Search Results (677)

Background: Glenohumeral arthrodesis (GHA) and extraplexal tendon transfers (TT) have been described as options for secondary shoulder stabilization and reanimation following adult traumatic brachial plexus injury (BPI) with delayed presentation or failure of primary nerve reinnervation. This study aimed to evaluate the outcomes and complication profiles of these two approaches to shoulder reanimation to better understand the indications, anticipated outcomes, and complication risks of each for traumatic brachial plexus injury. Methods: A systematic search of six databases (PubMed, EMBASE, SCOPUS, CINAHL, SPORTDiscus, Cochrane Library) was conducted in March 2025 following PRISMA guidelines. Studies reporting clinical outcomes in adults undergoing GHA or TT for traumatic BPI were included. Pooled mean range of motion and proportional complication and reoperation rates were calculated using random- and fixed-effects models, as appropriate. Results: A total of 22 studies involving 269 TT procedures and 194 GHA procedures were analyzed. Mean shoulder abduction was 81° (95% CI 54–108°) in the TT group and 51° (95% CI 37–65°) in the GHA group. Mean forward flexion was 88° (95% CI 51–124°) in the TT group and 56° (95% CI 44–68°) in the GHA group. The pooled complication rate was 4.8% (95% CI 2.6–8.6%) after TT and 26.4% (95% CI 18.5–36.1%) after GHA. The pooled reoperation rate was 3.2% (95% CI 1.5–6.6%) after TT and 17% (95% CI 10.8–25.7%) after GHA. Notably, TT cohorts generally had shorter follow-up durations, which may underrepresent late complications or reoperations. Conclusions: TT results in significantly lower complication and reoperation rates and demonstrates similar range-of-motion outcomes compared to GHA, suggesting that TT can be considered a first-line salvage option for motion preservation, while GHA remains an option for persistent instability, pain, or inability to achieve functional positioning of the hand in patients with traumatic BPIs. Additional comparative studies with higher levels of evidence are warranted to validate these findings. Full article

Reversine is a small-molecule Aurora kinase inhibitor known for its pro-apoptotic effects and potential to remodel chromatin architecture. Although its impact on mitotic regulation is established, its effects on telomere dynamics and nuclear organization in chronic myeloid leukemia (CML) remain unclear. This study aimed to investigate the effects of reversine on telomere architecture, genomic instability, and apoptosis in CML cell lines (K-562 and MEG-01). Reversine was applied at increasing concentrations, and cytotoxicity was assessed using caspase-3/7 activation assays. Quantitative PCR was used to measure AURKA and AURKB mRNA expressions. Three-dimensional telomere architecture was analyzed with TeloView^® v1.03 software after Q-FISH labeling to quantify telomere number, signal intensity, aggregation, nuclear volume, and a/c ratio. Reversine induced a dose- and time-dependent apoptotic response in both cell lines and significantly downregulated AURKA and AURKB expressions. Three-dimensional telomere analysis revealed a marked reduction in telomere number and aggregates, signal intensity, and nuclear volume. While reduced signal intensity may indicate telomere shortening, the concurrent decrease in aggregation and altered spatial parameters suggests telomeric reorganization rather than progressive instability. These features reflect structural nuclear remodeling and early apoptotic commitment. Differences between K-562 and MEG-01 responses underscore potential heterogeneity in telomere maintenance mechanisms. Reversine modulates genomic stability in CML cells through dual mechanisms involving Aurora kinase inhibition and telomere architecture remodeling. The integration of 3D telomere profiling highlights reversine’s potential as a therapeutic agent targeting nuclear disorganization and mitotic dysregulation in leukemia. Full article

Diatoxanthin is a photoprotective carotenoid found in a few groups of microalgae displaying in vitro anti-inflammatory and anti-cancer properties, making it a promising candidate for nutraceutical, pharmaceutical, and cosmetic applications. However, large-scale production is currently nonexistent because of two major challenges: Instability during microalgae harvesting, where diatoxanthin is rapidly converted back to its inactive precursor diadinoxanthin under non-stressful light conditions, and dependence on prolonged exposure to high-intensity light, which is costly and technically challenging during indoor high-cell-density cultivation. The first limitation was previously addressed by knocking out zeaxanthin epoxidase 3 (ZEP3) in the marine diatom Phaeodactylum tricornutum, resulting in a mutant that stabilized diatoxanthin under non-stressful light conditions. Here, we report an improved diatoxanthin production line where both of the described challenges have been overcome. This was achieved by creating P. tricornutum mutants where the phenotype of the zep3 mutant was combined with the light-sensitive phenotype of the chloroplast signal recognition particle 54 (cpsrp54) mutant. Growth rates were maintained at wild-type levels at light intensities ≤ 150 µmol photons m⁻² s⁻¹ in the zep3cpsrp54 mutants, but prolonged medium light exposure resulted in a 1.5- and 7-fold increase in diatoxanthin concentration compared with zep3 and wild-type, respectively. When returned to low light, the zep3cpsrp54 cultures retained ~80% of their accumulated diatoxanthin. The improved production lines allow for diatoxanthin accumulation without the use of high-intensity light and with limited loss of diatoxanthin when returned to non-stressful light conditions. Full article

Underground gas storage (UGS) is critical to national reserves and seasonal peak-shaving, and its safe operation is integral to energy security. In UGS surface process pipelines, heterogeneous bimetal composite pipes—carbon-steel substrates lined with stainless steel—are widely used but susceptible under coupled thermal–pressure–flow loading to geometry-induced instabilities (local buckling, adhesion, and collapse), which can restrict flow, concentrate stress, and precipitate rupture and unplanned shutdowns. Conventional ultrasonic testing and magnetic flux leakage have limited sensitivity to such instabilities, while standard eddy-current testing is impeded by the ferromagnetic substrate’s high permeability and electromagnetic shielding. This study introduces magnetically saturated pulsed eddy-current testing (MS-PECT). A quasi-static bias field drives the substrate toward magnetic saturation, reducing differential permeability and increasing effective penetration; combined with pulsed excitation and differential reception, the approach improves defect responsiveness and the signal-to-noise ratio. A prototype was developed and evaluated through mechanistic modeling, numerical simulation, laboratory pipe trials, and in-service demonstrations. Field deployment on composite pipelines at the Hutubi UGS (Xinjiang, China) enabled rapid identification and spatial localization of liner collapse under non-shutdown or minimally invasive conditions. MS-PECT provides a practical tool for composite-pipeline integrity management, reducing the risk of unplanned outages, enhancing peak-shaving reliability, and supporting resilient UGS operations. Full article

Heavy rainfall infiltration is a key disaster-inducing factor that triggers the softening of surrounding rock and deformation of support structures in tuff gully tunnels. Based on the gully section of the left line of the Dabao Tunnel of the Leigongshan–Rongjiang Expressway in Guizhou Province, this study systematically reveals the synergistic disaster-inducing mechanism of “topography-seepage-softening” in tuff gully tunnels under heavy rainfall infiltration through laboratory tests and FLAC3D 3D numerical simulations. The main innovative conclusions are as follows: (1) The “phased” attenuation law of tuff mechanical parameters was quantified, and the critical water content for significant strength deterioration was determined to be 2.5%, with a saturated softening coefficient of 0.59. These results provide key data for early warning and evaluation of similar projects. (2) A “convergence-disorder” distribution pattern of pore water pressure controlled by gully topography was revealed. It was found that the rock mass directly below the aqueduct exhibits a disordered zone with downward-extending pore water pressure due to fluid convergence, with the maximum pore water pressure reaching 0.55 MPa. This clarifies the essence that tunnel stability is controlled by the coupling of topography and seepage field. (3) The key sensitive areas for tunnel stability—namely the gully bottom, arch haunches, and the area below the aqueduct—were accurately identified. The significant increase in displacement of these areas after rock stratum softening was quantified (e.g., the displacement at the crown of the secondary lining increased from 3 mm to 4 mm, and the influence range expanded to the arch haunches). This study clarifies the deformation characteristics and instability mechanism of tuff gully tunnels under heavy rainfall from two aspects: the “internal mechanism of rock mass softening” and the “external condition of topographic seepage control.” It can provide a theoretical basis and key technical pathway for disaster prevention and control as well as stability design of similar tunnels. Full article

Immersion deep ultraviolet (DUV) lithography remains an indispensable core technology in advanced integrated circuit manufacturing, particularly when combined with multiple patterning techniques to achieve sub-10 nm feature patterning. However, at advanced technology nodes, dynamic instabilities of DUV light sources—including spectral characteristics (bandwidth fluctuations, and center wavelength drift), coherence variations, and pulse-to-pulse energy instability—can adversely affect imaging contrast, normalized image log-slope (NILS), and critical dimension (CD) uniformity. To quantitatively assess the impact of laser parameter fluctuations on NILS and CD, this work establishes systematic physical models for imaging perturbations caused by multi-parameter laser output instabilities under immersion DUV lithography. Through simulations, we evaluate the influence of laser parameter variations on the imaging fidelity of representative line/space (L/S) and tip-to-line (T2L) structures, thereby validating the proposed perturbation model. Research demonstrates that the spectral attributes (bandwidth fluctuation and center wavelength drift), coherence variations, and pulse energy instability collectively induce non-uniform electric field intensity distribution within photoresist, degrading NILS, and amplifying CD variation, which ultimately compromise pattern fidelity and chip yield. Notably, at advanced nodes, pulse energy fluctuation exerts a significantly greater influence on imaging errors compared to bandwidth and wavelength variations. To satisfy the 10% process window requirement for 45 nm linewidths, pulse energy fluctuations should be rigorously confined within 1%. This research provides theoretical foundations and practical insights for the design of dynamic stability control of light source and process optimization of next-generation DUV light sources. Full article

Background: Skin aging is influenced by intrinsic factors such as genetics and cellular decline, and extrinsic factors including UV exposure, pollution, and lifestyle. Cosmetic or over-the-counter retinoids, particularly retinal (retinaldehyde), have shown strong efficacy in reducing photoaging signs—such as fine lines, wrinkles, and pigmentation—while offering improved tolerability compared to prescription-based retinoids like all-trans retinoic acid. However, their instability in formulations and limited bioavailability when applied topically remain major challenges. Objective: This exploratory study aimed to assess the efficacy and safety of a novel mix-activated anhydrous 0.1% retinal concentrate formulated also with hydrophilic active ingredients—N-acetyl glucosamine, niacinamide, ascorbic acid, and alpha-glucan oligosaccharide—in improving signs of skin aging over six weeks. Methods: A prospective, single-center study was conducted with 27 healthy adults (24 female and 3 male, aged 40–69 years, 21 with skin phototype III and 6 with phototype II) exhibiting visible signs of photoaging. Participants applied the retinal concentrate once daily, mixed in a 1:2 ratio with a moisturizer before application. Objective skin parameters, including pigmentation, fine lines, wrinkles, texture, volume, and pore visibility, were assessed using the Antera 3D imaging system at baseline and after six weeks. A self-evaluation questionnaire was completed at week six. Statistical significance was determined using the Wilcoxon signed-rank test (p < 0.05) and was corrected for multiple analyses. Results: Significant improvements were observed across all parameters: pigmentation (−12%, p < 0.0001), fine lines (−14%, p < 0.0001), wrinkle depth (−5%, p = 0.0045), skin texture (+12%, p < 0.0001), volume irregularities (−15%, p < 0.0001), and pore visibility (−24%, p < 0.0001). No significant change in redness was detected (p = 0.6664), indicating a good tolerability to the test product. Self-assessments reflected high user satisfaction: 81% reported improved skin appearance, 43% noted reduced need for makeup use, and 40% observed visible improvements already within two weeks. Conclusions: The anhydrous 0.1% retinal concentrate with hydrophilic actives significantly improved clinical signs of photoaging without causing irritation. The innovative mix-activated formulation stabilizes sensitive ingredients and enhances their efficacy, offering a novel, active, and well-tolerated approach to anti-aging skincare. Full article

Transmission towers located above mined-out areas may experience collapse or instability due to mining-induced ground subsidence and deformation, which poses significant risks to the safe operation of power transmission lines. To clearly evaluate the deformation resistance and failure threshold of transmission towers under mining-induced ground deformation, this article examines a typical 220 kV self-supporting transmission tower located in a mining area of Northern Shaanxi Province through a detailed three-dimensional finite element model constructed and simulated using ANSYS 2022. The mechanical response and failure process of the tower structure were systematically simulated under five typical deformation conditions: tilt, horizontal compression, horizontal tension, tilt–compression, and tilt–tension. The results indicate that under individual deformation conditions, the critical deformation values of the tower are 35 mm/m for tilt, 10 mm/m for horizontal compression, and 8 mm/m for horizontal tension, demonstrating that the structure is most sensitive to horizontal tensile deformation. Under combined deformation conditions, the critical deformation values for the combined tilt–compression and tilt–tension conditions exhibited a marked reduction, reaching 8 mm/m and 6 mm/m. Compared to individual deformation conditions, transmission towers demonstrate a significantly higher susceptibility to structural failure under combined deformation conditions. The displacement at the tower head and the tower tilt angle exhibit a linear positive correlation with the values of ground surface deformation. Under individual deformation conditions, the tilt of the tower was approximately 0.903 times the tilt deformation value and 0.089 times the values of horizontal compression and tension deformation, indicating that tilt deformation exerts a more pronounced influence on the inclination of the tower. Under combined deformation conditions, the tilt of the tower reached approximately 0.981 times that of the tilt–compression deformation value and 0.829 times that of the tilt–tension deformation value. Compared to the tower tilt induced individually by horizontal compression or tension deformation, the tilt under combined deformation conditions demonstrated a significantly greater value. Under mining-induced ground deformation, a redistribution of support reactions occurs, exhibiting either nonlinear or linear increasing trends depending on the type of deformation. The findings of this article provide a theoretical basis and data support for disaster prevention and control, safety evaluation, and structural design of transmission lines in mining areas. Full article

Goji berries (Lycium barbarum L.) are extremely rich in bioactive compounds, including phenolics, flavonoids, and vitamin C, which contribute to the strong antioxidant and immunomodulatory properties, positioning them as a promising candidate for nutraceutical applications. However, due to some limitations such as poor bioavailability and instability, encapsulation via spray drying with polymeric carriers provides a practical strategy to improve their stability, bioavailability, and applicability in the health sector. In this study, goji berry extract (GBE) was obtained via ultrasound-assisted extraction (UAE) and encapsulated using spray drying with four different polymers: alginate, pectin, Eudragit E100 and RS30D. GBE-loaded microparticles showed improved production yields (e.g., 40.3% for Alginate + GBE vs. 13.9% for Alginate alone) and varying particle sizes (1.9–4.4 µm). The antioxidant/antiradical activities were retained to different extents, depending on the carrier, with RS30D + GBE displaying the highest TPC (15.51 mg GAE (gallic acid equivalents)/g), FRAP (59.83 µmol FSE (ferrous sulphate equivalents)/g), and DPPH activities (3.50 mg TE (Trolox equivalents)/g). Biocompatibility was confirmed in HT29-MTX cell lines for all produced microparticles. These findings support the use of spray-dried polymeric carriers to enhance the functional performance and stability of goji berry bioactive compounds in future nutraceutical applications. Full article

The mitochondrial DNA of trypanosomatid parasites consists of thousands of catenated minicircles and dozens of maxicircles that form a complex network structure, the kinetoplast (kDNA). Although kDNA replication and segregation during mitotic division are well studied, its inheritance during genetic exchange events remains unclear. In Trypanosoma brucei, hybrids inherit minicircles biparentally but retain maxicircles from a single parent. Although biparental inheritance of minicircles has been described in natural Trypanosoma cruzi hybrids, this process has not been explored in laboratory-generated hybrids of this parasite. In the present study, we analyzed kDNA inheritance in T. cruzi experimental hybrids using a comprehensive minicircle hypervariable region (mHVR) database and genome sequencing data. Our findings revealed biparental inheritance of minicircles, with hybrid lines retaining mHVRs from both parents for over 800 generations. In contrast, maxicircles were exclusively inherited from one parent. Unexpectedly, we observed an increase in kDNA content in hybrids, affecting both minicircles and maxicircles, and exhibiting instability over time. To explain these findings, we propose a Replicative Mixing (REMIX) model, where the hybrid inherits one kinetoplast from each parent and they are replicated allowing minicircle mixing. Instead maxicircle networks remain physically separated, leading to uniparental fixation after segregation in the first cell division of the hybrid. This model challenges previous assumptions regarding kDNA inheritance and provides a new framework for understanding kinetoplast dynamics in hybrid trypanosomes. Full article

Precision medicine approaches rely on accurate somatic variant detection, where the DNA input into genomic workflows is a key variable. However, there are no gold standard methods for total DNA quantification. In this study, a pentaplex reference gene panel using digital PCR (dPCR) was developed as a candidate reference method. The multiplex approach was compared between two assay chemistries, applied to healthy donor genomic DNA and plasma cell-free DNA (cfDNA) to measure the ERBB2 (HER2) copy number variation in cancer cell line DNA. The multiplex approach demonstrated robust performance with the two assay chemistries, demonstrating comparable results and a wide dynamic range. Ratios of reference genes were close to the expected 1:1 in healthy samples; however, some small but significant differences (<1.2-fold) were observed in one of the five targets. Expanded relative measurement uncertainty was 12.1–19.8% for healthy gDNA and 9.2–25.2% for cfDNA. The multiplex approach afforded lower measurement uncertainty compared to the use of a single reference for total DNA quantification, which is an advantage for its potential use as a calibration method. It avoided potential biases in the application to CNV quantification of cancer samples, where cancer genome instability may be prominent. Full article

With the continuous progress and innovation of petroleum engineering technology, the development of new oilfield additives with superior environmental benefits has attracted widespread attention. Konjac glucomannan (KGM) is a natural resource characterized by abundant availability, low cost, biodegradability, and environmental compatibility. Konjac gum easily forms a weak gel network in water, but its water solubility and thermal stability are poor, and it is easily degraded at high temperatures. Therefore, its application in drilling fluid and fracturing fluid is limited. In this paper, a method of carboxymethyl modification of KGM was developed, and a carboxymethyl group was introduced to adjust KGM’s hydrogel forming ability and stability. Carboxymethylated Konjac glucomannan (CMKG) is a water-soluble anionic polysaccharide derived from natural Konjac glucomannan. By introducing carboxymethyl groups, CMKG overcomes the limitations of the native polymer, such as poor solubility and instability, while retaining its safe and biocompatible nature, making it an effective natural polymer additive for oilfield applications. The results show that when used as a drilling fluid additive, CMKG can form a stable three-dimensional gel network through molecular chain cross-linking, significantly improving the rheological properties of the mud. Its unique gel structure can enhance the encapsulation of clay particles and inhibit clay hydration expansion. When used as a fracturing fluid thickener, the viscosity of the gel system formed by CMKG at 0.6% (w/v) is superior to that of the weak gel system of KGM. The heat resistance/shear resistance tests confirm that the gel structure remains intact under high-temperature and high-shear conditions, meeting the sand-carrying capacity requirements for fracturing operations. The gel-breaking experiment shows that the system can achieve controlled degradation within 300 min, in line with on-site gel-breaking specifications. This modification process not only improves the rheological properties and water solubility of the CMKG gel but also optimizes the gel stability and controlled degradation through molecular structure adjustment. Full article

This paper presents a systematic methodology for identifying optimal scaling regions in segment-based box-counting fractal dimension calculations through a three-phase algorithmic framework combining grid offset optimization, boundary artifact detection, and sliding window optimization. Unlike traditional pixelated approaches that suffer from rasterization artifacts, the method used directly analyzes geometric line segments, providing superior accuracy for mathematical fractals and other computational applications. The three-phase optimization algorithm automatically determines optimal scaling regions and minimizes discretization bias without manual parameter tuning, achieving significant error reduction compared to traditional methods. Validation across the Koch curve, Sierpinski triangle, Minkowski sausage, Hilbert curve, and Dragon curve demonstrates substantial improvements: excellent accuracy for the Koch curve (0.11% error) and significant error reduction for the Hilbert curve. All optimized results achieve $R^2\ge 0.9988$. Iteration analysis establishes minimum requirements for reliable measurement, with convergence by level 6+ for the Koch curve and level 3+ for the Sierpinski triangle. Each fractal type exhibits optimal iteration ranges where authentic scaling behavior emerges before discretization artifacts dominate, challenging the assumption that higher iteration levels imply more accurate results. Application to a Rayleigh–Taylor instability interface (D = 1.835 ± 0.0037) demonstrates effectiveness for physical fractal systems where theoretical dimensions are unknown. This work provides objective, automated fractal dimension measurement with comprehensive validation establishing practical guidelines for mathematical and real-world fractal analysis. The sliding window approach eliminates subjective scaling region selection through systematic evaluation of all possible linear regression windows, enabling measurements suitable for automated analysis workflows. Full article

New-onset postoperative atrial fibrillation (POAF) is common after cardiac and major noncardiac surgery and significantly associated with short- and long-term adverse events. Multiple management strategies have been described but the lack of evidence from large randomized controlled trials and the lack of consensus regarding best practices has led to major variations in practice patterns. Considering on the one hand its serious adverse effects and complex drug interactions, and on the other hand discrepancies among recent international guidelines, the indications of amiodarone to both prevent and treat POAF should be reserved to patients at high risk of POAF only, or patients with hemodynamic instability and/or severely reduced left ventricular ejection fraction. Perioperative optimization of oral and intravenous cardio-selective beta-blockers to prevent POAF, and control heart rate when POAF occurs with a rapid ventricular response is the recommended first-line strategy, simultaneously with the treatment of associated factors. Given their efficient and safe profile, ultra-short-acting intravenous beta-blockers like esmolol or landiolol could be preferentially used in acute care patients. Besides waiting for the results of ongoing RCTs in cardiac and noncardiac surgery, the use of oral anticoagulation in patients with POAF should take into account the individualized thromboembolic/hemorrhagic risk ratio. Full article

Cervical cancer remains the fourth most common cancer among women globally, disproportionately impacting low- and middle-income countries despite the existence of HPV vaccines. While DNA methylation has been studied extensively as a biomarker, other epigenetic mechanisms remain underexplored. This scoping review aims to report such underexplored epigenetic biomarkers linked to cervical cancer, shifting the focus beyond global nuclear DNA methylation. Literature searches were performed using Google Scholar via Publish or Perish software including studies published until January 2025. Our review focused on mitochondrial DNA, non-coding RNA, histone modifications, and repetitive elements. Mitochondrial DNA methylation has been proposed as a cervical cancer biomarker, although supporting evidence is limited. Histone modifications are more consistently reported to be involved both in cervical cancer onset and aggressiveness. Similarly, aberrant expression of lncRNAs, circRNAs, miRNAs, and piRNAs has been associated with poor prognosis. Finally, hypomethylation in repetitive elements such as LINE-1 and Alu is often observed in cervical cancer, contributing to genomic instability and tumorigenesis. Highlighting these alternative epigenetic mechanisms, our review emphasizes the importance of expanding biomarker discovery beyond the traditional nuclear DNA methylation. Understanding these mechanisms may improve early detection and personalized disease management strategies for cervical cancer. Full article