Search Results (10,310)

Introduction: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is widely used for diagnosing pulmonary diseases causing mediastinal lymphadenopathy. However, non-diagnostic results may occur. This study investigated factors associated with non-diagnostic cytological results in EBUS-TBNA. Methods: This retrospective study included patients who underwent EBUS-TBNA at a tertiary hospital between March 2019 and December 2023. Data on demographics, biopsy techniques, cyto-/histopathological results, sonographic lymph node measurements, and pre-procedural PET-CT SUVmax values were recorded. Cytological results were classified as diagnostic or non-diagnostic. We analyzed the characteristics and associated factors of patients who were non-diagnostically identified. Results: Among 776 patients undergoing EBUS-TBNA, 502 (64.7%) were male, with a mean age of 61.5 ± 12.6 years. A total of 1110 lymph nodes were sampled. Of the patients, 14.1% had a non-diagnostic cytology. Among the diagnosed patients, cytological findings showed 58.9% non-malignant, 41.1% malignant. The most sampled station was station 7 (72.9%), with an average of 5.9 ± 1.4 aspirations. Diagnostic cases had significantly more aspirations (p = 0.022) and sampled larger lymph node sizes (p < 0.001). Each 1 mm increase in lymph node size raised the likelihood of diagnostic results by 1.04 times (adjOR = 1.04, 95% CI = 1.02–1.08, p = 0.002). The largest lymph node size significantly predicted diagnostic results (AUROC = 0.611, p < 0.001). A cut-off of 19.55 mm had 67.0% sensitivity and 52.2% specificity. Conclusion: Sampled larger lymph nodes increase diagnostic yield in EBUS-TBNA, reducing the need for repeat procedures and enabling earlier treatment, thereby decreasing morbidity and mortality. Full article

As a mountain–water city in the upper Yangtze River region, Chongqing is characterized by complex river-valley terrain, dense riverside development, extreme summer heat, high humidity, and frequent calm-wind conditions. Existing studies on waterfront thermal comfort mainly focus on plain cities, whereas mountainous riverside parks remain insufficiently understood. This study investigated summer thermal comfort in three riverside parks in Chongqing—Jiulongtan Park, Coral Park, and Jiangtan Park—through field measurements of air temperature, black globe temperature, wind speed, relative humidity, and Thermal Radiation, combined with thermal sensation vote (TSV) and thermal comfort vote (TCV) surveys. Results showed that the maximum air temperature reached 43.7 °C and the maximum black globe temperature reached 61.6 °C. The hydrophilic layer recorded the highest wind speed (1.64 ± 0.39 m/s), while the elastic layer showed high PET values (36.00–46.10 °C). Regression analysis indicated neutral PET values of 32.49–35.74 °C. Correlation analysis showed that PET, mean thermal sensation vote (MTSV), and mean thermal comfort vote (MTCV) were positively correlated with air temperature, black globe temperature, mean radiant temperature (T_mrt), and relative humidity. In contrast, PET was negatively correlated with wind speed. This study reveals the coupled effects of river-valley terrain, elevation stratification, waterfront microclimate, and landscape elements on outdoor thermal comfort, providing a scientific basis for optimizing shading, ventilation, and hydrophilic spaces in hot-humid mountain–water cities. Full article

High-temperature sintered conductive silver paste serves as a critical material in the fabrication of electronic components, with its performance directly influencing device reliability and integration density. In this work, conductive silver paste was prepared via a ball milling method by dispersing silver powder (conductive filler), glass powder (binder), and ethyl cellulose (EC, thickener) in an organic carrier composed of α-terpineol, diethylene glycol butyl ether acetate (DBA), and dimethyl phthalate (DMP) at specific ratios. The effects of the formulation composition and preparation process on the rheological properties of the paste as well as the electrical and mechanical properties of the resulting films were systematically investigated. The results indicated that sintering time and temperature exerted regular effects on the resistance of the silver paste; ball milling speed and duration influenced the particle size distribution, thereby affecting the resistance behavior; thixotropy significantly impacted the resistance characteristics. Under optimal conditions, where the organic carrier consisted of α-terpineol, DBA, and DMP at a ratio of 6:3:1, with 30 wt.% silver powder, 18 wt.% glass powder, and 4 wt.% EC, combined with a sintering temperature of 500 °C for 50–60 min, a ball milling speed of 500–600 r/min, and a ball milling time of approximately 1.5 h, the obtained silver paste exhibited pronounced shear-thinning behavior and excellent thixotropy, indicating favorable processability. The corresponding silver paste film demonstrated the lowest resistivity, superior bending resistance, and good adhesion to both PET and glass substrates. This study provides valuable insights for the design and preparation of high-performance, high-temperature sintered conductive silver pastes. Full article

Recent evidence highlights the therapeutic potential of Astragali radix-Huaier fermentation products for hyperuricemia treatment, although the dynamics of the fermentation process remain poorly understood. This study employed high-resolution mass spectrometry and untargeted metabolomics for real-time monitoring of chemical components and hypouricemic activity throughout fermentation. The results revealed significant alterations in the chemical composition, with distinct sample separations observed on days 7, 14, 21, and 28. A total of 33 differential components were identified, including 20 flavonoids and 13 saponins, eight of which showed notable changes. Polysaccharides and saponins were found to correlate positively with the uric acid-lowering effect. On day 21, the levels of total polysaccharides and cycloastragenol-6-glucoside, a saponin derivative, peaked, coinciding with the highest hypouricemic activity of the Astragalus fungal fermentation products. This study provides the first evidence of dynamic changes in the chemical profile and pharmacological activity of Astragali radix-Huaier during fermentation, paving the way for optimizing fermentation processes and developing medicinal and dietary products based on Astragali radix. Full article

Plastic pollution caused by poly(ethylene terephthalate) (PET) highlights the urgent need for efficient biodegradation strategies. However, PET hydrolases such as DuraPETase typically exhibit limited substrate affinity for PET and insufficient operational stability. Although conventional immobilization improves enzyme stability, it often compromises catalytic activity. Here, we design a PET-targeting, orientation-controlled immobilization strategy that overcomes this traditional trade-off and enables efficient PET biodegradation. Guided by rational structural analysis, three Cys variants (R53C, R59C, R224C) were engineered for site-specific covalent attachment to a PDA@SiO₂ support with inherent PET-binding capability. The resulting conjugates (Dura_R53C-PDA@SiO₂, Dura_R59C-PDA@SiO₂, and Dura_R224C-PDA@SiO₂) displayed distinct catalytic and stability profiles. Among them, Dura_R59C-PDA@SiO₂ achieved the optimal balance between activity and stability, retaining kinetic properties comparable to the free enzyme and maintaining 87.6% residual activity after 2 h at 80 °C. Water contact angle measurements confirmed its PET-targeting behavior, as evidenced by the reduction in the PET contact angle from 85° to 45°. In 10-day degradation assays at 50 °C, Dura_R59C-PDA@SiO₂ released a total of 4865.32 μM degradation products, representing a 2.37-fold increase relative to free DuraPETase. These findings demonstrate an effective strategy for industrial enzymatic PET degradation and recycling. Full article

Recent advances in medical image segmentation have introduced a wide spectrum of deep learning paradigms, including 2D/3D convolutional neural networks (CNNs), transformer-based architectures, vision-language models (VLMs), prompt-driven foundation models such as Segment Anything Model (SAM), and diffusion-based approaches. Although these methods have demonstrated remarkable performance across MRI, CT, PET, ultrasound, and endoscopic imaging, the rapid proliferation of architectures has created methodological uncertainty regarding optimal model selection under varying clinical and data constraints. Existing surveys primarily focus on architectural categorization, yet provide limited guidance for decision-oriented model selection. This study presents a comprehensive and decision-guided survey that systematically analyzes segmentation paradigms across imaging modalities, task types, dataset characteristics, and evaluation protocols. Beyond taxonomy, we propose a practical model selection framework that links clinical scenarios, such as small lesion detection, multi-organ 3D segmentation, limited-data regimes, and domain shift, to appropriate segmentation strategies. Furthermore, robustness, generalization, annotation variability, and benchmarking reproducibility are critically examined. By integrating architectural taxonomy, cross-modal comparative analysis, and a structured decision framework, this work provides a clinically oriented roadmap for selecting segmentation methods and highlights future research directions toward reliable and reproducible medical AI systems. Full article

Background and Objectives: Although perioperative FLOT improves outcomes in locally advanced gastric cancer, postoperative recurrence remains frequent. This study evaluated the prognostic value of a PET-derived SUVmax/albumin ratio integrating tumor metabolism and nutritional status in patients treated with neoadjuvant FLOT. Materials and Methods: This retrospective single-center study included patients with gastric adenocarcinoma treated with neoadjuvant FLOT followed by curative gastrectomy between January 2017 and May 2025, using data obtained from existing medical records after ethical approval. Pre-treatment SUVmax from ¹⁸F-FDG PET/CT and serum albumin were recorded to calculate the SUVmax/albumin ratio. Progression-free survival (PFS) was the primary endpoint. Prognostic factors were analyzed using Cox regression, and discriminatory performance was assessed using receiver operating characteristic (ROC) analysis. Results: A total of 104 patients were included. During a median follow-up of 28 months (IQR, 16–46 months), 46 patients (44.2%) developed recurrence. Patients with recurrence had significantly lower serum albumin levels and higher PET SUVmax values and PET SUVmax/albumin ratios (all p < 0.001). In multivariable analysis, the PET SUVmax/albumin ratio remained significantly associated with PFS (HR 1.71; 95% CI 1.33–2.21; p < 0.001). ROC analysis demonstrated moderate discriminatory performance (AUC 0.733; 95% CI 0.638–0.815), while additional time-dependent ROC analyses yielded AUC values of 0.732 (95% CI 0.611–0.836) at 1 year and 0.829 (95% CI 0.694–0.947) at 3 years. Exploratory comparative analyses demonstrated that both PET SUVmax and serum albumin retained statistical significance when evaluated simultaneously in the same multivariable model. Conclusions: The pre-treatment PET SUVmax/albumin ratio was significantly associated with PFS in patients with gastric cancer treated with neoadjuvant FLOT and may represent an exploratory composite prognostic biomarker requiring further prospective validation. Full article

Background/Objectives: Early progression (EP) occurs in a subset of patients with locally advanced pancreatic cancer (LAPC), limiting the clinical benefit of treatment, and it remains difficult to predict. Methods: We developed a multiparametric predictive model integrating baseline ¹⁸F-FDG PET/CT radiomic features with clinical and biological data. A total of 242 radiomic features were extracted from each imaging modality (CT and PET), including first-order, gray-level co-occurrence matrix (GLCM), and local binary pattern (LBP-TOP) features, and combined with PET-derived metrics and clinical variables. Model development included cross-validation procedures and rigorous feature selection, followed by the training of a two-level decision tree classifier. Results: The model achieved an accuracy of 80.7% and an area under the curve (AUC) of 0.83. Integrated analysis of CT and PET texture enabled the identification of patients at high risk of EP prior to treatment initiation. Conclusions: PET/CT-based radiomic biomarkers, combined with clinical data, can non-invasively capture tumor heterogeneity and improve risk stratification in LAPC, supporting more personalized therapeutic decision-making. Full article

Prostate cancer (PCa) progression and treatment resistance are driven by tumor-intrinsic mechanisms and adaptive remodeling of the tumor microenvironment, in which cancer-associated fibroblasts (CAFs) play a crucial role. Although CAF biology is increasingly recognized, a major translational gap remains: CAFs are highly heterogeneous, and comprise distinct functional states with divergent effects on disease progression, immune regulation, and therapeutic resistance. To bridge this gap, we synthesize evidence from single-cell and spatial transcriptomic studies, tissue-based pathology, liquid biopsy assays, and molecular imaging to construct an evidence-tiered, decision-oriented translational framework that connects stromal mechanisms, translational measurement strategies, and therapeutic interventions in PCa. Single-cell and spatial transcriptomic analyses have consistently identified multiple CAF programs, including matrix-remodeling, inflammatory, immunoregulatory, antigen-presenting, and therapy-imprinted states, each with distinct functional outputs and clinical correlates. Tissue-based readouts, including reactive stromal grade (RSG) and fibroblast activation protein (FAP) immunohistochemistry, provide practical proxies for stromal activation and correlate with disease-specific mortality and imaging phenotypes. Circulating CAFs (cCAFs) represent an emerging liquid biopsy modality for longitudinal stromal monitoring, although technical standardization is required before clinical implementation. FAP-targeted PET imaging and emerging dual prostate-specific membrane antigen (PSMA)/FAP-targeted theranostic strategies provide noninvasive tools for patient selection and response assessment, particularly in PSMA-discordant or tracer-heterogeneous disease. Androgen receptor (AR)-targeted therapy can reprogram stromal states toward resistance-promoting circuits, highlighting the dynamic and plastic nature of the CAF compartment. A state-based CAF framework organizes stromal biology into testable translational hypotheses rather than immediate clinical standards. RSG and FAP-based tissue or imaging readouts are practical markers of stromal activation, whereas spatial CAF-immune signatures and cCAF assays remain investigational and require assay harmonization and prospective validation. Future trials should pre-specify stromal biomarkers as enrichment or pharmacodynamic variables when matched to the intervention and should avoid treating CAFs as a uniform therapeutic target. Full article

This study investigated the prevalence and molecular characteristics of canine vector-borne pathogens (CVBPs) circulating in diverse dog populations in Thailand by using molecular diagnostic methods. A total of 400 blood samples were collected from four groups (n = 100 each): stray dogs (Group A), vector-borne disease–suspected companion dogs (Group B), healthy companion dogs presenting for routine examination (Group C), and companion dogs presenting with non-vector-borne illnesses (Group D). The overall infection rate was 46.25%. Ehrlichia spp. were the most frequently detected pathogens (23.5%), followed by Babesia spp. (16.5%), Rickettsia spp. (15.0%), and Anaplasma spp. (11.5%). The prevalence differed markedly among groups, including group A (88.0%), group B (54.0%), group C (27.0%) and group D (16.0%) (p < 0.05). DNA sequence analysis showed 100% identity with GenBank™ reference sequences, confirming the presence of Ehrlichia canis, Rickettsia asembonensis, Babesia vogeli, and Anaplasma platys. The detection of CVBPs across all groups demonstrates free-roaming and owned dogs serve as reservoirs for substantial ongoing infections and pose potential zoonotic implications to humans. Overall, these findings emphasize the importance of sustained molecular surveillance, improved vector control strategies, and proactive monitoring of high-risk dog populations to reduce the burden of CVBPs in Thailand. Full article

Introduction: Microplastic (MP) contamination can endanger marine ecosystems and indirectly affect the well-being of humans through the ingestion of marine species. While most research investigates the digestive system, such as the gills and gastrointestinal tract of fish, it still fails to address a major oversight in understanding MP deposition in edible tissues, which is the primary route of human exposure. The differences in contamination levels among pelagic, demersal, and benthic fish in Malaysian waters remain poorly understood. This preliminary study uses Laser Direct Infrared Imaging (LDIR), a new, high-resolution, automated technique, to examine synthetic MP contamination in the edible portion of fish. Materials and Methods: The MPs were extracted from the edible tissue of three fish species representing pelagic (Fish A), benthic (Fish B), and demersal (Fish C) using KOH and sieved onto a gold mesh filter before analysis using LDIR. Results and Discussion: LDIR identified 162 MP particles, revealing clear differences by polymer type and habitat. Pelagic species mostly contained polyethylene (PE) and rubber (n = 8). Demersal species had mostly polyethylene terephthalate (PET) with small amounts of PE and rubber (n = 57). Benthic species showed the highest load, dominated by PET and polypropylene (PP) (n = 97). The morphological assessment of the MPs indicated that the polymers in pelagic fish were smaller, with an area of 2047.82 µm² and a circularity range of 0.14–0.74, indicating consistent shape. Conversely, MPs are irregular and larger in benthic fish, with areas up to 38,837.50 µm² and circularities ranging from 0.02 to 0.81. This pattern reflects specific accumulation related to habitat and potential environmental degradation processes. Conclusions: This preliminary study demonstrates the effectiveness of LDIR for detecting MPs in edible fish tissues. The findings provide a fundamental dataset on MP contamination in edible tissue and emphasize its distribution across ecological zones. Nevertheless, broader research is required to substantiate these data and assess the implications of MP contamination for the environmental stability of human and marine well-being. Full article

Nanoimprint lithography (NIL) is highly dependent on imprinted film as a pattern-transfer medium. This paper systematically reviews the research progress of imprint film materials for NIL. Firstly, polydimethylsiloxane (PDMS), polyethylene terephthalate (PET), polyvinyl alcohol (PVA) and other single-polymer films are discussed, and their respective advantages (such as low surface energy, high optical transparency, water solubility) and inherent limitations (elastic deformation, demolding difficulties, humidity sensitivity)) are summarized. In order to overcome the above contradiction, researchers developed a composite imprint film structure, including an elastomer–rigid bilayer template and sandwich structure film, which achieved high resolution, conformal contact and facile demolding characteristics through mechanical function decoupling. At the same time, the emerging polymer/transparent electrode composite system (such as AgNWs/PVA, AgNWs/PDMS) gives the film active functions such as self-heating and antistatic ones, which effectively solves the key challenges in thermal management and electrostatic control. This paper comprehensively presents the evolution path from single-material to multi-functional composites, and provides guidance for the design of advanced imprint film for high precision, high reliability and large-scale NIL applications. Full article

Microbial biodegradation represents a promising approach to addressing global plastic pollution, yet the metabolic pathways and environmental origins of polymer-degrading microorganisms remain incompletely characterized. This review synthesizes current knowledge on biodegradation mechanisms across major polymer classes and identifies key environmental reservoirs harboring native plastic-degrading microbiota. Biodegradation pathways differ fundamentally according to polymer chemistry. Polyesters such as PET undergo hydrolytic cleavage by PETases and MHETases, releasing terephthalic acid and ethylene glycol for assimilation via the β-ketoadipate pathway and the TCA cycle. Biodegradable polyesters (PLA, PBAT, PHAs, PCL) are similarly hydrolyzed by cutinases, lipases, and depolymerases. In contrast, polyolefins (PE, PP) and polystyrene lack hydrolyzable bonds and require oxidative attack by laccases, peroxidases, and alkane monooxygenases, followed by β-oxidation to acetyl-CoA. Three principal environmental reservoirs supply plastic-degrading microorganisms: contaminated ecosystems including landfills and the plastisphere; soil microbiota contributing ligninolytic fungi and actinomycetes; and compost environments yielding thermostable enzymes such as leaf-branch compost cutinase. Across all environments, microbial consortia demonstrate superior degradation efficiency compared to single-species cultures, reflecting the enzymatic complexity required for complete polymer mineralization. Understanding these pathways and their environmental origins provides a foundation for biological plastic waste management strategies. Full article

Huajiao seed oil is a high-quality edible vegetable oil that is rich in unsaturated fatty acids. Because of this characteristic, it exhibits poor stability and is prone to oxidation. However, storage methods significantly influence oxidative stability. Therefore, this study investigated the effects of temperature (4, 25, and 37 °C), light exposure, and packaging materials (glass bottle, PET bottle, and iron can) on the quality of Huajiao seed oil during storage. The results demonstrate that low temperature effectively retarded the increase in acid value, peroxide value, p-anisidine value, and the content of secondary oxidation products. It also slowed down the degradation of squalene and α-tocopherols. Prolonged light exposure accelerated the oxidative rancidity of Huajiao seed oil. Oil stored in glass bottles exhibited a lower degree of oxidation than that stored in PET bottles or iron cans, and when stored under conditions of 4 °C/glass bottle/darkness, it had a shelf life of up to 7.34 months. The main volatile compounds generated in Huajiao seed oil during storage were aldehydes and acids. Full article

Systemic sclerosis-associated interstitial lung disease (SSc-ILD) is a leading cause of morbidity and mortality in patients with systemic sclerosis. High-resolution computed tomography (HRCT) provides anatomical detail but cannot directly assess disease activity, inflammation, or fibroblast activation. Molecular positron emission tomography/computed tomography (PET/CT) offers functional imaging that may complement structural assessment. This narrative review examines the role of molecular PET/CT in SSc-ILD, including fluorodeoxyglucose (FDG) PET/CT for metabolic activity assessment, fibroblast activation protein inhibitor (FAPI) tracers for fibrosis imaging, and other molecular probes targeting inflammation and tissue remodelling. We synthesize evidence on the diagnostic feasibility, prognostic value, and clinical applications of molecular PET/CT in SSc-ILD and related fibrotic interstitial lung diseases. Quantitative PET metrics, radiomics approaches, and artificial intelligence integration are also discussed. Although molecular PET/CT shows potential for phenotyping disease activity and predicting outcomes, current evidence is limited by small sample sizes and heterogeneous study designs. Standardization of imaging protocols, validation in multicenter cohorts, and integration with clinical and molecular biomarkers are needed before the clinical utility of molecular PET/CT in SSc-ILD can be established. Full article