Search Results (82)

Background: Assessing pancreatic ductal adenocarcinoma (PDAC) resectability after neoadjuvant therapy (NAT) remains a diagnostic challenge. Traditional computed tomography (CT) criteria often fail to distinguish viable tumor from fibrosis, necessitating a reassessment of imaging-based standards. Methods: A comprehensive literature review was conducted using PubMed, focusing on prospective and retrospective studies over the past 25 years that evaluated the role of CT and complementary imaging modalities (MRI, PET-CT) in predicting resectability post-NAT in non-metastatic PDAC. Studies with small sample sizes or case reports were excluded. Results: Across studies, conventional CT parameters—particularly >180° vascular encasement—showed a limited correlation with histologic invasion or surgical outcomes after NAT. Persistent vessel contact on CT often reflected fibrosis, rather than active tumor. Dynamic changes, such as regression in the tumor–vessel interface and vessel lumen restoration, correlated more accurately with R0 resection. Adjunct markers like CA 19-9 response and patient performance status further improved resectability prediction. Conclusions: CT-based resectability assessment after NAT should transition from static morphologic criteria to response-based interpretation. Multidisciplinary evaluation integrating radiologic, biochemical, and clinical findings is essential to guide surgical decision-making and improve patient outcomes. Full article

Background/Objectives: Artificial tendons offer an alternative to biological tendon grafts and may restore normative biomechanical functions in humans and animals suffering segmental or complete tendon loss. The aim of this study was to quantify movement biomechanics during hopping gait and muscle properties of New Zealand White rabbits with a polyester silicone-coated (PET-SI) artificial tendon. Methods: In five rabbits, the biological Achilles tendon of the left hindlimb was surgically replaced with a PET-SI artificial tendon; five operated control rabbits underwent complete surgical excision of the biological Achilles tendon in the left hindlimb with no replacement (TE). Results: Across both groups at 2 and 8 weeks post-surgery compared to baseline, the maximum ankle angle during stance and swing phases of stride was significantly lower (i.e., more dorsiflexed) (p < 0.001), the peak vertical force was significantly higher (p < 0.001), and the average ground contact area was significantly lower (p < 0.001). At 8 weeks post-surgery, the muscle cross-sectional area of the lateral gastrocnemius was significantly higher in the PET-SI group than in the TE group (p = 0.006). Muscle mass and length were lower in the operated limb compared to the non-operated limb across the two groups (TE and PET-SI), with no significant differences between groups. Conclusions: The artificial Achilles tendon did not appear to provide superior biomechanical support during hopping compared to the TE group. However, the artificial tendon preserved muscle structural properties that correspond to the muscle’s capacity to generate force. Future studies should optimize the tendon–tissue interface. Full article

The rhizosphere serves as a critical interface for plant–soil–microorganism interactions. Rhizosphere soil refers to the soil directly adhering to root surfaces, while non-rhizosphere soil denotes the surrounding soil not in direct contact with roots. This study investigated the characteristics of soil microbial community structure, diversity, and enzyme activity dynamics in both rhizosphere and non-rhizosphere soils of Salix cupularis (shrub) across different restoration periods (4, 8, 16, and 24 years) in alpine sandy lands on the eastern Qinghai–Tibet Plateau, with unrestored sandy land as control (CK), while analyzing relationships between soil properties and microbial characteristics. Results demonstrated that with increasing restoration duration, activities of sucrase, urease, alkaline phosphatase, and catalase in Salix cupularis rhizosphere showed increasing trends across periods, with rhizosphere enzyme activities consistently exceeding non-rhizosphere levels. Bacterial Chao1 and Shannon indices followed similar patterns to enzyme activities, revealing statistically significant differences between rhizosphere and non-rhizosphere soils after 8 and 24 years of restoration, respectively. Dominant bacterial phyla ranked by relative abundance were Actinobacteria > Proteobacteria > Acidobacteria > Chloroflexi > Gemmatimonadetes. The relative abundance of Actinobacteria exhibited highly significant positive correlations with carbon, nitrogen, phosphorus, and enzyme activity indicators, indicating that Salix cupularis restoration promoted improvements in soil physicochemical properties and nutrient accumulation, thereby enhancing bacterial community diversity and increasing Actinobacteria abundance. These findings provide fundamental data for restoration ecology and microbial ecology in alpine ecosystems, offering a scientific basis for optimizing ecological restoration processes and improving recovery efficiency in alpine sandy ecosystems. Full article

This study investigates the application of terahertz frequency-modulated continuous-wave (FMCW) imaging for the non-destructive inspection of a historical enamel plate, using both reflection and transmission modes. A 300 GHz FMCW radar system was employed to capture high-resolution images of the plate’s internal and surface structures. Through optimized data acquisition and processing, the system successfully revealed subsurface features such as fractures, as well as surface-level textural variations linked to the decorative glazes. Although pigment differentiation remains a challenge, contrast variations observed in THz images suggest correlations with material composition. The results highlight the potential of FMCW terahertz imaging as a compact, rapid, and non-contact diagnostic tool for cultural heritage analysis. Its practicality and adaptability make it particularly suitable for in situ inspections in museums or restoration contexts. Full article

Background: The quality of a provisional restoration, especially its color and marginal integrity, can play a critical role in its survival and overall patient satisfaction. This study aims to evaluate the color stability and marginal fit differences between provisional restorations fabricated by non-traditional methods compared to manual fabrication. Methods: A total of 80 extracted teeth were prepared for ceramic crowns and randomly divided into four groups: acrylic, 3D printing, computer-aided design/computer-aided manufacturing (CAD/CAM), and bis-acryl. The examined teeth were subjected to artificial aging using a thermocycling machine dwelling for 5000 cycles (simulating 6 clinical months). Color stability and marginal integrity were measured before and after thermal aging using a VITA Easyshade V spectrophotometer and 3D surface non-contact profilometer. ANOVA was used to determine whether the mean value difference was significantly different. Results: The 3D-printed and bis-acryl provisional crowns displayed the lowest change in marginal integrity, while the acrylic provisional crowns showed the greatest change in marginal integrity (p = 0.0001). Additionally, the acrylic provisional material revealed a significantly greater color change. Conclusions: The 3D-printed provisional crowns demonstrated the best marginal integrity and color stability. Full article

Background/Objectives: This study tested a method for evaluating the internal fit of indirect resin-based composite (RBC) restorations, as well as the influence of different combinations of impression and die materials on the reproducibility of the topography of teeth prepared for indirect RBC restoration. Methods: Bovine incisors received flattened and cavitated areas at the cervical and middle thirds of the buccal surface, respectively. The samples were randomly assigned to two groups according to the material used for impression taking (n = 5): irreversible hydrocolloid and polyvinyl siloxane (PVS). Die replicas were obtained with Type IV gypsum or elastomeric material. RBC restorations were fabricated through an indirect technique (test) and a direct-indirect technique as the control. The internal fit of restorations was assessed by measuring the cementation line thickness with a digital caliper (simulated cementation protocol with ultra-light PVS) and validated using scanning electron microscopy (SEM). Surface topography (Sa, Sq, and Sz) was analyzed via optical profilometry, and wettability was assessed through the water contact angle method. The data were analyzed using t-test, ANOVA, and Pearson correlation tests (α = 5%). Results: The simulated cementation resulted in internal gap values positively correlated to the values from SEM (R² = 0.958; p = 0.0102). The internal gap of restorations was not significantly correlated with the discrepancies between the topography of the die and tooth substrate (p ≥ 0.067). The combination of irreversible hydrocolloid and gypsum resulted in restorations with the lowest cementation line thickness, although in terms of roughness, this combination was the only one that resulted in significant differences from the control (p ≤ 0.028). The internal mean gap values of restorations were significantly correlated to the cumulative wettability difference of materials used during impression taking, fabrication of die replica, and restoration build-up (R² = 0.981; p = 0.003). Conclusions: The reproducibility of topographical characteristics of the tooth in the die replica did not affect the internal adaptation of indirect RBC restorations, whereas surface wettability of materials presented a more relevant effect on the overall gap formation. The simulated cementation technique tested in the study shows potential as a simpler, cost-effective, and non-destructive method for evaluating the adaptation of indirect RBC restorations. Full article

In regenerative periodontal treatment, barrier membranes restore periodontal support and aid tissue healing, but slow hard tissue regeneration can disrupt healing and cause tooth instability. This study aimed to fabricate a periodontal membrane through electrospinning poly(L-lactide-co-D, L-lactide) with varying β-tricalcium phosphate (β-TCP) percentages (0%, 10%, 30%, and 40%) treated with hyaluronic acid to enhance bone regeneration in alveolar bone defects. Their ability to promote biomimetic mineralization was characterized using field emission scanning electron microscopy (FESEM) analysis, wettability, and mechanical properties. Biocompatibility and osteogenic differentiation were evaluated by examining BMSCs’ behavior. In vivo, the PLA/β-TCP membrane’s potential to promote bone regeneration was assessed through CT imaging and histological examination. FESEM analysis revealed β-TCP agglomerations within PLA fibers, increasing tensile strength. Water contact angle measurements showed better wettability and higher cell viability after hyaluronic acid treatment, indicating non-cytotoxicity. Membranes with 10% and 30% (w/w) β-TCP significantly enhanced cellular activities, including proliferation and osteogenic differentiation. Animal tests showed a significant bone growth rate increase to 28.9% in the experimental group compared to 24.9% with the commercial product Epi-Guide after three months. Overall, PLA with 30% β-TCP optimally promoted periodontal hard tissue repair and potentially enhanced bone regeneration. Full article

Background: The development of composite resins has led to novel materials aimed at improving restoration longevity. This study evaluates the surface roughness of four tooth-colored restorative materials after thermal aging. Methods: Eighty Class V preparations were restored with Admira Fusion, Beautifil II, Equia Forte HT, and Filtek. The samples underwent thermocycling, and their surface roughness was measured with a 3D non-contact profilometer at 24 h post-restoration and after simulation for 1, 3, and 5 clinical years. Results: Equia Forte HT showed the highest surface roughness and significant surface deterioration over time, while Admira Fusion maintained the lowest roughness across all intervals. Conclusions: Admira Fusion, Filtek, and Beautifil II demonstrated superior surface stability, with Equia Forte HT showing the least favorable performance. Full article

Introduction: Metal ions, released from dental alloys due to corrosion, come in contact with the cells of the surrounding tissues and may spread throughout the body via the gastrointestinal system, thus inducing dose-dependent cytopathological effects. This study aimed to assess and compare the salivary cobalt and chromium concentrations in individuals aged 18–65 years with and without dental restorations containing metal alloys. Methods: Participants were divided into two main groups according to the existence of metal alloys in the oral cavity—18 patients had fixed prosthetic restorations made of metal alloys, and 17 patients had no metal objects in their oral cavity. Each main group was subdivided into two subgroups according to the type of saliva sample—with or without additional stimulation. Salivary cobalt and chromium concentrations were measured by inductively coupled plasma mass spectrometry. A non-parametric Mann–Whitney test and Spearman’s rank correlation coefficient were applied, and the level of significance was set to p < 0.05. Results: The results showed that the chromium level in non-stimulated saliva was higher in the group of patients with metal dental restorations. No statistical difference was found in cobalt levels. There was no statistical difference in Co or Cr concentrations in stimulated saliva between the studied groups. A positive correlation was found between Cr and Co concentrations in non-stimulated saliva and between cobalt concentrations in stimulated and non-stimulated saliva. Conclusions: Metal alloys in the oral cavity induced elevated chromium levels in non-stimulated saliva, and a correlation between chromium and cobalt ion concentration was found. A detailed examination of patients and their medical history prior to prosthetic treatment is advisable in order to avoid any undesired health effects. Full article

In 2017, Europe implemented a ban on amalgam restorations for children aged <15 years and for pregnant/breastfeeding women, highlighting the need for alternative filling materials exhibiting less surface roughness and enhanced longevity. This in vitro study aimed to examine the surface roughness variations of five amalgam-replacement materials across three time points and using six finishing methods: (1) no finishing (control), (2) Arkansas burs, (3) diamond burs, (4) tungsten carbide burs, (5) SofLex discs in descending grit size, and (6) coarse SofLex discs combined with silicone polishing. We prepared 960 samples. Each material group, i.e., Cention Forte (CNF), DeltaFil (DLF), Ketac Universal (KTU), IonoStar Molar (ISM), and Equia Forte HT (EQF), comprised 60 samples (n = 10 per finishing method) created using standardized 3D-printed metal molds. Surface roughness (Sa) was measured immediately after finishing, after 30 days of storage in distilled water, and after thermocycling (5000 cycles) using a non-contact profilometer. The results indicate that conventional and hybrid glass-ionomer cements have smoother surfaces than high-viscosity GICs. The DLF and CNF groups exhibited stable outcomes. These findings underscore the importance of selecting appropriate finishing methods based on the restorative material to minimize surface roughness. Full article

The value of the Buddhist cave lies not only in the Buddha statues but also in the surface painting. Hyperspectral imaging technology, as an emerging and effective method for component identification, offers a non-contact and non-destructive approach to the preservation and restoration of oil paintings. This study employed hyperspectral cameras to capture common pigments on the surfaces of Buddhist caves. Then, the results were processed and used as a database to identify the paintings. Additionally, a series of experiments were conducted to examine the impact of binder, substrate types, and pigment sizes on the reflectance spectrum of the paints. The Spectral Angle Matching (SAM) algorithm was then used to analyze the Yuanjue Cave and Qiqushan Stone Carvings of the Tang Dynasty in China. The findings revealed that the position of absorption peaks in the reflectance spectra is not significantly influenced by the substrate but is affected by the binder. Moreover, the absorption depth varies regularly with particle size. Furthermore, the spectral matching results demonstrate that components can be accurately identified even for similar colors. Based on the pigment distribution, the study also inferred specific details of ancient paintings, including the painting steps and hidden information in the manuscript layout. These findings hold significant implications for the restoration of representative surface paintings of the Tang Dynasty Buddhist cave, providing a reference for the selection of restoration materials and methods. Full article

This study evaluated the effectiveness of atmospheric pressure plasma jet (APPJ) treatment on the surface characteristics and bond strength of zirconia and lithium disilicate ceramics for CAD-on restorations. A total of 70 cylindrical-shaped specimens of lithium disilicate and 70 disc-shaped specimens of Y-TZP zirconia were machined, thermally processed, surface-treated, and then resin-bonded. The specimens were grouped according to the following surface treatments: no surface treatment, sandblasting, plasma, sandblasting followed by plasma, sandblasting followed by universal adhesive, plasma followed by universal adhesive, and sandblasting and plasma treatment followed by universal adhesive. The treated surfaces were subjected to a wettability assessment via contact angle measurement and a topography assessment using scanning electron microscopy (SEM). The cemented assembly was subjected to shear bond strength testing with a universal testing machine, and the results were imported to SPSS 23.0 for statistical analysis. The results show that APPJ treatment induced a significantly low contact angle for both ceramics with no surface alteration upon scanning. Moreover, APPJ treatment produced a bonded assembly with a shear bond strength comparable to sandblasting. In conclusion, APPJ treatment should be considered an efficient surface treatment with a non-destructive nature that surpasses sandblasting with the provision of a high shear bond strength between CAD-on ceramics. Full article

Non-contact anterior cruciate ligament injuries (NC-ACLs) represent a significant concern in sports medicine, particularly among athletes and physically active individuals. These injuries not only result in immediate functional impairment but also predispose individuals to long-term issues such as recurrent instability and early-onset osteoarthritis. This narrative review examines the biomechanical, neuromuscular, and environmental factors that contribute to the high incidence of NC-ACLs and evaluates the effectiveness of current prevention and rehabilitation strategies. The review identifies key risk factors, including improper landing mechanics, deficits in neuromuscular control, and muscle imbalances, which are pivotal in the etiology of NC-ACLs. Prevention programs that incorporate plyometric exercises, strength training, and neuromuscular education have shown efficacy in reducing injury rates. Rehabilitation protocols that emphasize a gradual return to sport, focusing on pain management, restoration of range of motion, and progressive strengthening, are critical for successful recovery and prevention of re-injury. The evidence suggests that an integrated approach, combining prevention and rehabilitation strategies tailored to the individual, is essential for minimizing NC-ACL risk and improving outcomes in affected populations. Full article

To promote the conservation of aquatic ecosystems, it is essential to delve into restoration techniques for selecting the most sustainable option for combating eutrophication. Hence, we study the effects of novel phosphorus (P) adsorbents (magnetic carbonyl iron particles, HQ, and two non-magnetic P adsorbents: CFH-12^® and Phoslock^®) on the growth and photosynthetic activity of Chlorella sp. More specifically, the intrinsic photochemical efficiency of PSII (Φ_PSII) and the nonphotochemical quenching (NPQ) were measured in Chlorella sp. after different contact times with different concentrations of these adsorbents. Our initial hypothesis was that non-magnetic P adsorbents have more effects on the organisms than magnetic ones. However, our results did not show strong evidence of inhibitory effects caused by HQ nor CFH-12^® (no significant effect size on Φ_PSII), while Phoslock^® showed inhibitory effects on the photosynthetic activity of Chlorella sp. for any of its concentrations (NPQ = 0). Lastly, we compared the effect of the studied P adsorbents in a real application scenery (Honda wetland, Spain). For this study case, it is likely that CFH-12^® and HQ doses would not cause any negative effects on photosynthetic efficiency while Phoslock^®, by limiting light availability, will drastically reduce it. Full article

The Karnak Temples complex, a monumental site dating back to approximately 1970 BC, faces significant preservation challenges due to a confluence of mechanical, environmental, and anthropogenic factors impacting its stone blocks. This study provides a comprehensive evaluation of the deterioration affecting the northeast corner of the complex, revealing that the primary forms of damage include split cracking and fracturing. Seismic activities have induced out-of-plane displacements, fractures, and chipping, while flooding has worsened structural instability through uplift and prolonged water exposure. Soil liquefaction and fluctuating groundwater levels have exacerbated the misalignment and embedding of stone blocks. Thermal stress and wind erosion have caused microstructural decay and surface degradation and contaminated water sources have led to salt weathering and chemical alterations. Multi-temporal satellite imagery has revealed the influence of vegetation, particularly invasive plant species, on physical and biochemical damage to the stone. This study utilized in situ assessments to document damage patterns and employed satellite imagery to assess environmental impacts, providing a multi-proxy approach to understanding the current state of the stone blocks. This analysis highlights the urgent need for a multi-faceted conservation strategy. Recommendations include constructing elevated platforms from durable materials to reduce soil and water contact, implementing non-invasive cleaning and consolidation techniques, and developing effective water management and contamination prevention measures. Restoration should focus on repairing severely affected blocks with historically accurate materials and establishing an open museum setting will enhance public engagement. Long-term preservation will benefit from regular monitoring using 3D scanning and a preventive conservation schedule. Future research should explore non-destructive testing and interdisciplinary collaboration to refine conservation strategies and ensure the sustained protection of this invaluable historical heritage. Full article