainstay for estrogen receptor (ER) α-positive breast cancer (BC), yet many patients display acquired resistance. We then screened natural compounds using human ERα-positive BC cells and identified perillyl alcohol (POH), a monoterpene from perilla, that reduces ERα protein levels. Chemoproteome analysis using POH-immobilized nanomagnetic beads revealed adenine nucleotide translocase 2 (ANT2), a mitochondrial inner membrane protein, as a direct target of POH. Molecular dynamics (MD) simulations predicted POH binding to the central pore of ANT2, which functions in ATP transport. ANT2 depletion reduced ERα levels, and public datasets indicate that high ANT2 expression correlates with poor prognosis in ERα-positive BC. POH also inhibited the growth of Tamoxifen- and Fulvestrant-resistant BC cells. RNA sequencing showed that fatty acid elongation-related genes were upregulated in Fulvestrant-resistant cells but downregulated by ANT2 depletion. Both ANT2 depletion and POH treatment led to the accumulation of intracellular lipid droplets in Fulvestrant-resistant cells, consistent with impaired fatty acid elongation. Finally, in silico screening using MD simulations identified venetoclax and nystatin as potential ANT2 pore binders. Both compounds reduced ERα levels in ERα-positive BC cells and increased lipid droplet formation in Fulvestrant-resistant cells. These findings highlight ANT2 as a druggable target against endocrine-resistant BC. Full article

The broad substrate specificity of enzymes, while advantageous for catalytic diversity, often leads to undesired side reactions and reduced product yields in engineered metabolic pathways. To address this challenge, we developed a programmable protein scaffold based on a self-assembled γPFD-SpyCatcher hydrogel for the in vivo co-immobilization of SpyTag-cyclized cascade enzymes, enabling the co-immobilization of cascade enzymes in a spatially organized manner. Enzymes with broad substrate specificities were linearly fused with SpyTags, facilitating their spatial organization on the nanoscaffold within engineered E. coli to ensure directed catalytic flux. Using this strategy, the yields of pinene and caffeoyl-CoA were enhanced by 5.8-fold (reaching 94.5 mg/L) and 2.4-fold (reaching 78.6 mg/L), respectively, compared to free enzyme systems. This work establishes an effective approach to mitigate the limitations posed by broad enzyme specificity and demonstrates its potential for applications in synthetic biology and industrial biotechnology. Full article

Jet-cutting—the most powerful immobilization technique—was utilized for the entrapment of recombinant E. coli cells expressing a cascade of enzymes, including alcohol dehydrogenase, enoate reductase, and cyclohexanone monooxygenase, within mechanically reinforced barium–calcium alginate beads. Cost-effective alginate beads with entrapped cells were applied in a model process for the production of the industrially relevant ε-caprolactone under bioreactor-controlled conditions, enabling parallel repeated biotransformations. Immobilization resulted in a reduced rate of cell deactivation over four biotransformation cycles, leading to overall ε-caprolactone yield increases of 36% using 0.55 mm beads and 22% using 0.9 mm beads compared to the use of free cells. Additionally, the model bioprocess was employed to investigate the metabolic adaptation of cells to immobilization and repeated biotransformations using viability assays and spectrally resolved confocal microscopy. These measurements, conducted for the first time throughout the entire cellular life cycle, clearly demonstrated that the cells retained high viability during cultivation, immobilization, and repeated use in biotransformations. Moreover, based on characteristic spectral shifts, advanced analysis via spectrally resolved confocal microscopy revealed distinct mechanisms of metabolic adaptation in entrapped cells versus free cells during repeated cascade reactions in parallel bioreactors. Full article

Two phenylacetaldehyde dehydrogenases, originating from Escherichia coli K-12 (FeaB-K-12) and Sphingopyxis fribergensis Kp5.2 (FeaB-Kp5.2), were immobilized on powdery silica carrier with various functionalization. First, the suitability of these carriers for application in combination with phenylacetaldehydes and phenylacetic acids was studied. Out of two carriers functionalized differently, mesoporous cellular foam, whose surface was modified with 3-glycidyloxypropyl groups (MCF-G), showed promising results. Hence, this carrier was further tested at 17 different immobilization conditions. Despite both enzymes showing high immobilization efficiency, the initial activities were relatively low compared to the free enzymes. Interestingly, the immobilized FeaB-Kp5.2 on MCF-G-Kw showed about 80% of retained activity after two months of incubation at 0 °C, indicating that the immobilization enhances the stability of this enzyme. In contrast, no changes in the temperature stability of FeaB-Kp5.2 due to immobilization could be noted. However, relative enzyme activities towards all three substituted phenylacetaldehydes could be increased by the immobilization to approximately 130%. The most active and stable powdery immobilizate was MCF-G-Kw-FeaB-Kp5.2 at pH 8. In addition, FeaB-Kp5.2 was also immobilized and tested on monolith silica carrier for continuous catalysis to produce phenylacetic acids. Full article

Titanium and its alloys are used in dental and orthopedic implants. However, long-term stability remains a clinical challenge. To overcome this limitation, surface modification has been investigated to improve surface properties. Our previous study demonstrated that the immobilization of secretory leukocyte protease inhibitor (SLPI) on the titanium surface promotes osteoblast adhesion, proliferation, and differentiation in vitro. The current study demonstrated the first in vivo evaluation of SLPI as a bioactive coating for medical implants. Grade 5 titanium screws were coated with 10 µg/mL of recombinant human SLPI (rhSLPI) for 24 h via simple physical adsorption, and the results were preliminarily validated via FE-SEM and ELISA. These SLPI-coated titanium screws (TiSs) were then placed in the tibia of Sprague–Dawley rats for 4 and 8 weeks. The hematological and biochemical parameters (BUN, Creatinine, AST, and Troponin I) demonstrated no acute systemic alterations within the 8-week period across all groups. Moreover, micro-computed tomography (micro-CT) and histological analysis revealed significantly higher bone volume fraction (%BV/TV) at 4 weeks compared to uncoated controls (20.64% ± 2.452% vs. 11.73% ± 0.524%). Finally, the biomechanical stability of implants, assessed using the removal torque test, showed that TiSs showed higher strength compared to Ti at both 4 and 8 weeks. In conclusion, this study represents a novel approach to transitioning rhSLPI-coated titanium evaluation from in vitro models to an in vivo rat model. rhSLPI surface functionalization enhances early-stage osseointegration and improves implant mechanical stability without acute hematological and biochemical alterations. These proof-of-concept findings suggest the potential of SLPI as a bioactive coating strategy. Full article

Cadmium (Cd) contamination in paddy soils threatens rice production and food safety. This study investigated the effects of manganese (Mn)-enriched biochar on soil Cd immobilization and Cd accumulation in rice using a pot experiment with Cd-contaminated soil. Unenriched biochar and Mn-enriched biochar prepared from rice straw were applied at two rates (0.5% and 1.0%). Both biochar types significantly increased soil pH and organic matter and promoted the transformation of Cd from labile fractions to more stable residual forms, thereby reducing Cd bioavailability. As a result, Cd accumulation in rice tissues, including straw and brown rice, was significantly reduced. Correlation analysis further indicated that increased soil pH was associated with reduced Cd mobility and plant uptake. Mn-enriched biochar markedly increased Mn accumulation and uptake efficiency in rice while decreasing Cd uptake efficiency, indicating a strong antagonistic interaction between Mn and Cd in the soil–plant system. Notably, a low application rate of Mn-enriched biochar (0.5%) achieved Cd reduction effects comparable to those of a higher dose of unenriched biochar (1.0%). These results suggest that Mn-enriched biochar is an effective and potentially cost-efficient strategy for reducing Cd bioavailability in paddy soils and mitigating Cd accumulation in rice. Full article