Search Results (467)

Background and Objectives: Morton’s neuroma is a painful foot condition that can be treated with continuous radiofrequency. However, its efficacy is not always optimal, with failure rates of 15–20%. It has been suggested that these failures may be due to incomplete nerve ablation, allowing for nerve regeneration and persistent pain. So, the aim of this study was to assess the histological effects of continuous radiofrequency on the nerves affected by Morton’s neuroma. Materials and Methods: The effect of continuous radiofrequency was evaluated in two patients with Morton’s neuroma, which required open surgery excision. In both cases, radiofrequency with a standard protocol was applied ex vivo, following the surgical excision of the neuroma. A TLG10 RF generator (90 °C, 90 s) with a monopolar needle with a 0.5 cm active tip was used. Subsequently, the samples were histologically analyzed to determine the degree of nerve ablation. Results: Histological analysis showed homogeneous focal necrosis in both cases, with lesion depths of 2.4 mm and 3.18 mm. However, areas of intact nerve tissue were identified at the periphery of the neuroma, suggesting incomplete ablation. Conclusions: The findings indicate that continuous radiofrequency does not guarantee total nerve ablation, which could explain recurrence in some cases. Intraoperative neurophysiological monitoring could be key to optimizing the procedure, ensuring complete interruption of nerve conduction and improving treatment efficacy. Full article

Continuous SiC fiber-reinforced SiC matrix composites (SiC/SiC), as structural heat protection integrated materials, are often used in parts for large-area heat protection and sharp leading edges, and there are a variety of low-velocity impact events in their service. In this paper, a drop hammer impact test was conducted using narrow strip samples to simulate the low-velocity impact damage process of sharp-edged components. During the test, different impact energies and impact times were set to focus on investigating the low-velocity impact damage characteristics of 2.5D SiC/SiC composites. To further analyze the damage mechanism, computed tomography (CT) was used to observe the crack propagation paths and distribution states of the composites before and after impact, while scanning electron microscopy (SEM) was employed to characterize the differences in the micro-morphology of their fracture surfaces. The results show that the in-plane impact behavior of a 2.5D needled SiC/SiC composite strip samples differs from the conventional three-stage pattern. In addition to the three stages observed in the energy–time curve—namely in the quasi-linear elastic region, the severe load drop region, and the rebound stage after peak impact energy—a plateau stage appears when the impact energy is 1 J. During the impact process, interlayer load transfer is achieved through the connection of needled fibers, which continuously provide significant structural support, with obvious fiber pull-out and debonding phenomena. When the samples are subjected to two impacts, damage accumulation occurs inside the material. Under conditions with the same total energy, multiple impacts cause more severe damage to the material compared to a single impact. Full article

Endoscopic ultrasound (EUS) is a helpful tool for the study of the mediastinum, a challenging region for both transesophageal and endobronchial (EBUS) endosonography. This area is divided into sections and contains numerous lymph nodes essential for the staging and diagnosis of conditions like lung cancer, sarcoidosis, and infections. EUS allows for detailed examination of the mediastinal region, identifying various kinds of abnormalities, whether they are benign cysts or malignant tumors. The aim of this narrative review is to provide a clear overview of how EUS contributes to mediastinal diagnostics and to offer practical insights for clinicians. A comprehensive, non-systematic search of PubMed was conducted by the authors to identify relevant studies. EUS methods, such as elastography and contrast-enhanced imaging, have improved diagnosis by analyzing tissue stiffness and blood flow, and they help endosonographers distinguish between different conditions. EUS-guided tissue sampling techniques, like fine needle aspiration and biopsy, are crucial for detecting cancer and examining lymph nodes in a minimally invasive way. By combining EUS with endobronchial ultrasound, operators can achieve more accurate results, especially in cancer staging and treatment planning. Overall, this approach is a key tool in treating thoracic and mediastinal conditions. Full article

Background: Percutaneous electrolysis (PE) is an emerging therapeutic approach for tendinopathies, applying a galvanic current through a dry-needling needle to induce regenerative tissue responses. However, current dosing strategies are often empirical and lack objective physiological feedback. Objective: This study aimed to evaluate the echogenic effects of different galvanic current intensities on cadaveric tendon tissue using quantitative ultrasound. Methods: An ex vivo study was conducted on 29 cadaveric patellar tendon samples, each exposed to a single intensity (0–10 mA for 1 s). Quantitative ultrasound analysis was performed post-intervention, and echogenic variables were extracted using UZ eDosifier software. A composite variable, Electrolysis_UZ_Dose, was created via multiple regression to capture the overall ultrasound-visible changes. Data were analyzed using correlation, regression models, and dose–range comparisons. Results: An intensity-dependent response was observed in key echogenic parameters. Minimal changes occurred at low intensities (0–2 mA), whereas a progressive response emerged between 2 and 6 mA. Beyond 6 mA, a plateau effect suggested either tissue saturation or imaging limitations due to gas-induced acoustic shadowing. The Electrolysis_UZ_Dose variable strongly correlated with applied intensity (R² = 0.732). Conclusions: This study suggests an intensity-dependent echogenic effect of PE on tendon tissue in key ultrasound-derived parameters (A_Number, A_Area, A_Perimeter, A_Homogeneity, and A_ASM). However, as this study was conducted under experimental conditions with a single 1 s application per sample, the results should not be extrapolated to clinical practice without further validation. Full article

Background/Objectives: Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) is a useful procedure for obtaining histological specimens. However, its utility in diagnosing autoimmune pancreatitis (AIP) has not yet been well studied. This study aimed to assess the diagnostic capability of EUS-FNB for AIP by comparing a 19-gauge Franseen needle (19FR) and a 22-gauge Franseen needle (22FR). Methods: This study included patients with a final diagnosis of AIP undergoing EUS-FNB for pancreatic lesions between January 2014 and February 2023. All patients underwent EUS-FNB with either 19FR or 22FR. Histological findings were evaluated according to the International Consensus Diagnostic Criteria (ICDC). The primary outcome was the diagnostic yield of Level 1 (≥3 ICDC items) or Level 2 (2 ICDC items). Results: The 19FR group included 31 patients, and the 22FR group included 36 patients. The Level 1 diagnostic rate was significantly higher in the 19FR group than in the 22FR group (90.3% vs. 61.1%, p = 0.010). No significant difference was observed in the Level 2 diagnostic rate. The 19FR group yielded significantly larger histological tissue samples than the 22FR group (median area: 9.19 mm²/session vs. 3.36 mm²/session, p < 0.001). The analysis demonstrated a positive correlation between tissue area and the number of histological diagnostic items obtained. Conclusions: EUS-FNB performed with the 19FR provided larger histological specimens and a higher histological diagnostic yield than the 22FR in the diagnosis of AIP. Obtaining a larger amount of tissue may facilitate a definitive diagnosis of AIP. Full article

Among numerous global problems, one of the most significant is air pollution. In this paper, unwashed (U) and water-washed (W) needles of two conifers—European larch and Douglas fir—were used to assess their capacity for the retention and accumulation of heavy metals. The needle samples were used to represent the atmospheric deposition of heavy metals located on the surface of the needles. The sampled European larch and Douglas fir plantations were situated at three locations in Serbia: a least polluted (Kučevo), a moderately polluted (Avala), and a very polluted (Lazarevac) site. The content of five heavy metals (Ni, Cu, Co, Cd, Pb) was investigated in the study. The concentration of cadmium (Cd) was higher in the European larch needles compared to Douglas fir, while the differences in the content of the other heavy metals between the species studied were insignificant. For both species, the following trend applied with respect to the heavy metal content in their needles: Ni ˃ Cu ˃ Co ˃ Pb ˃ Cd. Based on the results obtained, we deduced that the concentrations of all investigated heavy metals at all three locations for both species were within the allowed limits, except for nickel (Ni) content, which was over the predicted limit values for both species in the highly polluted area (Lazarevac). A PCA (principal component analysis) undertaken suggests that European larch has a greater ability to accumulate Co than Douglas fir on sites contaminated with heavy metals. The predictive foliar metal accumulation index (MAI) value was slightly higher in Douglas fir (4.14) than in European larch (3.76); therefore, the results suggest that this species would be a good planting choice, particularly in urban and industrial environments. Full article

Shale gas is a low-carbon unconventional natural gas resource. The development of shale gas helps to optimize the energy structure and reduce carbon emissions. However, the needle throttle valves (NTVs) commonly used in shale gas fields are usually severely eroded by solid particles. Based on the method of CFD-DEM coupling calculation, this paper constructs a gas–solid two-phase flow erosion model of the NTV and studies the influence of different placement methods, valve opening degrees, and other factors on particle movement and valve erosion. This research found that the spool is the area of the valve that is most severely eroded, and when placed horizontally, it has a serious ‘bias wear’ phenomenon. The research results herein can provide references for the design optimization and on-site maintenance of valve performance. Full article

Although oily sludge is an industrial waste and difficult to separate, its calorific value can still reach 6000 cal/g, thus possessing significant recycling value. This study compares various types of non-thermal plasma for refining oily sludge. The pre-treatment technology utilized filtration combined with solvent extraction to extract the oil portion from the oily sludge. Subsequently, two types of non-thermal plasma, DC streamer discharge and dielectric plasma discharge, were used to crack and activate the oily sludge under different operating conditions. The fuel compositions and properties of the refined fuel treated by two types of non-thermal plasma were compared. The elemental carbon and oxygen of the oily sludge after treatment in a direct DBD plasma reactor for 8 min were 1.96 wt.% less and 1.38 wt.% higher than those of commercial diesel. The research results indicate that the pre-treatment process can effectively improve the refined fuel properties. After pre-treatment, the calorific value of the primary product from the oily sludge can reach 10,598 cal/g. However, the carbon residue of the oily sludge after pre-treatment remained as high as 5.58 wt.%, which implied that further refining processes are required. The streamer discharge plasma reactor used a tungsten needle tip as a high-voltage electrode, leading to a rather small treated range. Corona discharge and arc formation are prone to being produced during the plasma action. Moreover, the addition of quartz glass beads can form a protruding area on the surface of the oily sludge, generating an increase in the reacting surface of the oily sludge, and hence an enhancement of treatment efficiency, in turn. The direct treatment of DBD plasma can thus have a wider and more uniform operating range of plasma generation and a superior efficiency of plasma reaction. Therefore, a direct DBD type of non-thermal equilibrium plasma reactor is preferable to treat oily sludge among those three types of plasma reactor designs. Additionally, when the plasma voltage is increased, it effectively enhances fuel properties. Full article

Background: Patellar tendinopathy is a musculoskeletal pain condition capable of impairing physical or sport activities. Preliminary evidence supports the efficacy of percutaneous electrolysis (PE) in reducing pain and related disability in patients with patellar tendinopathy. Objective: This study proposes a theoretical model for the application of a percutaneous electrolysis approach targeting the deep zone of the proximal and distal parts of the patellar tendon in both human (ultrasound-guided) and fresh cadaver (not ultrasound-guided) models. Methods: A filiform solid needle was inserted from the lateral side of the patellar tendon targeting two areas: 1, the deep proximal interface of the Hoffa’s fat pad; and 2, the distal insertion of the patellar tendon at the tibial tuberosity in 10 fresh cadavers and in 10 healthy individuals. The patellar tendon, the saphenous nerve, and the infrapatellar nerve and its branches were identified by dissecting fresh cadavers to determine the anatomical trajectory of the infrapatellar nerve branches in relation to the needle. Results: The cadaveric model shows an anatomical relationship between the patellar tendon and infrapatellar nerve branches at the medial part of the knee. Infrapatellar nerve branches ran subcutaneously obliquely from the medial to the anterior and lateral parts of the knee, crossing in front of the patellar tendon. In all cadavers, the superior and inferior infrapatellar branches ran through the superior or inferior parts of the medial knee area. Only in 2/10 knees infrapatellar nerve branches reached the lateral part of the knee, specifically the superior lateral part. No neurovascular bundle of infrapatellar nerve branches was pierced in any insertion when the needle was inserted from the lateral part of the knee. Conclusion: This anatomical model supports the use of a lateral approach as a potentially safe approach to apply in needling interventions, e.g., percutaneous electrolysis for patellar tendinopathies. The infrapatellar nerve branches are vulnerable to needle procedures applied through the anteromedial side of the knee. Full article

Conventional laboratory methods for handling valuable biological samples typically use pipettes or needles, which are prone to issues such as dead volume and sample waste. Furthermore, the sampling and processing of pathogenic bacteria, such as Escherichia coli (E. coli) in environmental wastewater, require labor-intensive procedures with multiple complex steps. To overcome these limitations, we developed a pipette integrated with a microfluidic chip for bacteria sampling and delivery. This pipette can provide the negative pressure to microfluidic chips for sampling, the constant temperature unit for biological reaction, and programs for automatic control (suction, heating, liquid discharge, and cleaning) and display. The droplet chip employs a cross-channel structure to generate droplets and incorporates a designated droplet storage and detection area. Utilizing this innovative device, we have demonstrated the generation, transportation, and storage of pL droplets, as well as quantitatively detected E. coli samples across various concentrations. The test results have demonstrated the overall reliability and data consistency of the system. Overall, our device achieves the precise sampling of pL volumes, offering a simple yet promising solution for the sampling and delivery of bio-samples in remote settings. Full article

The erosion of Pelton turbine components in mountainous areas with high sediment input is a major challenge for energy- and cost-efficient operation. Quantitative data on possible efficiency losses associated with local damage are needed. A systematic experimental study was carried out on a model turbine to determine the efficiency losses caused by damaged needles and seat rings. For this purpose, artificial patterns of erosion-like damage were generated on the surfaces of needles and seat rings. These patterns were gradually deepened, and hill charts were measured repeatedly. The combination of needle and seat ring defects was also studied, and the finding is that superimposing the individual efficiency losses of the needle and seat ring resulted in the same efficiency loss measured for both damaged parts. The results of the measurement campaign show that damaged needles should be replaced at an early stage of deterioration, as efficiency losses can quickly add up to several percent and become unacceptable at partial load operations of the turbines. Full article

Potentially toxic elements (PTEs) have steadily become a serious environmental problem, especially regarding brownfields chosen for reuse, e.g., as a residential area. “Norra Hamnstaden” in Lidköping (Sweden) has a long history of industrial activity, including porcelain production with the resultant industrial waste deposited close by resulting in elevated levels of metals used for porcelain glazes, especially lead. To estimate the bioavailability of twelve PTEs (As, Ba, Pb, Cd, Co, Cu, Cr, Mn, Mo, Ni, V, Zn), their uptake by birches (Betula pendula) as well as Scots pines (Pinus sylvestris) was investigated through analyzing their leaves. Sampling was carried out on five trees once per month in the period from May to August. Different uptake patterns were observed for birches and pines, for the latter even varying with age. The birch samples showed higher contents of nickel, cobalt, molybdenum, and lead compared to the reference trees. Also, the pine needles had elevated lead levels, although by a lower factor. Birch leaves revealed surprising patterns of elevated element bioaccumulation factors, with barium reaching up to eight, offering the possibility to limit analyses to plant material for risk assessments instead of soil analysis. Full article

Background/Objective: Needlestick injuries (NSIs) are a significant source of bloodborne infections among nurses. This study aimed to assess the prevalence, contributing factors, and awareness of post-exposure prophylaxis (PEP) among Estonian nurses. Methods: This prospective cross-sectional study was conducted using an electronic questionnaire in September 2024. Results: The majority of the 211 nurses participating in this study were females aged 21 to 75 years. Notably, 57.1% (n = 109, aged 43.9 ± 12.2) had experienced an NSI in the past decade. Most injuries occurred during sharps’ disposal (33%) and with syringe needles (72%). Among those injured, 84% washed the area with water and soap, 80% used alcohol-based disinfectants, and 69% reported the incident. However, 20.6% did not report due to perceived insignificance or lack of follow-up actions. Additionally, 14.7% were unaware of the reporting requirement, and 8.8% did not know who to report to. Conclusions: Improved training and reporting practices are essential to reduce NSIs among nurses. Full article

Purpose: The objective of this research was to compare the pain-reducing effects of two topical anesthetic agents, 10% atomized lidocaine spray and an EMLA, cream before needle injection applied at different time intervals using parameters of visual analog scale (VAS) score and heart rate (HR). Methods: The randomized split-mouth study included 30 patients (17 boys, 13 girls) aged 8.22 ± 1.8 years. The application of atomized lidocaine spray or cream was randomly used in the maxillary second premolar region. The parameters were measured prior to and following each needle insertion after being applied for 10, 30, 60, and 120 sec. Paired t-test and independent t-test were used for statistic analyses. Results: Compared with the first applications (10 s), atomized lidocaine and EMLA cream applications significantly decreased scores of VAS at the 30 and 120 s applications, respectively. Despite atomized lidocaine showing an early effect compared with EMLA, there were no significant differences in VAS scores between the atomized lidocaine and EMLA cream at the 60 and 120 s measurements. Although HR significantly increased at first anesthetic administration with the atomized lidocaine spray, HR significantly decreased at 30 and 120 s administrations. Conclusions: Atomized 10% lidocaine-based topical anesthetics significantly reduced pain more rapidly and better than EMLA from needle pricks in the buccal mucosa. Therefore, atomized lidocaine topical anesthesia could be used as a substitute for EMLA cream prior to buccal anesthetic administration. On the other hand, further comprehensive studies are required to explore the effects of several doses of atomized lidocaine in various areas of the oral cavity. Full article

This study presents the first scientific characterization of the white preparatory layer and polychrome pigments on painted wooden figurines excavated from the Mawangdui Tomb No. 1, dating to the Han dynasty. A combination of analytical techniques, including XRF mapping, SEM, ATR-FTIR, XRD, and Raman spectroscopy, was used to investigate the composition, structure, and potential additives in the white layer. The results reveal that the preparatory layer is primarily composed of gypsum (CaSO₄·2H₂O) and calcite (CaCO₃), with minor phases such as anhydrite and larnite. SEM observations show a porous microstructure of needle-like crystals, while spectroscopic data suggest possible traces of organic binders. The preparatory layer was likely applied to smooth surface irregularities and support polychrome decoration, such as cinnabar and carbon-based pigments, and may have also functioned as a putty in localized areas. This represents the first confirmed use of gypsum-based plaster in ancient Chinese woodcarving, showing unexpected parallels with surface preparation techniques used in New Kingdom Egypt. However, the presence of organic additives and the internal structure of the figurines remain unresolved due to equipment limitations. These findings provide new insights into ancient material practices and highlight the importance of environmental control and material-specific conservation strategies for fragile gypsum-based heritage objects. Full article