Search Results (166,117)

Background/Objectives: Hypertensive disorders of pregnancy (HDPs) affect approximately one in seven hospital deliveries in the United States and increase the risk of pregnancy-associated mortality. Home blood pressure monitoring (HBPM) for patients with HDPs has emerged as a model of care poised to improve ascertainment of blood pressure and triage of care during pregnancy and postpartum periods. However, the strength of evidence supporting HBPM approaches has been variable. This rapid review aimed to understand how HBPM approaches for pregnant and postpartum populations with HDPs have been evaluated in order to strengthen future research. Methods: Search criteria included peer-reviewed literature in English and French published during 2018–2024 that assessed HBPM approaches for pregnant and postpartum populations in high-income countries. A total of 370 records were screened and reviewed to identify 52 eligible articles. Key study characteristics, methodologies, and outcome measures were extracted. Identified outcome measures were mapped by outcome type (implementation, health service, and client) to assess gaps in evaluation of HBPM approaches. Results: A range of study designs were employed to evaluate HBPM approaches: experimental (17%), observational (52%), qualitative (10%), mixed method (10%), and economic (11%) designs. Over a third employed a comparison group, most of which compared HBPM approaches to usual antepartum or postpartum care. Only 11 studies reported on impact outcomes (long-term blood pressure control, adverse maternal and perinatal outcomes). Significant gaps were identified among the implementation outcomes examined. While patient engagement measures were common, assessment of provider adherence and engagement was limited. Hospital admissions and emergency department visits were often employed as proxies to measure HBPM effectiveness, efficiency, and safety. However, no studies adequately reported effectiveness measures for remote patient triage. Conclusions: Our results call for improved HBPM metrics to ensure patients are receiving high-quality care responsive to their clinical condition. Future studies on HBPM approaches should prioritize more transparent reporting on health actor engagement. A composite measure including both patient and provider adherence to monitoring and triage processes will provide stronger evidence on the effectiveness of HBPM for pregnant and postpartum patients and share impactful learning for health systems interested in adopting HBPM approaches. Full article

Background/Objectives: Pancreatic ductal adenocarcinoma (PDAC) is a lethal disease with limited treatment options. Patients are treated with DNA damaging chemotherapies which act by inducing DNA damage in rapidly dividing tumor cells. Unfortunately, these tumors frequently develop treatment resistance, underscoring the need to understand resistance mechanisms in order to develop better treatment strategies. DNA damage response (DDR) detects and repairs DNA damage, and the DDR pathway has been shown to contribute to chemoresistance. Another factor known to drive chemoresistance in PDAC is the dense stroma, composed of extracellular matrix proteins secreted by cancer-associated fibroblasts (CAFs). Our recent work identified a CAF-induced resistance mechanism involving N-myc downstream regulated gene 1 (NDRG1). CAF-induced signaling resulted in the phosphorylation of NDRG1 and NDRG1-dependent DNA repair and protection from chemotherapies. Loss of NDRG1 resulted in increased chemotherapy-induced DNA damage and decreased replication fork speed and recovery. Methods: To gain insight into the molecular mechanism of NDRG1-mediated DNA repair and replication, we performed a BioID screen to identify binding partners of NDRG1. We further assessed the mechanistic roles of the identified interaction partners on DNA repair using DNA replication and repair assays such as the Comet assay and DNA fiber assays. Results: Our BioID screen identified meiotic recombination 11 (MRE11) protein, a nuclease involved in DDR, as a putative NDRG1 interacting protein. Interaction between MRE11 and NDRG1 was enriched during the late S/early G2 cell cycle phases and under replication stress. However, this interaction is likely indirect as the interaction only occurred in a cellular context and not with in vitro purified proteins. Blocking NDRG1 phosphorylation or blocking MRE11 exonuclease activity both resulted in protection of newly synthesized DNA at stalled replication forks. In NDRG1 knockout cells, blocking MRE11 led to decreased protection of nascent DNA, suggesting that NDRG1 and MRE11 may be acting in the same pathway and that NDRG1 is required for MRE11’s activity at stalled forks. Conclusions: In summary, our work has uncovered a protein complex between NDRG1 and MRE11 that may play a key role in chemoresistance due to its role in the processing of stalled replication forks. Full article

Four-dimensional (4D) printing integrates additive manufacturing with stimuli-responsive materials to fabricate biomedical implants and functional healthcare devices that undergo programmed, time-dependent changes in shape or function. Unlike static 3D-printed constructs, 4D-printed systems can respond to clinically relevant stimuli such as temperature, hydration, pH, light (including near-infrared), magnetic fields, or electrical inputs. These triggers drive defined actuation mechanisms, most commonly thermomechanical shape-memory recovery, swelling-induced morphing, and magnetothermal activation. This review synthesizes the principal material platforms used for biomedical 4D printing, including shape-memory polymers and alloys, hydrogels, liquid-crystal elastomers, and responsive composites, and links material choice to device behavior and translational feasibility. Applications are discussed across self-expanding stents, cardiac occluders, tissue-engineered constructs, implantable drug delivery systems, and adaptive wearables. Key translational challenges include sterilization compatibility, manufacturing reproducibility and quality control, safe stimulus delivery, predictable biodegradation and long-term biocompatibility, and regulatory pathway definition. Full article

Monosex all-male culture of the giant freshwater prawn (Macrobrachium rosenbergii) maximizes aquaculture yield due to a male growth advantage, but direct hormonal treatment of grow-out populations poses significant food safety risks. This study evaluated the efficacy of dietary 17β-estradiol (E2) in inducing functional neo-females from a fully all-male postlarval population to support an indirect monosex seed production strategy. All-male postlarvae were fed diets supplemented with E2 at concentrations of 0, 50, 100, 150, and 200 mg/kg for 36 days, followed by a 150-day hormone-free post-treatment period to assess growth performance, feminization rates, and gonadal histology. E2 administration successfully induced feminization across all treatments, reaching a peak rate of 35.5% at 150 mg/kg, whereas the control group remained entirely male. During the 36-day treatment period, E2 supplementation transiently enhanced specific growth and survival rates but concurrently reduced feed conversion ratios. Notably, these physiological differences disappeared completely over the 150-day post-treatment phase. Histological assessments confirmed that E2-induced neo-females exhibited normal oogenesis, with gonadosomatic index (GSI) values and oocyte diameters similar to those of wild-caught females. This establishes a definitive, physiologically safe, and non-surgical protocol for producing the neo-female broodstock necessary to sustain high-yield commercial monosex populations. Full article

The efficacy of postbiotics varies significantly between different strains and preparation processes. We aimed at evaluating the effect of an innovative postbiotic product (iPB) generated through the sequential fermentation of Lacticaseibacillus rhamnosus GG and Lacticaseibacillus paracasei NPB-01, compared to single-strain postbiotics, on epithelial barrier integrity and innate immunity in human enterocytes using a Caco-2-cell-based experimental model by measuring human enterocyte proliferation and differentiation (lactase expression), tight junction proteins (occludin and zonula occludens 1, ZO-1), and mucus protein Mucin-2 (Muc-2) expression. The modulatory action on the major innate immunity peptide, Human Beta-Defensin 2 (HBD-2), production was also assessed. The iPB exposure resulted in a higher up-regulation of human enterocyte proliferation and differentiation, as suggested by higher lactase expression, and of occludin, ZO-1, and MUC2 expression compared with the single-strain postbiotics, suggesting a beneficial synergistic action in modulating the epithelial gut barrier. Furthermore, iPB induced a higher production of HBD-2, suggesting a synergistic enhancement of innate immune response. Our findings suggested that the sequential fermentation process could act as a biotechnological catalyst, optimizing the gut-barrier-protective properties and the immunomodulatory action of Lacticaseibacillus strains. This study introduces iPB as a high-performance postbiotic candidate for the prevention and management of conditions characterized by alterations in epithelial gut barrier and innate immunity. Full article

This study proposes a comprehensive methodology for the experimental characterization and non-linear dynamic modelling of Polycrystalline Diamond (PCD) bearings, establishing a high-fidelity digital twin approach for the condition monitoring of rotating machinery. The research addresses complex rotor–stator interactions through the development of a multibody numerical framework. A structural 1D Finite Element (FE) model of the stator assembly was first calibrated via experimental modal analysis, achieving a high correlation with the first four bending modes and a maximum frequency discrepancy of only 1.4%. This validated structure was integrated into a non-linear multibody environment to simulate transient rub-impact events at rotational speeds up to 5500 rpm across varying clearance configurations. The model successfully captures the transition from stable periodic orbital motion to the stochastic and chaotic regimes observed in high-clearance setups. Frequency-domain validation further confirms the model’s accuracy in identifying supersynchronous harmonics and energy distribution patterns. Quantitative analysis shows that high-clearance configurations generate impact forces exceeding 6000 N, providing critical data for structural health assessment. These results demonstrate that the proposed digital twin serves as a robust physical foundation for diagnostic systems, enabling the identification of contact-induced vibrational signatures that are essential for training prognostic algorithms. This approach facilitates the autonomous monitoring of critical rotating machinery in demanding industrial and subsea applications, supporting the transition toward active balancing and model-based vibration control strategies. Full article

Reliable estimation of tree-level diameter at breast height (DBH) and stem volume from remote sensing data remains challenging across structurally heterogeneous plantation forests due to cross-site domain shift. This study proposes a structurally site-aware modelling framework designed to mitigate site-induced errors by prioritising training samples structurally proximate to the target site in predictor space. Using unmanned aerial vehicle-based laser scanning (ULS)-derived metrics from 20 geographically independent radiata pine plantation sites in New Zealand, we compared standard pooled workflows with site-aware implementations across multiple feature selection and regression combinations under leave-one-site-out (LOSO) validation. For DBH, the optimal site-aware Elastic Net configuration achieved a mean rRMSE of 16.0% and coefficient of determination (R²) of 0.607, reducing relative error by up to 23.7% compared with the corresponding standard workflow. Gains were more pronounced for stem volume, where the site-aware model achieved a mean rRMSE of 34.5% and R² of 0.648, substantially reducing cross-site errors observed under standard parametric formulations by 85.2% and outperforming a previously published high-dimensional Random Forest benchmark built on the same dataset (mean rRMSE of 35.6% and R² of 0.631). Feature selection patterns revealed that standard workflows converged on a narrow set of universally dominant structural predictors, whereas the site-aware approach redistributed predictor importance across sites, reflecting adaptive alignment to local structural variations. These findings demonstrate that correcting structural domain misalignment can enhance model transferability while maintaining parsimony, offering a scalable solution for operational multi-site forest inventory modelling. Full article

Canal construction activities alter the visual characteristics of natural habitats, which in turn impairs the camouflage effectiveness of resident animals. To explore the impacts of habitat degradation induced by anthropogenic engineering on the camouflage strategies of sympatric crab species, this study investigated the camouflage performance of Chiromantes haematocheir and Orisarma dehaani in natural estuarine habitats and canal-modified estuarine habitats of the Pinglu Canal. The Chromatic Just Noticeable Difference (CJND) of C. haematocheir in canal-modified habitats was 16.272 ± 9.503, significantly higher than the value of 12.911 ± 7.982 in natural estuaries (Z = −6.514, p < 0.001). Within the same habitat type, the CJND value of O. dehaani was consistently and significantly lower than that of C. haematocheir, with significant differences observed in both natural estuaries (Z = −11.572, p < 0.001) and canal-modified habitats (Z = −13.413, p < 0.001). Meanwhile, the pattern energy difference (PED) of O. dehaani in canal-modified habitats (0.744 ± 0.119) was significantly higher than that in natural estuaries (0.726 ± 0.107; Z = −2.390, p = 0.017), and the PED of C. haematocheir in canal-modified habitats (0.750 ± 0.133) was significantly higher than that in natural estuaries (0.731 ± 0.122; Z = −2.742, p = 0.006). The Pinglu Canal’s construction significantly exacerbated the reduction in background-matching camouflage effectiveness of both crab species. This study provides empirical evidence for evaluating the impacts of anthropogenic engineering activities on the camouflage adaptability of estuarine benthic animals, and offers a scientific reference for the conservation of benthic biological resources in canal-modified estuarine ecosystems. Full article

The strength degradation of silica-enriched oil well cement under high-temperature curing conditions poses a challenge to wellbore integrity. Using the single-peak Scherrer equation, this study evaluated xonotlite crystallite size evolution in cements cured at different setting temperatures. Low-temperature setting (80 °C) maintained stable crystallite size (≈35–36 nm), accompanied by strength gain and pore refinement. High-temperature setting (240 °C) induced crystallite coarsening (up to 40 nm), concurrent with strength degradation and pore coarsening. Similar crystallite sizes led to divergent mechanical performance depending on crystal morphology, highlighting the need for combined size-morphology assessment. These findings identify xonotlite crystallite coarsening as a key indicator of high-temperature cement retrogression. Full article

Background/Objectives: The clinical challenges of PARP inhibitors in ovarian cancer include the lack of effective maintenance regimens for homologous recombination proficiency (HRP) patients and the emergence of acquired resistance in initially responsive homologous recombination deficiency (HRD) patients. This study aims to explore the synergistic effect and molecular mechanism of the bispecific tyrosine phosphorylation-regulated kinase 1B (DYRK1B) inhibitor AZ191 combined with the PARP inhibitor Niraparib on high-grade serous ovarian cancer (HGSOC). Methods: This study first explored the expression and prognostic significance of DYRK1B in ovarian cancer through bioinformatics analysis. Subsequently, the therapeutic effect of the DYRK1B inhibitor AZ191 combined with Niraparib on HGSOC cells and organoids was evaluated by MTT examination. Flow cytometry and Western blot were used to investigate the synergistic mechanism between the two agents. Results: Bioinformatics analysis shows that the high expression of DYRK1B in serous ovarian cancer is associated with poor prognosis of the patients. The experiments in vitro have shown that the DYRK1B inhibitor AZ191 can enhance the therapeutic effect of Niraparib on HGSOC cells and organoids, whether HRD-positive or not. Mechanistic studies have shown that the combination of AZ191 and Niraparib can synergistically increase the accumulation of DNA damage, thereby intensifying the apoptosis of HGSOC cells. In addition, the combination therapy induces ferroptosis by inhibiting the Nrf2/SLC7A11/GPX4 axis, thereby exerting cytotoxic effects. Conclusions: Our results uncover a novel mechanism by which inhibiting DYRK1B enhances the anti-HGSOC efficacy of Niraparib and may offer a promising treatment strategy to improve the maintenance therapy in both HRD and HRP ovarian cancer patients. Full article

A terahertz multifunctional metasurface based on vanadium dioxide (VO₂) and graphene that can switch between waveplate and absorber functionalities is proposed. As the temperature is below 300 K, by electrically controlling the Femi energy of the graphene it can realize half-wave plate (HWP) and quarter-wave plate (QWP) functionalities in the operating bandwidths of both 1.39–2.34 THz and 0.92–2.68 THz, respectively. While the temperature is above 340 K, the dipole resonance between VO₂ and a gold reflector induces absorption. Furthermore, by applying the voltage to graphene, dual-parameter modulation of the amplitude of the transverse electric (TE) waves and the resonance frequency of the transverse magnetic (TM) waves is achieved, the absorption bandwidths of which are 3.65–3.78 THz and 1.41–3.12 THz, respectively. The operating frequencies for HWP, QWP, TE and TM waves can be tuned by changing the electrical field and working temperature. In addition, the incident angles are not sensitive to the performance of the metasurface, confirming its effectiveness even under large-angle incidence. The metasurface with simplicity in design, mature fabrication processes, and comprehensive functionality, has certain promising applications in terahertz optical switches, terahertz spectroscopy systems, modulators, and communication systems. Full article

Platelet-rich plasma (PRP) is widely used as a second-line treatment for chronic tendinopathy that persists despite structured conservative care, yet outcomes and imaging correlates remain heterogeneous. This review outlines PRP biology and preparation, summarises quantitative imaging techniques for monitoring tendon response, and presents the experience of a single centre integrating these methods into routine supraspinatus and lateral elbow PRP workflows. PRP is described as an autologous platelet concentrate with variable leukocyte and fibrin content, with leukocyte-rich formulations commonly selected for chronic tendinopathy. Quantitative approaches—including ultrasound shear-wave elastography and radiomics, MRI T2/T2* mapping, CT-based bone metrics, PET/CT, and optical techniques—offer numerical biomarkers of tendon structure, mechanics, and inflammation but are rarely implemented in PRP trials. At the authors’ centre, leukocyte-rich PRP is injected under ultrasound guidance after failed physiotherapy, and follow-up combines validated questionnaires with grey-level run-length matrix texture analysis of ultrasound and 3.0 T MRI T2 distribution profiling. A pilot ultrasound study in supraspinatus and common extensor tendinosis showed uniform short-term clinical improvement and significant changes in most texture features, with selected parameters correlating with symptom relief. A prospective supraspinatus cohort demonstrated significant six-month clinical gains in both tendinosis and small partial-thickness tears, whereas only the tendinosis group exhibited T2 profile convergence toward asymptomatic patterns. These data indicate that quantitative ultrasound radiomics and whole-length T2 profiling are feasible imaging biomarkers that capture PRP-induced tendon remodelling beyond qualitative imaging and may help tailor PRP protocols to specific tendon phenotypes. Full article

Background: The wear resistance of modern commercial glass-ceramic materials used in dental prostheses was investigated under cyclic contact conditions that included a rotational component. This loading mode has been largely overlooked in conventional in vitro wear testing, yet may be clinically relevant in patients with parafunctional conditions such as bruxism. Methods: Rotational loading was applied using an all-electric testing machine equipped with a biaxial actuator. Loading cycles combined a normal load (50 N) and a rotation (30°), at a frequency of 1 Hz. Microstructure and damage were characterized using advanced microscopy. Results: Rotational loading induced substantial damage across this class of materials, including the formation of glassy tribolayers with limited protective capability under the low-humidity conditions examined. Significant microstructure-dependent variations in wear volume were observed, with specific wear rates indicating severe wear (SWR above 10⁻⁶ mm³/N·m threshold) in three of the five materials tested. Lithium disilicate glass-ceramics, characterized by a high fraction of elongated reinforcement crystals, exhibited the greatest resistance to damage, whereas leucite-based glass-ceramics showed the lowest. The dominant wear mechanisms were plastic-deformation-induced grooving and fracture-driven chipping. The findings are interpreted within established wear models for brittle materials (Archard and fracture-based) and supported by numerical simulations of stress fields across multiple length scales. Implications: The results provide mechanistic insight into rotational wear damage in glass-ceramic systems, a material class particularly susceptible to such loading, and inform strategies for material selection and microstructural design aimed at improving prosthetic durability. Full article

Copper is a crucial cofactor that sustains multiple cellular electron-transfer reactions, making it an essential element for life. However, cytotoxic levels of copper can cause structural damage and cell death through the production of reactive oxygen species (ROS) and nonspecific attacks on proteins. Moreover, immune cells, including neutrophils and macrophages, accumulate copper to induce oxidative bursts that kill engulfed pathogens. Therefore, a well-regulated copper homeostasis system is required for the human commensal fungus Candida albicans to thrive in extreme host environments. Remarkably, C. albicans exhibits higher copper tolerance than the nonpathogenic model yeast Saccharomyces cerevisiae, suggesting the presence of a specific copper tolerance mechanism that supports its adaptability to copper stress. Ndt80 is a versatile transcription factor that regulates several biological processes in C. albicans, ranging from morphological control to drug resistance. This study further reveals that Ndt80 may contribute to copper tolerance by regulating copper transporters and copper-dependent superoxide dismutases (Sods). Additionally, RNA sequencing and complementary approaches uncovered the involvement of Ndt80 in plasma membrane integrity and mitochondrial respiration under copper stress, further linking Ndt80 to copper tolerance. Together, these results broaden our understanding of Ndt80 functions and provide new insights into copper tolerance in C. albicans. Full article