Search Results (3,870)

Background: Oral leukoplakia (OL) and proliferative verrucous leukoplakia (PVL) remain challenging entities due to the absence of reliable prognostic biomarkers. All-trans retinoic acid (atRA), a pivotal modulator of epithelial differentiation and mucosal integrity, has been proposed as a candidate biomarker. This study sought to quantify plasma RA levels in patients with OL and PVL compared to healthy controls, assessing their potential clinical utility. Methods: A cohort of 40 participants was recruited, comprising 10 patients with OL, 10 with PVL, and 20 healthy controls. This nested case–control study was derived from previously characterized institutional databases of oral potentially malignant disorders. Plasma samples were analyzed for atRA concentration using high-precision mass spectrometry. Statistical comparisons were conducted to evaluate differences between groups and associations with clinical outcomes. Results: Patients with homogeneous OL exhibited significantly reduced plasma atRA concentrations (mean 2.17 ± 0.39 pg/mL) relative to both PVL patients (2.64 ± 0.56 pg/mL) and healthy controls (2.66 ± 0.92 pg/mL), with p-values of 0.009 and 0.039, respectively. No statistically significant difference was found between PVL patients and controls. Furthermore, atRA levels demonstrated no correlation with clinicopathological variables or malignant progression within the PVL cohort. Conclusions: These preliminary findings indicate that diminished plasma atRA levels may serve as a prognostic marker for homogeneous oral leukoplakia, whilst its role in PVL appears limited. However, effect estimates were imprecise, and additional studies are warranted. Full article

This article examines the evolution and potential cross-cultural adaptations of the “Goddess of the Flaming Mouth”, Jvālāmukhī (Skt.) or Kha ‘bar ma (Tib.), in Indic and Tibetan traditions. A minor figure in medieval Hindu Tantras, Jvālāmukhī is today best known through her tangible manifestation as natural flames in a West Himalayan temple complex in the valley of Kangra, Himachal Pradesh, India. The gap between her sparse portrayal in Tantric texts and her enduring presence at this local “seat of power” (śakti pīṭha) raises questions regarding her historical development and sectarian affiliations. To address these questions, we examine mentions of Jvālāmukhī’s Tibetan counterpart, Kha ‘bar ma, across a wide range of textual sources: canonical Buddhist texts, original Tibetan works of the Bön and Buddhist traditions, and texts on sacred geography. Regarded as a queen of ghost spirits (pretas) and field protector (kṣetrapāla) in Buddhist sources, her portrayal in Bön texts contain archaic motifs that hint at autochthonous and/or non-Buddhist origins. The assessment of Indic material in conjunction with Tibetan texts point to possible transformations of the goddess across these culturally proximate Himalayan settings. In presenting and contextualizing these transitions, this article contributes critical data to ongoing efforts to map the development, adaptation, and localization of Tantric deities along the Indo-Tibetan interface. Full article

This study provides the first comprehensive characterization of benthic macrofaunal communities in the Loukkos estuary, highlighting their spatial and seasonal variability and the environmental factors shaping their structure. A total of 47 species were identified across 12 site–season combinations, dominated by molluscs (47%), polychaetes (23%), and crustaceans (21%). Species richness varied considerably along the estuarine gradient, ranging from fewer than five species in the upstream sector to up to 30 species downstream. Overall, higher diversity was observed in the downstream areas and during the dry season. Macrofaunal density also exhibited substantial variability, ranging from 95 ind.m⁻² to 14,852 ind.m⁻², with a mean density of 2535 ± 4058 ind.m⁻². Multivariate analyses identified four distinct benthic assemblages structured primarily by spatial factors (ANOSIM R = 0.86, p = 0.002), with negligible seasonal effect (R = −0.03, p = 0.6). Assemblages ranged from marine-influenced communities at the estuary mouth dominated by Cerastoderma edule, through rich and diverse seagrass-associated communities in the lower estuary dominated by Bittium reticulatum, and moderately enriched mid-estuary communities characterized by Scrobicularia plana and Hediste diversicolor, to species-poor upstream communities dominated by the tolerant species H. diversicolor. Canonical analysis showed that salinity and vegetation explain nearly 40% of the variation in benthic assemblages, highlighting the key role of Zostera seagrass beds as structuring habitats. Moreover, upstream anthropogenic pressures alter environmental conditions, reducing benthic diversity and favoring tolerant species. Full article

Background and objectives: Trismus is a frequent and debilitating complication in people with head and neck cancer (HNC) which leads to significant functional limitations and reduced quality of life. Rehabilitation interventions are commonly recommended to manage or prevent trismus. However, in many randomized controlled trials (RCTs), the theoretical justification for these interventions is poorly articulated, and the underlying biological or physiological mechanisms are not described in detail, limiting our understanding of why certain treatments may (or may not) work. This review aimed to identify and analyze how RCTs report the rationale for rehabilitation interventions and the explanations used to manage this population. Materials and Methods: A scoping review was conducted in accordance with the PRISMA-ScR guidelines. Five databases (PubMed, PEDro, Web of Science, Scopus, and EMBASE) were searched up to May 2025 for RCTs evaluating rehabilitation interventions for the management or prevention of treatment-induced trismus in patients with HNC. Data were extracted and synthesized narratively, focusing on the type of intervention, the rationale for its use, and the proposed mechanisms of action. Results: Of 2215 records identified, 24 RCTs met the inclusion criteria. Thirteen studies focused on preventive interventions—primarily exercise therapy—while the remainder addressed established trismus using exercise, manual therapy, electrotherapy, or combined treatment modalities. The rationales provided for intervention selection were heterogeneous and often lacked depth, with most studies justifying interventions based on their potential to improve mouth opening or reduce fibrosis but rarely grounding these claims in detailed pathophysiological models. Only half of the studies provided any mechanistic explanation for the intervention’s effects, and these were typically generic or speculative. Conclusions: RCTs investigating rehabilitation interventions for treatment-induced trismus in patients with HNC frequently lack comprehensive rationales and mechanistic explanations for their interventions. This gap limits the ability to refine and optimize treatment approaches, as the underlying processes driving clinical improvements remain poorly understood. Future research should be guided by theoretical models and include objective outcomes to better elucidate the mechanisms of action of interventions to inform clinical practice. Full article

A total of 304 patients with bruxism (206 women, 98 men; mean age: 52.5 years) received 25 units of botulinum toxin injected into the bilateral masseter muscles; the changes in various clinical symptoms and their contributing factors were analyzed 2 months after treatment. The mean masseter muscle electromyographic amplitude (189 μV) and maximal bite force (618.4 N) significantly decreased after botulinum toxin therapy compared to that at baseline (55.4 μV, 527.3 N, respectively; p < 0.001). Maximal mouth opening (44 mm), sleep quality (visual analog scale: 5.3), shoulder and neck stiffness (6.7), and headache (5.4) significantly improved after the injection (47.3 mm, 6.6, 4.7, and 2.6, respectively; p < 0.001). Multivariate analysis revealed that the mean masseter electromyographic amplitude reduction rate was significantly affected by age, sex, and baseline amplitude (all p < 0.001); the maximal bite force reduction rate was influenced by age (p < 0.001), sex (p = 0.007), and baseline bite force (p = 0.008). Age, sex, and muscle activity may affect the therapeutic effects. A more effective outcome for bruxism can be achieved using a tailored approach involving dose adjustment, thereby preventing the side effects attributed to excessive dosage. Full article

Background/Objectives: Delayed gastric emptying (DGE) is a well-known complication of laparoscopic pylorus-preserving gastrectomy (LPPG). Patients who underwent LPPG in the KLASS-04 trial, which was a multicenter prospective randomized control trial comparing LPPG and laparoscopic distal gastrectomy (LDG), showed an unneglectable incidence of long-term DGE compared to patients who underwent LDG. This study aimed to identify the multifactorial risk factors associated with DGE and to analyze the quality of life (QoL) of patients with DGE following LPPG. Methods: DGE was defined as “nearly normal diet residue” at least once in the endoscopic follow-up at 1, 2, and 3 years after the surgery. Clinicopathological features, surgical outcomes, and QoL were compared between the DGE and non-DGE groups. Results: DGE was observed in 21/124 patients (16.3%) who underwent LPPG. Patients without previous abdominal surgery had a higher incidence of DGE in the univariate (32% vs. 4.8%, p = 0.011) and logistic regression analyses (odds ratio: 0.106, 95% confidence interval: 0.014–0.824, p = 0.032). Patients with DGE reported more symptoms of nausea and vomiting (p = 0.004), constipation (p = 0.04), and a dry mouth (p = 0.005). Conclusions: Despite the strict protocol used to avoid well-known risk factors for DGE, such as damage to the hepatic branch of the vagus nerve, infrapyloric artery and vein, and short antral cuff, the LPPG group of the KLASS-04 trial exhibited a considerable incidence of DGE. No clinicopathological or surgical factors, other than the absence of a previous surgical history, were identified as multifactorial risk factors for DGE. However, DGE had a negative impact on the QoL of patients. Full article

The lacustrine to deltaic depositional systems of the Upper Jurassic Qigu Formation in the Yongjin area constitute a significant petroleum reservoir in the central Junggar Basin, China. Based on core observations, petrology analyses, paleoenvironment indicators and modern sedimentary analyses, sequence stratigraphy, lithofacies associations, sedimentary environment, evolution, and models were investigated. The Qigu Formation can be divided into a third-order sequence consisting of a lowstand systems tract (LST) and a transgressive systems tract (TST), which is further subdivided into six fourth-order sequences. Thirteen lithofacies and five lithofacies associations were identified, corresponding to shallow-water delta-front deposits. The paleoenvironment of the Qigu Formation is generally characterized by an arid freshwater environment, with a dysoxic to oxic environment. During the LST depositional period (SQ1–SQ3), the water depth was relatively shallow with abundant sediment supply, resulting in a widespread distribution of channel and mouth bar deposits. During the TST depositional period (SQ4–SQ6), the rapid rise in base level, combined with reduced sediment supply, resulted in swift delta retrogradation and widespread lacustrine sedimentation. Combined with modern sedimentary analysis, the shallow-water delta in the study area primarily comprises a composite system of single main channels and distributary channel-mouth bar complexes. The channel-bar complex eventually forms radially distributed bar assemblages with lateral incision and stacking. The distributary channel could incise a mouth bar deeply or shallowly, typically forming architectural patterns of going over or in the mouth bar. Reservoir test data suggest that the mouth bar sandstones are favorable targets for lithological reservoir exploration in shallow-water deltas. Full article

This study focuses on the clastic reservoir in the first member of Yaojia Formation within Qijia-Gulong Sag, Songliao Basin. The results indicate that the reservoir in the study area develops within a shallow-water delta sedimentary system. The dominant sedimentary microfacies comprise underwater distributary channels, mouth bars, and sheet sands. Among these, the underwater distributary channel microfacies exhibits primary porosity ranging from 15.97% to 17.71%, showing the optimal reservoir quality, whereas the sheet sand microfacies has a porosity of only 7.45% to 12.08%, indicating inferior physical properties. During diagenesis, compaction notably decreases primary porosity via particle rearrangement and elastic deformation, while calcite cementation and quartz overgrowth further occlude pore throats. Although dissolution can generate secondary porosity (locally up to 40%), the precipitation of clay minerals tends to block pore throats, leading to “ineffective porosity” (permeability generally < 5 mD) and overall low-porosity and low-permeability characteristics. Carbon–oxygen isotope analysis reveals a deficiency in organic acid supply in the study area, restricting the intensity of dissolution alteration. Reservoir quality evolution is dominantly governed by the combined controls of sedimentary microfacies and diagenesis. This study emphasizes that, within shallow-water delta sedimentary settings, the material composition of sedimentary microfacies and the dynamic equilibrium of diagenetic processes jointly govern reservoir property variations. This insight provides critical theoretical support for understanding diagenetic evolution mechanisms in clastic reservoirs and enabling precise prediction of high-quality reservoir distribution. Full article

Bcakground: The deepithelialized free gingival graft (DGG) technique provides high-quality connective tissue grafts (CTGs) with predictable outcomes for recession coverage. This study evaluates a novel method of free gingival graft (FGG) deepithelialization using an Er,Cr:YSGG laser (LDEE) for treating multiple gingival recessions. Methods: A split-mouth study was conducted on 46 (n = 46) recessions in nine patients (23 per test and control group). Sites were randomized. Full-thickness palatal grafts were harvested with a scalpel. In the test group (LDEE), deepithelialization was performed extraorally using an Er,Cr:YSGG laser (2780 nm; 2.5 W, 83.3 mJ, 30 Hz, 600 µm tip). In the control group (DEE), a 15c scalpel was used. All CTGs were applied using the modified coronally advanced tunnel (TUN) technique. Clinical parameters—recession depth (RD), keratinized tissue width (KT), gingival thickness (GT), pocket depth (PD), clinical attachment loss (CAL), pink esthetic score (PES), approximal plaque index (API), mean root coverage (MRC), and complete root coverage (CRC)—were assessed at baseline (T0), 3 months (T1), and 6 months (T2). Results: Both LDEE and DEE groups showed significant improvements in RD, KT, GT, PD, and CAL over time (p < 0.001). At T1 and T2, KT was significantly higher in the LDEE group (T1: 3.73 ± 0.72 mm; T2: 3.98 ± 0.76 mm) compared to the DEE group (T1: 3.21 ± 0.61 mm; T2: 3.44 ± 0.74 mm; p < 0.05). Other parameters (RD, GT, PD, CAL) showed no statistically significant intergroup differences at any time point (p > 0.05). After 6 months, MRC was 95% and CRC 82.6% for LDEE, compared to 94.8% and 82.6% for DEE (p > 0.05). PES scores were similar between groups at all time points (p > 0.05). Conclusions: Both laser- and scalpel-deepithelialized grafts effectively treated gingival recessions. LDEE combined with TUN resulted in significantly greater KT width compared to DEE + TUN. Full article

The study of muscle activity as a function of vertical dimension has been extensively developed in the field of oral physiology. It involves asking subjects to open their mouths to a predetermined distance and then recording muscle activity in that position. Most studies perform this without accounting for physiological differences among patients. The objective of this study is to present a protocol for recording muscle activity at various mouth-opening levels using electromagnetic articulography (EMA) and surface electromyography (sEMG), normalizing opening degrees and muscle activity. Muscle activity recordings were obtained in the position of maximum intercuspation and maximum mouth opening. Based on these recordings, the position corresponding to 5–50% of maximum opening was calculated. EMA and sEMG recordings were performed at these levels. Muscle activity during maximum voluntary clenching was recorded and used to normalize the previous data. In all cases, three 5-second recordings were obtained. The analysis of muscle activity using EMA and sEMG did not present any complications. A slight difference was observed between the intended percentage of mouth opening and the actual percentage achieved. The method described in this study is a tool that allows for the analysis of muscle activity at various mouth-opening levels in a way that has not been previously explored in the literature. Full article

Background/Objectives: This study aims to uncover the variables related to the success of the intervention. Methods: A retrospective study was conducted on patients who underwent joint replacement surgery utilizing a customized alloplastic system between 2018 and 2023, comprising subjects with complete records for both the planning and follow-up phases. The Student’s t-test was applied with a significance threshold of p < 0.05. Results: Forty-eight subjects were admitted for initial analysis, and 31 subjects were evaluated with a minimum follow-up of 1 year and a maximum of 7 years, with a mean age of 36.37 ± 15.53. The TMJ diagnosis was mainly with degenerative TMJ disease, followed by ankylosis and craniofacial syndromes, and an average of 2.1 ± 1.2 previous surgeries were noted. Degenerative joint disease correlated with increased pain (p < 0.0001) and a higher prevalence of prior joint surgery (p < 0.0001). Thirty-one subjects were followed up with 47 prostheses installed; 74.4% underwent complementary surgery with other facial osteotomies. Significant improvements (p < 0.0001) were observed when comparing pain levels pre- and postoperatively, with a decrease from 5.5 (±2.3) to 2.2 (±0.4). Concerning the interincisal opening, there was a significant increase (p < 0001) from 25.85 (±10.2) mm to 35.93 (±4.2) mm in mouth opening. TMJ replacement treatment is efficient and effective, demonstrating stability in follow-up assessments for up to 7 years. Conclusions: The indications for replacement are diverse and may benefit patients who have not yet progressed to end-stage TMJ disease. Full article

In the past two decades, little information has been updated to understand the resource status of the crab species Ovalipes punctatus in the East China Sea Region. In this study, we conducted surveys in 2018 and 2019 to identify the seasonal spatial distribution patterns of the economically important sand crab Ovalipes punctatus (De Haan 1833) in the southern Yellow and East China Seas. In the study area, the largest biomass of crabs was observed in the fishing grounds of Dasha and the Yangtze River mouth, and the second largest biomass was detected in the Jiangwai-Zhouwai area. Seasonally, the total biomass order in these areas was summer > autumn & winter > spring, and the mean average individual weight order was spring & summer > winter > autumn. These findings provided maps of the seasonal spatial distribution pattern of the species across seasons, which were then used in climate-change scenario models. Model predictions suggested that O. punctatus might migrate northward and offshore under climate warming conditions, and that the climate scenario SSP585-2100 might be the most negative case, respectively, for the habitat area of gain% minus loss%. These data can be used to develop robust and systematic regional fisheries resource management policies that consider adaptation measures to address the impact of environmental and climate change along China’s coasts and other areas in the world. Full article

Following hygiene standards in milk production is essential for making high-quality sour cream, especially when using traditional methods that rely on raw milk. The aim of this study was to determine the physicochemical, microbiological, and sensory quality of artisanal sour cream samples collected from major marketplaces in the wider Zagreb area. On average, the samples contained 27.99% milk fat, 3.30% protein, 34.29% dry matter, 6.51% fat-free dry matter and 3.00% lactose, with considerable variability observed across all components. Microbiological analysis revealed the presence of Staphylococcus aureus in 35.30% of the samples, Enterobacteriaceae in 76.47%, Escherichia coli in 94.11%, Bacillus spp. in 23.53%, and yeasts in 100% of the samples. Listeria monocytogenes and Salmonella spp. were not detected. The sensory analysis of the textural properties showed significant variability in firmness, adhesiveness, viscosity, creaminess, and fizziness. Samples with higher milk fat and dry matter content were rated better for creaminess, viscosity and mouth firmness. Flavour assessments, particularly for cream and diacetyl notes, also varied widely among samples. These findings highlight the complexity of sour cream’s sensory attributes and the significant influence of ingredient composition and processing techniques on appearance, aroma, texture, taste, and flavour. Principal component analysis (PCA) with Varimax rotation simplified the data structure and identified key dimensions of quality variation. Principal component analysis (PCA) revealed that the first principal component (PC1) effectively discriminated the cream samples based on sensory attractiveness and indicators of spoilage and highlighted the association between off-flavour and microbial contamination with inferior characteristics. The second principal component (PC2) captured the differences in physicochemical characteristics and showed a gradient from richer, creamier samples with higher fat content to those with lower acidity and higher freshness. Full article

The livestock sector is a significant contributor to the economy and rural livelihoods, but it is exposed to high risk across the supply chain, which is detrimental and needs to be addressed for sustainable development. Therefore, this study aimed to identify the major risk mitigation strategies (RMSs) and associated factors that affect their adoption. This study conducted a comprehensive literature review to identify the eight major RMSs and prioritized them through an analytical hierarchical process (AHP). Thereafter, a multivariate probit (MVP) model was developed to identify the factors affecting the adoption of major RMSs. The primary RMSs are livestock insurance, vaccination of livestock, and advisory/extension services. Further, the multivariate probit regression analysis shows that ‘age’, ‘social category’, ‘economic status’, ‘educational level’, ‘income level’, ‘the total number of animals’, and ‘perceived risk of foot and mouth disease’ are significant factors that influence the adoption of RMSs. This study’s findings will be useful for livestock supply chain partners to mitigate the risks along the livestock supply chain. This research will also help policymakers to develop policies/plans for incorporating these RMSs by considering the influencing associated factors. Full article

Background: Chronic primary orofacial pain (COFP) affects approximately 7% of the population and often leads to reduced quality of life. Patients frequently undergo multiple assessments and treatments across healthcare disciplines, often without a definitive diagnosis. The 2019 ICD-11 classification of chronic primary pain clusters together COFP subtypes based on chronicity and associated functional and emotional impairment. Objective: This study aimed to evaluate whether these subtypes of COFP share common underlying mechanisms by comparing neuroimaging findings. Methods: A systematic review was conducted in accordance with PRISMA guidelines. Searches were performed using Medline (OVID) and Scopus up to April 2025. Inclusion criteria focused on MRI-based neuroimaging studies of participants diagnosed with COFP subtypes. Data extraction included participant demographics, imaging modality, brain regions affected, and pain assessment tools. Quality assessment used a modified Coleman methodological score. Results: Fourteen studies met the inclusion criteria, all utilising MRI and including two COFP subtypes (temporomandibular disorder and burning mouth syndrome). Resting- and task-state imaging revealed overlapping alterations in several brain regions, including the thalamus, somatosensory cortices (S1, S2), cingulate cortex, insula, prefrontal cortex, basal ganglia, medial temporal lobe, and primary motor area. These changes were consistent across both TMD and BMS populations. Conclusions: The findings suggest that chronic primary orofacial pain conditions (TMD and BMS) may share common central neuroplastic changes, supporting the hypothesis of a unified pathophysiological mechanism. This has implications for improving diagnosis and treatment strategies, potentially leading to more targeted and effective care for these patients. Full article