Search Results (261,843)

Background and objective: Evidence of percutaneous left atrial appendage closure (LAAC) and oral anticoagulants (OACs) in non-valvular atrial fibrillation (NVAF) patients with intermediate-to-borderline high stroke risk is scarce. We aimed to compare the efficacy and safety of these treatments in the latter clinical population. Methods: This retrospective cohort study included NVAF patients with CHA₂DS₂-VA scores of 1–2 and used 1:1 propensity score matching (184 patients per group) to compare efficacy and safety outcomes. The primary efficacy outcome was a composite of stroke, transient ischemic attacks, systemic embolism, and cardiovascular death during follow-up. Adverse safety events were categorized into peri-procedure (LAAC group) and non-procedural (both groups) events. Results: Over a mean follow-up of 48.93 ± 28.50 months, a total of 26 patients (7.07%) reached the primary composite efficacy endpoint. The LAAC group showed a significantly higher incidence of the efficacy endpoint compared to the OAC group (HR = 3.09; 95% CI 1.22–7.85; log-rank p = 0.01). Procedure-related events occurred in five LAAC patients (one contributing to primary endpoint), while non-procedural bleeding rates were similar (0.54% vs. 1.09%; p = 0.56). Subgroup analyses suggested concomitant ablation of NVAF in LAAC group did not significantly improve efficacy composite endpoints (HR = 0.47). Conclusions: In NVAF patients with intermediate-to-high stroke risk, OACs were more effective than LAAC in preventing thromboembolic events, with comparable rates of clinically relevant bleeding. Full article

Lithuania covers the deepest parts of the Baltic basin and contains many reservoirs that have been explored for Hydrocarbon production and gas storage projects, including CO₂ and hydrocarbon gas storage. Studies have also been conducted to assess the storage potential of these reservoirs for gases like CO₂ and Hydrogen. In the studies, four saline aquifers, including Syderiai, Vaskai, and D11, and depleted hydrocarbon reservoirs in the Gargzdai structure were evaluated for potential CO₂ storage. However, the long-term fate of these gases’ migration at the field scale has not been reported previously. In response to the existing gap, this study aims to evaluate the risks and challenges associated with subsurface CO₂ and Hydrogen storage by conducting numerical simulations at two injection rates, of fluid migration, pH variations, and geomechanical responses using the tNavigator platform, complemented by laboratory experiments on outcrops representative of Syderiai formation, to achieve a detailed understanding of geochemical interactions between rocks and fluids. The results reveal distinct gas-specific behaviors: CO₂ exhibits enhanced solubility trapping, density-driven convective mixing, and pronounced pH reduction, whereas Hydrogen demonstrates rapid buoyant migration, higher pressure buildup, and negligible geochemical reactivity. Both gases demonstrate short-term storage viability in the Syderiai aquifer under the modeled conditions, with pressure and total vertical stress remaining below the bottom-hole pressure limit of 450 bars. This integrated simulation and experimental study enhances our understanding of Lithuanian reservoirs for the safe, long-term storage of both CO₂ and Hydrogen. Full article

The main goal of this work was to develop nanoparticles of lysozyme (Lys) for biological and biomedical applications. The developed biosystems were based on Lys-loaded calcium alginate 2% and chitosan 1% beads and films with different concentrations of each polymer. Encapsulation efficiency was 100%. The ratio of adsorbed Lys on the films, Lys activity, and the release profile of Lys were measured using water and buffer solution at pH similar to the environment of cancer cells, at a controlled temperature of 37 °C and a constant speed, to assess the efficacy of the encapsulation process. Lys antimicrobial activity was assessed using Micrococcus lysodeikticus. Moreover, the anti-inflammatory and antioxidant properties of the developed biosystems were also evaluated. The anti-inflammatory activity of Lys released from calcium alginate 2%-chitosan 1% beads loaded with Lys was about 99%. These findings highlight the potential of the developed beads and films for biomedical applications, particularly in antimicrobial and anti-inflammatory therapies. Full article

Background/Objectives: Mitochondrial dysfunction is a major cause of brain injury in patients with primary mitochondrial disease. New mitochondrial therapeutics and non-invasive tools for efficacy monitoring are urgently needed. To these ends, succinate prodrug NV354 (methyl 3-[(2-acetylaminoethylthio)carbonyl]propionate) and diffuse optical techniques are promising. In this proof-of-concept study, we characterize NV354’s effects on microdialysis metrics of cerebral metabolism in a swine model of mitochondrial dysfunction and assess the associations of diffuse optical metrics with mitochondrial dysfunction and metabolic improvement. Methods: One-month-old swine received a four-hour co-infusion of rotenone with either the succinate prodrug NV354 (n = 5) or placebo (n = 5). Rotenone is a mitochondrial complex I inhibitor. Before and during co-infusion, cerebral metabolism was probed with microdialysis and diffuse optics. Microdialysis acquired interstitial lactate and pyruvate levels invasively, while diffuse optics measured changes in oxygen extraction fraction (OEF) and oxidized cytochrome-c-oxidase concentration (oxCCO). Results: Interstitial lactate continually increased in the placebo group (p < 0.01), but lactate levels plateaued in the NV354 group (p = 0.90). oxCCO also increased in the placebo group (p = 0.05), but OEF remained constant (p = 0.80). In the NV354 group, oxCCO increased (p < 0.01) while OEF decreased (p < 0.01). Conclusions: Microdialysis results suggest that NV354 treatment can increase oxygen metabolism in large animals with mitochondrial dysfunction. The optical oxCCO metric was also sensitive to metabolic changes induced by rotenone and NV354 administration. Full article

Ni-Mo alloy coating has shown exciting potential as a candidate to replace chromium coating. In this paper, Ni-Mo alloy coatings were successfully electrodeposited from a citrate/ammonia bath, and the effect of the bath pH values over a wide range (4–10) on the characteristics and corrosion resistance of Ni-Mo alloy coating was studied in detail. Results show that all the deposited Ni-Mo alloy coatings consist of a crystalline solid-solution Ni(Mo) fcc structure. An increase in bath pH values could facilitate the deposition of Mo, thereby increasing the Mo content and decreasing the crystallite size of Ni-Mo alloy coatings. However, there are subtle gaps between the coarse grains on the surface of the Ni-Mo alloy coating deposited at pH 10. These subtle gaps tend to form between the coarse grains on the surface of the electrodeposited Ni-Mo alloy coating because of the relatively high Mo content, refined grains, and appropriate morphology. The Ni-Mo alloy coating deposited at pH 9 exhibits optimal corrosion resistance, attributed to its lowest corrosion current density i_corr (7.31 × 10⁻⁶ A cm⁻²), the strongest polarization resistance (11.13 kΩ·cm⁻²), and impedance value, which are mainly contributed to by the coating resistance and charge-transfer resistance. Full article

Recurrent depressive disorder (RDD) and bipolar disorder (BD) are the most common affective disorders worldwide. However, the pathogenesis of these disorders remains far from understood. Macromolecular proton fraction (MPF) mapping is a sensitive and specific quantitative MRI method for the assessment of brain tissue myelination, but its clinical value for affective disorders remains unknown. This cross-sectional study employed fast MPF mapping on a 1.5 T MRI scanner using the single-point synthetic reference method to investigate myelin abnormalities in white matter of RDD and BD patients. ANOVA revealed a significant main effect of the group (RDD vs. BD vs. two age-matched control groups; F (3.76) = 7.42, p < 0.001, η² = 0.227). MPF values were significantly reduced in RDD versus BD patients (p < 0.001). BD showed elevated MPF compared to controls (p = 0.01). MPF levels showed significant weak-to-moderate correlations with clinical scales of affective disorders. These findings demonstrate divergent cerebral myelination patterns—hypomyelination in RDD versus an increased myelin content in BD. In conclusion, MPF mapping demonstrated a promise as a marker of myelin content changes in affective disorder. Full article

Background: Artificial inoculation of Epichloë endophytes into elite forage germplasm aims to establish beneficial symbioses for developing high-yield, high-quality, and stress-tolerant cultivars, but host specificity of the fungi often causes compatibility issues in non-natural hosts. Methods: The E. bromicola isolated from native wild barley was inoculated into cultivated wild barley (Hordeum brevisubulatum) and cultivated barley (Hordeum valgare), forming Hb+Eb and Hv+Eb. The NHb+Eb (native wild barley naturally infected with E. bromicola) served as a control. We analyzed fungal colonization patterns and symbiotic gene regulation to clarify the compatibility between E. bromicola and non-natural hosts. Results: Compared with NHb+Eb and Hb+Eb, E. bromicola in Hv+Eb showed obvious hyphal vacuolization. E. bromicola colonization altered host trichome morphology and induced stomatal closure. Correspondingly, expression of the siderophore biosynthesis gene sidN and the NADPH oxidase complex genes (NoxA, NoxB, NoxR, RacA) was significantly lower (p < 0.05) in Hv+Eb than in Hb+Eb and NHb+Eb. Conclusions: This study reveals that the incompatibility between cultivated barley and E. bromicola is characterized by altered hyphal morphology, which is linked to the downregulation of sidN and Nox. These findings provide a critical theoretical foundation for developing highly compatible cereal-Epichloë germplasms. Full article

Perfluorooctane sulfonate (PFOS), a persistent and bioaccumulative perfluoroalkyl substance, poses significant environmental and human health risks due to the extraordinary stability of its C–F bonds. Conventional remediation strategies largely fail to achieve mineralization, instead transferring contamination or producing secondary waste streams. In this study, we investigate neutron irradiation as a potential destructive approach for PFOS remediation in both solid and aqueous matrices. Samples were exposed to thermal neutrons (flux: 3.2 × 10⁹ n·cm⁻²·s⁻¹, 0.0025 eV) at the Argonauta reactor for 6 h. Raman and FTIR spectroscopy revealed that PFOS in powder form remained largely resistant to degradation, with only minor structural perturbations observed. In contrast, aqueous PFOS solutions exhibited pronounced spectral changes, including attenuation of C–F and S–O vibrational signatures, the emergence of carboxylate and carbonyl functionalities, and enhanced O–H stretching, consistent with radiolytic oxidation and partial defluorination. Notably, clear peak shifts were predominantly observed for PFOS in aqueous solution after irradiation (overall displacement toward higher wavenumbers), whereas in powdered PFOS the main spectral signature of irradiation was the attenuation of CF₂ and S–O related bands with comparatively limited band relocation. To evaluate the biological relevance of these structural alterations, cell viability assays (MTT) were performed using human umbilical vein endothelial cells. Non-irradiated PFOS induced marked cytotoxicity at 100 and 50 μg/mL (p < 0.0001), whereas neutron-irradiated PFOS no longer exhibited significant toxicity, with cell viability comparable to the control. These findings indicate a matrix-dependent response: neutron scattering in solids yields negligible molecular breakdown, whereas radiolysis-driven pathways in water facilitate measurable PFOS transformation. The cytotoxicity assay demonstrates that neutron irradiation promotes sufficient molecular degradation of PFOS in aqueous media to suppress its cytotoxic effects. Although complete mineralization was not achieved under the tested conditions, the combined spectroscopic and biological evidence supports neutron-induced radiolysis as a promising pathway for perfluoroalkyl detoxification. Future optimization of neutron flux, irradiation duration, and synergistic catalytic systems may enhance mineralization efficiency. Because PFOS concentration, fluoride release (F⁻), and TOC were not quantified in this study, remediation was assessed through spectroscopic fingerprints of transformation and the suppression of cytotoxicity, rather than by mass-balance mineralization metrics. This study highlights neutron irradiation as a promising strategy for perfluoroalkyl destruction in contaminated water sources. Full article

Currently, with the widespread popularization of e-commerce systems, enterprises have increasingly high requirements for the timeliness of order fulfillment. It has become particularly critical to enhance the operational efficiency of heterogeneous robotic “goods-to-person” (G2P) systems in book e-commerce fulfillment, reduce enterprise operational costs, and achieve highly efficient, low-carbon, and sustainable warehouse management. Therefore, this study focuses on determining the optimal storage location assignment strategy and order batching method. By comprehensively considering the characteristics of book e-commerce, such as small-batch, high-frequency orders and diverse SKU requirements, as well as existing system issues including uncoordinated storage assignment and order processing, and differences in the operational efficiency of heterogeneous robots, this study proposes a joint optimization framework for storage location assignment and order batching centered on a multi-objective model. The framework integrates the time costs of robot picking operations, SKU turnover rates, and inter-commodity correlations, introduces the STCSPBC storage strategy to optimize storage location assignment, and designs the SA-ANS algorithm to solve the storage assignment problem. Meanwhile, order batching optimization is based on dynamic inventory data, and the S-O Greedy algorithm is adopted to find solutions with lower picking costs. This achieves the joint optimization of storage location assignment and order batching, improves the system’s picking efficiency, reduces operational costs, and realizes green and sustainable management. Finally, validation via a spatiotemporal network model shows that the proposed joint optimization framework outperforms existing benchmark methods, achieving a 45.73% improvement in average order hit rate, a 48.79% reduction in total movement distance, a 46.59% decrease in operation time, and a 24.04% reduction in conflict frequency. Full article

Background: To investigate baseline MNV characteristics in Optical Coherence Tomography Angiography (OCTA) and its impact on therapeutic needs and visual acuity after 5 years in initially therapy-naïve eyes. Methods: A retrospective study of 43 therapy-naïve eyes with neovascular AMD (nAMD). OCTA was performed at baseline and all eyes were observed for 5 years. MNV architecture was characterized by area, total vessel length, flow density and fractal dimension. These variables were tested for correlation with the number of administered intravitreal injections (IVIs) and best-corrected visual outcome (BCVA) after 5 years of treatment. Results: Mean follow-up time was 4.97 ± 0.21 years. Area and total vessel length of MNVs were significantly associated with a higher number of administered IVIs after 5 years (p < 0.05), flow density significantly correlated with fewer IVIs (p < 0.05). Fractal dimension showed a tendency to more IVIs (p = 0.056) after 5 years. Flow density at baseline correlated with a better BCVA (p < 0.05). In contrast, MNV area size, total vessel length and fractal dimension did not show any correlation to BCVA after 5 years (p > 0.05). Conclusions: Specific features of MNV architecture such as area, total vessel length and flow density can predict long-term treatment requirement and visual outcome. Further studies using deep learning algorithms are necessary to explore the usage of these findings in daily practice. Full article

Functional appliances constitute a common treatment approach for skeletal Class II malocclusion. However, evidence regarding the effects of appliance design and manufacturing workflows on treatment outcomes remains limited. This study aimed to compare the skeletal, dentoalveolar, and soft tissue effects of conventionally fabricated, prefabricated, and digitally designed functional appliances. A total of 28 growing patients with skeletal Class II malocclusion were retrospectively assessed and evenly assigned to four treatment groups: Twin Block, PowerScope, Invisalign Mandibular Advancement, and digitally designed Herbst. Skeletal, dentoalveolar, and soft tissue parameters were evaluated using lateral cephalometric radiographs obtained before (T0) and after treatment (T1). Statistical analyses included one-way ANOVA, repeated-measures ANOVA, and the Kruskal–Wallis test. All treatment modalities demonstrated significant sagittal improvement, characterized by reductions in ANB and Wits values and increases in SNB angle and mandibular length (Co–Gn). The Twin Block appliance showed a significantly greater increase in mandibular length compared with the other groups (p = 0.037). Dentoalveolar adaptations were more pronounced in the PowerScope and Invisalign Mandibular Advancement groups. In conclusion, within the limitations of this retrospective pilot study, functional appliances with different design and manufacturing characteristics appear to produce distinct skeletal and dentoalveolar response patterns, and digitally designed systems may represent clinically effective alternatives for the treatment of skeletal Class II malocclusion; however, these findings should be considered preliminary and interpreted with caution. Full article

Plant-derived volatile organic compounds (VOCs) are widely used as insect attractants for population monitoring, offering an efficient and eco-friendly approach to pest management. Since thrips are the dominant pest species in alfalfa fields, this study aimed to identify a suitable attractant trap design that could be employed to monitor Odontothrips loti and Frankliniella occidentalis. The field experiment showed that p-Menth-8-en-2-one, dispensed through PE (Polyethylene) vials positioned at the top of the alfalfa canopy, attracted the most thrips, with the optimal concentrations of 1 µg/µL for O. loti and 50 µg/µL for F. occidentalis, respectively. When both species occur in alfalfa, PVC pipes dispensing p-Menth-8-en-2-one at a concentration of 1 µg/µL provide an effective attractant for both species, offering an indication of presence and relative abundance. Understanding the incidence and abundance of both species in the field provides growers an opportunity to target treatments to protect crops before significant damage occurs, reduce insecticide overuse, and support integrated pest management strategies for these two high-impact pests. Full article

Background/Objectives: Isotretinoin remains an essential therapy for severe acne, yet its safety profile continues to raise concerns. This study analyzed adverse event reporting patterns for isotretinoin versus topical retinoids using EudraVigilance data. Methods: Aggregated ADR data for isotretinoin and four topical retinoids (tretinoin, adapalene, tazarotene, trifarotene) were retrieved from the EMA ADRreports portal (April 2025). Disproportionality was assessed using reporting odds ratios (RORs) with 95% confidence intervals at the MedDRA system organ class (SOC) level. Significant demographic differences (age and sex; both p < 0.001) justified stratified ROR analyses for SOCs showing positive signals. Results: Among 35,030 isotretinoin and 3795 topical retinoid reports, isotretinoin showed strong over-reporting in six SOCs: psychiatric disorders (ROR 11.96; 95% CI 10.11–14.14), gastrointestinal disorders (3.88; 3.50–4.31), musculoskeletal and connective tissue disorders (2.89; 2.50–3.35), surgical and medical procedures, social circumstances, and ear and labyrinth disorders. Fourteen SOCs demonstrated significant under-reporting, including neoplasms, immune system disorders, cardiac disorders, and blood/lymphatic disorders. Stratified analyses confirmed the robustness of the positive signals. Psychiatric disorders exhibited the highest disproportionality in males (22.10; 16.11–30.31) and adolescents aged 12–17 (25.85; 13.32–50.19). Gastrointestinal and musculoskeletal signals remained significant across all age and sex strata. Conclusions: Isotretinoin presents a distinct safety profile characterized by consistently elevated reporting of psychiatric, gastrointestinal, and musculoskeletal adverse events, independent of age and sex. These results refine the comparative safety landscape of systemic versus topical retinoids and support focused pharmacovigilance monitoring. Full article

Objectives: This study aimed to investigate the association between optical coherence tomography angiography (OCTA) parameters and cardiovascular (CV) risk scores in individuals with type 1 diabetes (T1D). Methods: A cross-sectional analysis of a large-scale prospective OCTA trial cohort (ClinicalTrials.gov NCT03422965) was performed. Demographic, systemic, and ocular data—including OCTA imaging—were collected. T1D participants were stratified into three CV risk categories: moderate (MR), high (HR), and very high risk (VHR). Individualized predictions for fatal and non-fatal CV events at 5 and 10 years were calculated using the STENO T1 Risk Engine calculator. Results: A total of 501 individuals (1 eye/patient; 397 T1D, 104 controls) were included. Subjects with MR (n = 37), HR (n = 152) and VHR (n = 208) exhibited significantly reduced vessel density (VD) (20.9 ± 1.3 vs. 20.2 ± 1.6 vs. 19.3 ± 1.8 mm⁻¹, p < 0.05), perfusion density (PD) (0.37 ± 0.02 vs. 0.36 ± 0.02 vs. 0.35 ± 0.02%, p < 0.05) and foveal avascular zone circularity (0.69 ± 0.06 vs. 0.65 ± 0.07 vs. 0.63 ± 0.09, p < 0.05). Statistically significant negative correlations were observed between CV risk and OCTA parameters including VD, PD, and retinal nerve fiber layer thickness, while central macular thickness (CMT) showed a positive correlation (p < 0.05). Notably, CMT was significantly associated with 5-year CV risk. Conclusions: OCTA-derived metrics, particularly reduced retinal VD and PD, are associated with elevated CV risk scores in T1D patients. These findings suggest that OCTA may serve as a valuable non-invasive tool for identifying individuals with increased CV risk scores. Full article

Background: Compressive cryotherapy, which combines cold therapy with compression, has gained attention to relieve pain and swelling after the Knee arthroscopy. However, there is still limited evidence specifically related to its use after knee arthroscopy. Objective: This study investigated the efficacy of compressive cryotherapy in decreasing postoperative pain and swelling in patients following knee arthroscopy. Methods: A quasi-experimental study was conducted at the Kasr Al-Ainy Hospital. Sixty patients scheduled for knee arthroscopy were divided into two groups. The intervention group (n = 30) received compressive cryotherapy using a cold-pack knee wrap set at 2 to 5 °C for 15 to 20 min, three times daily. The control group (n = 30) received standard postoperative care. Pain was assessed with the Numerical Rating Scale. Swelling was measured by assessing knee circumference at the mid-patella. Assessments occurred immediately after surgery (baseline), and on the first and second postoperative days. Non-parametric tests used in the analysis included the Chi-square test, the Mann–Whitney U test, the Friedman test, and the Wilcoxon signed-rank test with Bonferroni–Holm correction. Results: Patients in the compressive cryotherapy group experienced a greater reduction in pain than those in the control group. By the first postoperative day, none of the patients in the intervention group reported severe pain (p < 0.001). Knee circumference decreased significantly in the intervention group, from a median of 51.05 cm [IQR: 49.1–53.2] at baseline to 40.90 cm [39.8–42.1] by the second day. In comparison, the control group showed a smaller reduction, from 52.70 cm [50.8–54.5] to 48.55 cm [46.8–50.9]. Between-group differences in swelling were significant at the first postoperative assessment (U = 105.0, p < 0.001) and on day 2 (U = 62.5, p < 0.001). Overall, differences in both pain intensity and knee swelling between groups were statistically significant across all time points (p < 0.001). Conclusions: Compressive cryotherapy is an effective non-pharmacological intervention for reducing pain and swelling in the early postoperative period following knee arthroscopy. These results suggest that it could be a valuable addition to routine postoperative care, helping patients recover more comfortably and quickly. Full article