Search Results (1,625)

Background: Endoscopic assessment is central to the management of inflammatory bowel disease (IBD), particularly within treat-to-target strategies. However, conventional high-definition white-light endoscopy (HD-WLE) is limited by interobserver variability and its inability to reliably reflect microscopic inflammation or predict long-term outcomes. Over the last decade, multiple technological innovations have reshaped the role of endoscopy in both disease activity monitoring and dysplasia surveillance. Methods: This narrative review provides a comprehensive and clinically oriented overview of emerging endoscopic technologies in IBD, including image-enhanced endoscopy, ultra-high-magnification techniques, artificial intelligence (AI), and molecular imaging. We discuss their diagnostic performance, prognostic implications, and potential integration into clinical practice. Results: Image-enhanced endoscopy improves visualization of subtle mucosal and vascular alterations and demonstrates stronger correlation with histological activity compared with HD-WLE alone. Confocal laser endomicroscopy and endocytoscopy enable in vivo microscopic assessment of epithelial architecture and barrier integrity, redefining remission beyond macroscopic healing. AI systems have shown expert-level performance in grading inflammatory severity in ulcerative colitis and high sensitivity in capsule endoscopy for Crohn’s disease, supporting objective and reproducible assessment. In surveillance, targeted high-definition inspection has replaced random biopsies, while adjunctive optical and AI-based tools enhance lesion detection and characterization. Molecular imaging introduces a predictive dimension by enabling visualization of drug–target engagement and dysplasia-specific pathways. Conclusions: Endoscopy in IBD is evolving from a descriptive modality toward a multimodal precision tool integrating enhanced imaging, AI-driven standardization, and molecular profiling. Although further validation and cost-effectiveness studies are required, these innovations have the potential to improve therapeutic stratification, surveillance strategies, and long-term patient outcomes. Full article

The 2022 Chongqing wildfires, occurring during an unprecedented heatwave, severely degraded subtropical forest ecosystems and disrupted hydrological cycling. We developed an integrated artificial intelligence framework combining Long Short-Term Memory and Transformer architectures to simulate post-fire evapotranspiration (ET) dynamics using 37 months of field observations (2022–2025) across 24 plots with four burn severities. The Penman–Monteith–Leuning model provided physically based benchmarks. Results revealed three distinct recovery phases: destruction/stagnation (0–7 months, ET at 6%–10% of pre-fire levels), rapid recovery (8–19 months), and stabilization (20–37 months, reaching 100% ET recovery). The coupled LSTM–Transformer ensemble achieved superior performance (RMSE = 0.10 mm·day⁻¹, NSE = 0.98), outperforming single models by 31% in uncertainty reduction. SHAP analysis identified phase-dependent factor shifts: soil water content dominated Stage I (42.5%), while leaf area index (LAI) controlled Stages II–III (>48%). A bimodal LAI time-lag effect emerged: 4–7 days (leaf water potential equilibrium, 27.7% contribution) and 8–14 days (root uptake compensation, 21.7%). Burn severity significantly extended time-lags (severe burns: 12/21 days vs. unburned: 5/12 days), indicating hydraulic system reconstruction requirements. Despite equivalent LAI recovery, severe burns maintained 12%–15% ET reduction, suggesting lasting hydraulic limitations. This study demonstrates that physics-constrained AI models effectively capture complex post-fire ecohydrological dynamics while providing mechanistic interpretability, advancing understanding of vegetation–water coupling reconstruction under increasing fire frequency. Full article

Combine harvesters are core modern grain production equipment with high reliability, critical for food security. Yet their metal parts suffer severe grain-induced wear during operation, directly reducing efficiency, increasing grain loss, and raising maintenance costs and environmental burdens. This paper clarifies the grain-induced wear source characteristics and the dominant mechanisms and hazards for combine harvester metal surfaces, as well as summarizes the research progress of four key protection strategies: wear-resistant materials, surface engineering, structural and parameter optimization, and maintenance and remanufacturing. Based on the latest research data, the working principles, performance advantages and application scenarios of various protective technologies were analyzed. Current research faces several challenges: insufficient systematic wear data for multiple crops, unclear multi-factor coupled wear mechanisms, limited low-cost and long-lasting protective technologies, and the absence of online wear monitoring techniques. Finally, the directions for future research focus, such as the systematic research on the wear characteristics of multiple crops, the deepening of the wear mechanism of multi-factor coupling, the development of green, low-cost and long-term protection technologies, and the development of online wear monitoring and active control systems, are explored, providing theoretical support and technical reference for the transformation of wear control in combine harvesters, from passive maintenance to active protection throughout the entire life cycle. Such future work supports the high-quality development of agricultural mechanization and ensures food security. Full article

The plugging of fractured gas reservoirs with severe lost circulation during oil and gas drilling and production has long been challenged by technical issues such as low plugging strength and short effective duration. This paper reports the preparation of a high-strength supramolecular gel plugging agent via micellar copolymerization based on the synergistic effects of hydrophobic association and hydrogen bonding. Systematic optimization determined the optimal synthesis formula: acrylamide (AM) 12%, 2-acrylamido-2-methylpropanesulfonic acid (AMPS) 2%, stearyl methacrylate (SMA) 0.4%, sodium dodecyl sulfate (SDS) 1.5%, and potassium persulfate 0.3%, with a reaction temperature of 60 °C. Performance evaluations revealed that the gel possesses a controllable gelation time (120 min) and excellent viscoelastic recovery properties. At a compressive strain of 87%, the compressive stress reached 1.43 MPa while maintaining structural integrity. Swelling behavior analysis indicated that the gel follows a non-Fickian diffusion mechanism, with its swelling process governed by the synergistic interplay of water molecule diffusion and polymer network relaxation. Core plugging experiments demonstrated that the gel achieved plugging efficiencies exceeding 95% for cores with permeabilities ranging from 0.18 to 0.90 μm², with a maximum breakthrough pressure gradient of up to 11.48 MPa/m. These results highlight the gel’s efficient and broad-spectrum plugging capability for fractured lost circulation zones. This preliminary study provides experimental foundations for the material design and performance optimization of supramolecular gel-based long-lasting plugging agents for severe lost circulation gas reservoirs, and further field-scale validation is required for engineering application. Full article

Background/Objectives: Eliciting robust immune responses against the hepatitis B virus (HBV) through therapeutic vaccination holds promise for curing chronic hepatitis B. We previously developed the heterologous protein prime/viral vector boost clinical vaccine candidate, TherVacB. Here, we evaluated a replication-competent chimeric vesicular stomatitis virus vector (VSV-GP) as an alternative viral vector boost vaccine. Methods: A recombinant VSV-GP vector co-expressing HBV surface and core antigens (VSV-GP-HBs/c) was generated and characterized for antigen expression. Its immunogenicity, antiviral efficacy, and durability were assessed in HBV-naïve and HBV-carrier mice, using protein primed, viral vector-primed, and multi-viral vector boost regimens. Results: VSV-GP-HBs/c efficiently expressed both HBV antigens in vitro. A single immunization with VSV-GP-HBs/c induced only weak HBV-specific immune responses in vivo. Replacing protein priming with VSV-GP-HBs/c resulted in modest immune activation and limited antiviral effects in HBV-carrier mice. In contrast, substituting the modified vaccinia virus Ankara (MVA)-HBs/c boost in the TherVacB regimen with VSV-GP-HBs/c elicited robust HBV-specific antibody responses and strong CD4 and CD8 T-cell immunity, assessed by intracellular IFN-γ staining after peptide stimulation. This regimen achieved a substantial reduction in serum HBsAg levels, numbers of HBV-positive hepatocytes, and intrahepatic HBV-DNA, with antiviral efficacy comparable to that of the classical TherVacB regimen. Notably, a second viral vector boost did not enhance HBV-specific immunity or antiviral efficacy; instead, it promoted dominant vector-specific CD8 T-cell responses. Long-term analyses performed 10 weeks after the last vaccination further demonstrated that a single protein-prime/VSV-GP-HBs/c boost was sufficient to achieve sustained antiviral control. Conclusions: These findings identify VSV-GP-HBs/c as an effective boost vector for therapeutic hepatitis B vaccination and establish protein priming followed by a single viral vector boost as an optimal strategy for sustained antiviral immunity. Full article

Glutathione (GSH) is a central regulator of redox homeostasis, melanogenesis, and cellular repair, and has gained increasing attention in dermatology for its potential roles in skin brightening, anti-aging, and tissue regeneration. This systematic review evaluated molecular, clinical, and translational evidence of glutathione’s applications and safety across different delivery modalities. The review followed PRISMA guidelines and included studies published between 2000 and 2025. A total of 194 studies met the inclusion criteria, evaluating the effectiveness of glutathione in esthetic dermatology and regenerative medicine. Topical and oral glutathione demonstrated favorable effects on pigmentation, skin brightness, hydration, and oxidative stress markers. Injectable glutathione increases systemic levels rapidly, but is associated with short-lasting effects and potential safety concerns. Glutathione S-transferases facilitate the conjugation of glutathione to electrophilic xenobiotics, thereby protecting proteins and nucleic acids from electrophile-induced damage. Glutathione Peroxidase employs GSH as an electron donor to reduce hydrogen peroxide and lipid hydroperoxides, thus protecting membrane lipids, mitochondrial membranes, and DNA from oxidative damage. Glutathione facilitates the regeneration of other antioxidants, such as vitamin C and vitamin E, through redox cycling. A consistent correlation exists between reduced GSH levels and neuronal dysfunction. Elevated GSH levels enhance cellular resistance to oxidative stress and reduce apoptotic signaling. GSH plays a pivotal role in cutaneous aging and tissue repair through redox regulation, mitochondrial protection, and the modulation of inflammatory and extracellular matrix pathways. To elucidate the clinical significance of glutathione, future research should focus on conducting randomized controlled trials, developing standardized formulations, and performing long-term safety assessments. Full article

Background/Objectives: Stroke is a leading cause of long-term disability, resulting in motor and functional impairments that compromise independence and quality of life. Telerehabilitation offers a promising solution by providing remote, continuous, and accessible post-stroke therapy. This systematic review examined the effects of telerehabilitation on functional capacity, mobility, balance, and quality of life in stroke survivors. Methods: A systematic search was conducted following PRISMA guidelines and registered in PROSPERO (CRD420251169784). Searches in PubMed, Cochrane Library, PEDro, Web of Science, Scopus and CINAHL ultimately identified randomized controlled and quasi-experimental trials from the last decade involving adult stroke patients receiving exercise-based telerehabilitation. Methodological quality was assessed using Joanna Briggs Institute tools and Cochrane risk of bias evaluation. Twenty-one studies with a total of 1067 participants were included, featuring supervised tele-sessions, autonomous exercises, caregiver-assisted training, and hybrid approaches. Results: Results demonstrated significant improvements in functional capacity, motor performance, balance, and quality of life, comparable to conventional rehabilitation. Additional benefits included enhanced self-efficacy, treatment adherence, and caregiver satisfaction. Overall risk of bias was low, though participant blinding was unfeasible. Conclusions: Telerehabilitation may represent a strategy for post-stroke recovery, with studies suggesting outcomes comparable to conventional face-to-face rehabilitation while enhancing accessibility and psychosocial well-being. However, further well-designed, standardized trials with longer follow-up periods are required to confirm its clinical effectiveness. Full article

Professionals working in Assisted Reproduction (AR) have shown high levels of burnout, with embryologists being the most affected. Previous studies have found that burnout shows symptomatology when professionals are exposed to long-lasting workplace stressors. Therefore, the main objectives of this study were estimating burnout levels in embryologists working in AR and testing whether the observed associations between the variables measured fit existing theoretical models. A cross-sectional design was used in a sample of 127 Spanish embryologists working in AR. Years working in AR, excessive workplace pressure and burnout dimensions, emotional exhaustion, depersonalization, and lack of personal accomplishment were measured. Results showed that burnout was present in significant percentages of embryologists working in AR (35.4%, 42.5%, and 28.3% showing high levels of emotional exhaustion, depersonalization, and lack of personal accomplishment, respectively). Additionally, relational and mediational analyses provided support for the Leiter and Maslach’s theoretical model where emotional exhaustion was the first and closer variable to the stressor high pressure in the workplace, followed by depersonalization and lack of personal accomplishment. Implications arising from this study directly affect the mental health of embryologists and their performance on the job, where interventions targeting perceived workplace pressure may reduce burnout indicators in embryologists working in AR. Full article

The integration of thermoelectric modules (TEMs) into renewable energy systems represents a critical technological frontier for global energy efficiency. This review systematically analyzes the scientific output in the field, which has experienced accelerated growth over the last decade, reaching a historical peak in publications between 2023 and 2024. Geographically, research is led by China, Iran, Turkey, and India. Regarding sectoral distribution, the analysis reveals that solar energy dominates applications, divided into solar thermal (25.53%) and photovoltaics (23.40%), followed by biomass (21.28%) and geothermal energy (17.02%), while ocean energy (12.77%) remains the least developed area. Despite the surge in scientific interest, the results confirm a significant methodological gap: 72.34% of the literature relies exclusively on pure simulations and numerical modeling, whereas only 27.66% incorporates experimental validation. This theoretical dependence translates into a lack of data regarding long-term operational reliability; consequently, mechanical analysis indicates that performance degradation becomes critical after the first 4000 cycles of operation, resulting in an 18% power loss. It is concluded that closing the gap toward commercial scale requires a transition from idealized modeling toward polygeneration schemes and thermal coupling designs that mitigate cyclic mechanical stress. This work provides a synthesis that serves as a roadmap for future engineering implementations at the energy-thermal management nexus. Full article

The growing demand for sustainable soil management strategies has intensified interest in hydrochar (HC), a waste-derived amendment produced via hydrothermal carbonization (HTC). This review synthesizes recent advances in HC production, characterization, and agri-environmental applications within a waste-to-resource framework. It covers studies conducted mainly over the last decade, encompassing a wide range of feedstocks, including agricultural residues, sewage sludge, animal manures, and food waste. HTC is typically performed at 130–280 °C under autogenous pressure (2–15 MPa), generating HCs with low intrinsic surface area (<50 m²g⁻¹) and oxygen-containing functional groups that govern nutrient dynamics and soil interactions. Reported application rates vary broadly between 10 and 60 t ha⁻¹, with most experiments conducted under greenhouse conditions. Positive effects on soil pH, cation exchange capacity, water retention, and phosphorus availability are frequently observed. However, plant responses vary according to the type of stimulation promoted by HC, as well as its processing conditions, application rates, and the soil characteristics in which it is applied. Advanced molecular-level analyses (e.g., FT-ICR-MS, GC-MS, and ¹³C-NMR) have provided mechanistic insights into carbon stability, nutrient release, and interaction with soil organic matter. Reusing HTC process water offers an additional pathway for nutrient recovery, although concerns about phytotoxic compounds remain. Despite promising short-term results, long-term field evaluations and standardized assessment protocols are still limited. This review integrates structural, functional and agri-environmental perspectives to identify critical knowledge gaps and guide the optimized and context specific use of hydrochar in sustainable agricultural systems. At the same time, it emphasizes its role in advancing carbon sequestration and in operationalizing resource-circular strategies, thereby underscoring its broader practical and strategic relevance. Full article

Background: This retrospective study assessed long-term survival outcomes of severely periodontally compromised mandibular incisors (≥50% bone loss) following initial periodontal treatment and a structured recall protocol. Methods: Ninety-three patients with ≥50% bone loss in all mandibular incisors were treated in a private practice over a 32-year period by the same periodontist. Following initial treatment, patients were assigned 6- or 12-month recall intervals based on response and motivation. The baseline was set after subgingival debridement (visit 3). Last follow-up visit (LFV) in this study was defined as follows: the last control visit of the patients done by the periodontist. ‘Survival’ was divided into 3 groups: complete survival (CS), all incisors were still present, and partial survival (PS), one or two incisor(s) were lost. Total failure (TF) involved instances in which all incisors were lost. Effective survival was monitored when an extracted tooth was repositioned and stabilized with a splint, ensuring preservation of function. Only 9.7% of patients needed a mandibular incisal splint. For reasons of consistency the CPITN was used. Statistical analysis was performed in R. The significance level was set at α = 0.05. Event-free patients can be considered as uninformative censoring, all with the same probability of risk, as they all were still in follow-up at the time of informed consent approval. Results: A total of 93 patients were included in the study. The mean follow-up was 17.7 years. At the last visit, 79.6% of patients retained all incisors, with an effective survival rate of 89.2%. Regarding the survival probability over time, after 15 years, it is 91% (95% CI: 0.86–0.98), and after 20 years, it is 78% (95% CI: 0.69–0.90). The effective survival probability over time after 15 years was 95% (95% CI: 0.91–1.0), and after 20 years, it was 89% (95% CI: 0.81–0.98). Compliance significantly influenced survival (p = 0.007), whereas the number of occluding units did not (p = 0.226). The total amount of teeth lost during the entire follow-up period showed a statistically significant difference compared to survival (p < 0.001). The general periodontal health of the patient population presented a shift from CPITN 3 to the 0–2 group. Conclusions: Severely compromised mandibular incisors demonstrate high long-term survival rates with appropriate therapy. After 20 years the survival probability was 78%, and the effective survival probability, 89%, underscoring the critical role of lifelong periodontal care. Mandibular incisor preservation over long-term follow-up is highly achievable. Full article

Excessive deflection during the service period of long-span prestressed concrete (PC) bridges remains a persistent challenge in bridge engineering. This study proposes a prestressing design strategy for PC bridges that targets a desired structural curvature (DSC) by counteracting self-weight and external loads, thereby controlling both the initial curvature and its time-dependent evolution associated with prestress losses. The proposed framework was verified through a numerical simulation of a long-term simply supported beam test lasting 1350 days, showing that the mid-span deflection was significantly mitigated and the stress distributions were changed under sustained loading. Furthermore, the applicability of the proposed method is demonstrated through evaluations of two in-service long-span PC girder bridges. Compared with the original designs, the proposed method effectively controls excessive mid-span deflection and improves the bending moment (BM) and stress distributions. For the three-span PC rigid frame bridge constructed using the symmetrical cantilever method, the mid-span deflection was reduced by approximately 63% at 3500 days of service and remained stable after retrofitting. For the five-span continuous PC bridge erected by means of symmetrical cantilever construction, the secondary mid-span deflection at 4800 days was reduced by nearly 70%, satisfying serviceability requirements. These results demonstrate that the proposed DSC-based prestressing design method provides an effective and practical solution for mitigating time-dependent deflection of long-span PC bridges and ensuring robust performance throughout the service life. Full article

The expansion of the invasive species Pedicularis kansuensis threatens the ecological integrity of alpine wetlands, particularly in the Bayinbuluke, northwestern China. However, operational monitoring remains challenging. Conventional indices often lack specificity in heterogeneous alpine backgrounds, while deep learning models are typically too data-intensive to support consistent, multi-year mapping. To develop a rapid, reliable, and operational method for monitoring this invader, we proposed a novel, species-specific spectral index, the Pedicularis kansuensis Index (PKI), using the blue, green, and red-edge bands of high-resolution (3 m) PlanetScope imagery. The PKI constructs a robust target signal by integrating distinct spectral features derived from in situ hyperspectral measurement with a grayscale morphological opening (GrMO) refinement to suppress background noise. A comprehensive validation against seven established benchmarks indices (e.g., NDVI, RI, and ARI) demonstrated the superior performance of PKI across the central alpine wetlands of Bayinbuluke (2841 km²). It achieved the highest separability with an M-statistic of 1.36. Furthermore, the index attained an overall accuracy of 93.52% (95% CI: 92.3–94.7%), and an F1-score of 93.28% (95% CI: 92.0–94.5%), effectively minimizing confusion with co-occurring native vegetation and background. Applying this framework to a five-year time series (2021–2025) revealed a distinct cycle of outbreaks and relaxation. Specifically, the invaded area increased to 2168 ha in 2022, then decreased to 160 ha in 2025. Spatial analysis further identified stable invasion hotspots of 161.6 ha, highlighting key targets for long-term containment. Meanwhile, 94.4% of the invaded area was transient, lasting only one year (4824.7 ha). These results confirm that the PKI is a physically interpretable, accurate, and computationally efficient tool for monitoring invasive species in heterogeneous alpine environments. It facilitates timely and targeted ecosystem management. Full article

Background and Objectives: Porcelain aorta is an anatomy-driven high-risk phenotype characterized by extensive calcification of the ascending aorta, which complicates surgical aortic valve replacement by increasing embolic and technical hazards during cannulation and cross-clamping. As transcatheter aortic valve implantation (TAVI) expands into younger and low-surgical-risk populations, porcelain aorta creates a distinct clinical dilemma: optimizing short-term procedural safety while ensuring durable long-term outcomes and preserving future treatment options. Materials and Methods: We performed a targeted literature search of MEDLINE/PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL), with the last search conducted on 31 January 2026. We synthesized contemporary clinical evidence on TAVI in patients with imaging-defined porcelain aorta, focusing on neurological outcomes, procedural strategies to reduce embolic risk, access considerations, valve performance, cerebral embolic protection, and implications for lifetime valve management (including coronary access and feasibility of future valve-in-valve interventions). Results: The evidence base specific to porcelain aorta in the contemporary TAVI era is limited and largely observational. Across published cohorts, TAVI avoids direct ascending aortic cannulation and cross-clamping and is generally associated with favorable early safety, with a recurring directional signal toward lower neurological risk compared with surgical strategies that require manipulation of a severely calcified ascending aorta. Interpretation is constrained by heterogeneity in porcelain-aorta definitions, patient selection, valve platforms and access routes, as well as, variability in neurological endpoint definitions and adjudication. Conclusions: In patients with porcelain aorta, TAVI is frequently favored because it minimizes ascending aortic manipulation and may mitigate neurological and procedural hazards. In younger and low-risk patients, Heart Team decision-making should incorporate lifetime management principles, including access planning, preservation of future coronary access, and procedural strategies to reduce embolic risk (with consideration of cerebral embolic protection when appropriate). Full article

Condensation of water vapor into discrete droplets on the surface of transparent optical devices-commonly known as fogging-severely degrades their optical performance. To address this issue, a highly transparent, self-healing, and durable polymer-based anti-fogging coating was developed via a facile one-pot copolymerization of 2-acrylamido-2-methylpropanesulfonic acid (AMPS), acrylic acid (AA), and vinyltrimethoxysilane (VTMOS). The chemical structure and composition were thoroughly characterized. The introduction of VTMOS constructs a hydrophilic-hydrophobic microphase structure through in situ formation of a Si–O–Si network, which significantly enhances the mechanical stability and water resistance. The polymer coating can maintain high transparency (>90%) under extreme conditions (85 °C steam and −40 °C freezing), exhibits long-term anti-frosting performance for 180 days, and demonstrates rapid water-assisted self-healing within 30 s. Differential scanning calorimetry (DSC) analysis reveals that each polymer unit binds approximately seven water molecules, elucidating the mechanism behind its exceptional anti-frosting capability. This work presents a practical strategy for designing high-performance, long-lasting anti-fogging coatings suitable for extreme environment applications. Full article