Search Results (177)

Hydrogen-rich water (HRW) has shown neuroprotective effects in acute brain injury, but its role in chronic radiation-induced brain injury (RIBI) remains unclear. This study investigated the long-term efficacy of HRW in mitigating cognitive impairment and neuronal damage caused by chronic RIBI. Fifty male Sprague Dawley rats were randomly divided into five groups: control, irradiation (IR), IR with memantine, IR with HRW, and IR with combined treatment. All but the control group received 20 Gy whole-brain X-ray irradiation, followed by daily interventions for 60 days. Behavioral assessments, histopathological analyses, oxidative stress measurements, ¹⁸F-FDG PET/CT imaging, transcriptomic sequencing, RT-qPCR, Western blot, and serum ELISA were performed. HRW significantly improved anxiety-like behavior, memory, and learning performance compared to the IR group. Histological results revealed that HRW reduced neuronal swelling, degeneration, and loss and enhanced dendritic spine density and neurogenesis. PET/CT imaging showed increased hippocampal glucose uptake in the IR group, which was alleviated by HRW treatment. Transcriptomic and molecular analyses indicated that HRW modulated key genes and proteins, including CD44, CD74, SPP1, and Wnt1, potentially through the MIF, Wnt, and SPP1 signaling pathways. Serum CD44 levels were also lower in treated rats, suggesting its potential as a biomarker for chronic RIBI. These findings demonstrate that HRW can alleviate chronic RIBI by preserving neuronal structure, reducing inflammation, and enhancing neuroplasticity, supporting its potential as a therapeutic strategy for radiation-induced cognitive impairment. Full article

This review article focuses on the long-term durability challenges associated with bamboo fiber-reinforced polymer composites when subjected to various environmental aging conditions such as water immersion, hygrothermal fluctuations, ultraviolet (UV) radiation, soil burial, and refrigerated storage. The primary issue addressed is the degradation of mechanical and structural performance of bamboo fiber-reinforced polymer composites due to moisture absorption, fiber swelling, and fiber–matrix interface deterioration. To mitigate these aging effects, the study evaluates and compares multiple strategies, including chemical and physical fiber surface treatments, filler additions, and fiber hybridization, which aim to enhance moisture resistance and mechanical stability. These composites are relevant in automotive interiors, construction panels, building insulation, and consumer goods due to their eco-friendly nature and potential to replace conventional synthetic composites. This review is necessary to consolidate current knowledge, identify effective enhancement approaches, and guide the development of environmentally resilient bamboo fiber-reinforced polymer composites for real-world applications. Full article

Soft tissue masses are predominantly benign, with a benign-to-malignant ratio exceeding 100:1, often located around joints. They may be contiguous or adjacent to joints or reflect systemic diseases or distant organ involvement. Clinically, they typically present as palpable swellings. Evaluation should consider duration, size, depth, and mobility. Also assess consistency, growth rate, symptoms, and history of trauma, infection, or malignancy. Laboratory tests are generally of limited diagnostic value. The primary clinical goal is to avoid unnecessary investigations or procedures for benign lesions while ensuring timely diagnosis and treatment of malignant ones. Imaging plays a central role: it confirms the presence of the lesion, assesses its location, size, and composition, differentiates between cystic and solid or benign and malignant features, and can sometimes provide a definitive diagnosis. Imaging is also crucial for biopsy planning, treatment strategy, identification of involved structures, and follow-up. Ultrasound (US) is the first-line imaging modality for palpable soft tissue masses due to its low cost, wide availability, and lack of ionizing radiation. If findings are inconclusive, magnetic resonance imaging (MRI) or computed tomography (CT) is recommended. This review aims to discuss the most common causes of periarticular soft tissue masses in the appendicular skeleton, focusing on clinical presentation and radiologic features. Full article

In this paper, different poly((ethylene glycol)-(propylene glycol)) methacrylate (P(EGPG)MA) hydrogels were synthesized by gamma-radiation-induced polymerization and crosslinking from a monomer–bisolvent mixture using the following monomers: (ethylene glycol)₆ methacrylate (EG₆MA), ((ethylene glycol)₆-(propylene glycol)₃) methacrylate (EG₆PG₃MA), ((propylene glycol)₆-(ethylene glycol)₃) methacrylate (PG₆EG₃MA), and (propylene glycol)₅ methacrylate (PG₅MA), along with different water/ethanol compositions as the solvent. The monomer–bisolvent mixture was exposed to various radiation doses (5, 10, 15, 25, and 50 kGy). Considerable emphasis was placed on optimizing and tuning the reaction conditions necessary for the fabrication of methacrylic networks with pendant EGPG terminals. A further investigation was conducted on the effects of monomer composition, different preparation conditions, and radiation processing on thermal properties, microstructure, swelling behavior, and volume phase transition. Special attention was dedicated to PPG₆EG₃MA hydrogel, whose volume phase transition temperature is near physiological temperatures. This study identifies an optimal radiation dose and a water/ethanol solvent ratio for the synthesis of the radiation-induced hydrogels. Employing ionizing radiation within the sterilization dose range enables the simultaneous fabrication and sterilization of these hydrogels, offering an efficient production process. The findings provide new insights into the role of bisolvent composition on hydrogel formation and properties, and they present practical guidelines for optimizing hydrogel synthesis across a wide range of applications. Full article

Objectives: Tibial shaft fractures (TSFs) represent the most common diaphyseal fractures in adults. The gold-standard treatment is intramedullary nailing. Recently, the suprapatellar technique has been increasingly adopted due to its ability to reduce complications associated with the infrapatellar approach. Currently, no clinical score for leg fractures comprehensively assesses the entire lower limb. Therefore, we reviewed the main lower-limb scores available in the literature and developed a new clinical evaluation tool for tibial shaft fractures. The aim of our study was to report our experience with both techniques, to compare the outcomes of our prospective study with the international literature, and to propose a new, easy-to-apply, and reproducible clinical score that evaluates the specific functions of the entire lower limb. Methods: We conducted a prospective analysis of 920 tibial shaft fractures treated with intramedullary nailing via either a suprapatellar or infrapatellar approach. Patients were divided into two groups: Group A, including 420 patients treated with the infrapatellar approach; Group B, including 500 patients treated with the suprapatellar approach. Follow-up included clinical and radiographic assessments at 1, 3, and 6 months, and annually thereafter. We evaluated differences in patient positioning, operation time, radiation exposure, healing rate, incidence of pseudarthrosis and infection, return to ambulation, residual knee pain and fracture site, persistent lameness, and deformities. For the clinical assessment, we devised a new score—the Catania Hospital Score (CHS)—by integrating the most relevant clinical items from existing lower-limb evaluation tools. The CHS includes anterior knee pain (20 points), lameness (5 points), swelling (10 points), stair-climbing ability (10 points), tibial pain (15 points), the ability to perform daily activities (20 points), and evaluation of deformities (varus/valgus, shortening, rotation, and recurvatum/procurvatum (40 points)), for a total of 120 points. Results: Statistically significant differences were observed in Group B regarding a shorter surgical time, a reduced patient positioning time, and decreased radiation exposure. The CHSs were significantly better for Group B at the 3- and 6-month follow-ups. No statistically significant differences were found in infection or pseudarthrosis rates between the two groups. Notably, no cases of chronic knee pain were reported in patients treated with the suprapatellar approach. Conclusions: Both surgical approaches are valid and effective. However, our findings indicate that the suprapatellar approach reduces the complications of the infrapatellar technique, improves postoperative outcomes, and does not result in chronic knee pain. The CHS provides a comprehensive, practical, and reproducible tool to assess functional recovery in patients treated with intramedullary tibial nailing. Full article

Excessive exposure to ultraviolet B (UVB) radiation can lead to skin damage, such as erythema and swelling. Echinacoside is a key effective ingredient of medicinal plant Cistanche deserticola commonly used for therapies and treatments for anti-aging and irradiation-related skin diseases. However, the molecular mechanism underlying the action of echinacoside remains unclear. Here, we report that echinacoside ameliorates UVB-induced skin damage by directly acting on the Ca²⁺-permeable and thermosensitive transient receptor potential vanilloid 3 (TRPV3) channel. Topical application of echinacoside efficaciously suppresses skin lesions induced by UVB radiation in wild-type mice but has no additional benefit in Trpv3 knockout mice. In whole-cell patch clamp recordings, echinacoside selectively inhibits TRPV3 channel currents induced by 2-aminoethoxydiphenyl borate in a concentration-dependent manner with an IC₅₀ value of 21.94 ± 1.28 μM. The single-channel patch clamp results show that echinacoside significantly reduces the open probability and open frequency without significantly altering TRPV3 channel unitary conductance. Molecular docking and site-specific mutagenesis indicate that residue T636 on the p-loop and residue T665 on the S6 segment of TRPV3 are critical for echinacoside binding to TRPV3. Taken together, our findings provide a molecular basis for further studies as use of natural echinacoside in irradiation-related skin care therapy, thus establishing a significant role of the TRPV3 channel in acute skin injury. Full article

Background/Objectives: Mild traumatic brain injury (mTBI) is a leading cause of pediatric emergency department visits, particularly among children under three years old. Although computed tomography (CT) is the gold standard for diagnosing intracranial injuries, its use in young children poses radiation risks. Identifying reliable clinical indicators that justify CT imaging is essential for optimizing both patient safety and resource utilization. Objective: This study aimed to evaluate CT findings in children under three years of age with mTBI and no focal neurological deficits, as well as to identify clinical predictors associated with skull fractures and intracranial injuries. Methods: A retrospective analysis was conducted on 224 children under 36 months who presented with mTBI to a tertiary pediatric hospital from July 2019 to July 2024. Demographic data, injury mechanisms, clinical presentation and CT findings were evaluated. Univariate and multivariate regression analyses were performed to identify risk factors associated with skull fractures and intracranial injuries. Results: Falls accounted for 96.4% of injuries, with the majority occurring from heights of 0.5–1 m. The parietal region was the most frequently affected site (38%). Skull fractures were present in 46% of cases and were primarily linear (92.8%). Intracranial hematomas were identified in 13.8% of cases, while brain edema was observed in 7.6%. Significant predictors of skull fractures included age under 12 months (p < 0.001), falls from 0.5–1 m (p = 0.005), somnolence (p = 0.030), scalp swelling (p = 0.001) and indentation of the scalp (p = 0.016). Parietal bone involvement was the strongest predictor of both skull fractures (OR = 7.116, p < 0.001) and intracranial hematomas (OR = 4.993, p < 0.001). Conversely, frontal bone involvement was associated with a lower likelihood of fractures and hematomas. Conclusions: The findings highlight key clinical indicators that can guide decision-making for CT imaging in children with mTBI. Infants under 12 months, falls from moderate heights and parietal bone involvement significantly increase the risk of fractures and intracranial injuries. A more refined diagnostic approach could help reduce unnecessary CT scans while ensuring the timely identification of clinically significant injuries. Full article

This study concerns the effects of the addition of crystalline nanocellulose (CNC) and ionizing radiation on the properties of cornstarch–poly(vinyl alcohol) (PVA) films. Moreover, ESR spectroscopy and gas chromatography were used for a comparison of the reactivity of CNC and two micro-sized celluloses (microfibrinal (MFC) and microcrystalline (MCC)) under the influence of irradiation. This showed that the highest reactivity of CNC was related to the lowest sizes of the particles (observed by SEM). A series of starch/PVA/CNC films characterized by a starch/PVA ratio equal to 40:60 and a CNC addition in a range from 0.5 wt% to 10.0 wt% with 30 wt% of glycerol were prepared by solution casting. The films were irradiated in a gamma chamber (in a vacuum) or in an e-beam (in the air) using a dose of 25 kGy. The mechanical properties, contact angle to water, swelling and solubility in water, moisture absorption in a humid atmosphere, and the gel content of the films were determined. The functional properties of the films strongly depended on the addition of CNC. The films formed with 1.0 wt% of CNC had the best mechanical properties and the lowest surface and bulk hydrophilicity, which could be improved further after irradiation. The results can be related to the increased homogeneity and modified distribution of the nanoparticles in the films after irradiation (as shown by SEM). Degradation is a predominant process that occurs due to irradiation; however, the crosslinking processes also have some role. The protective effect of CNC against degradation was discovered by diffuse reflectance spectroscopy. Full article

Styrene-butadiene-styrene (SBS)-modified asphalt, a widely utilised binder in pavement engineering, is susceptible to ageing due to the coupling effects of thermo-oxidation, ultraviolet radiation, and humidness. Due to the limited availability of high-quality asphalt resources, recycling aged asphalt has emerged as a vital strategy for addressing resource shortages and reducing environmental pollution. This study investigated the effects of thermal-ultraviolet-humidness coupled ageing on the pavement performance of SBS-modified asphalt, with a specific focus on the hot–wet climates of Guangzhou and Chengdu. Beijing’s standard climate serves as a reference for this study. Additionally, industrial animal oil was chosen as a rejuvenator for aged SBS-modified asphalt. The mechanisms underlying hot–wet coupling ageing and regeneration of SBS-modified asphalt were analysed using Fourier Transform Infrared Spectroscopy (FTIR) and Fluorescence Microscopy (FM). The findings indicate that thermal-oxidation and humidness accelerate sulphide formation, resulting in a marked increase in sulfoxide groups and facilitating the migration of lighter components, ultimately leading to asphalt hardening. Under high-temperature and humidness conditions, the butadiene index (BI) of asphalt decreased by 5.96% in Chengdu and 15.78% in Guangzhou compared to Beijing. The sulfoxide index (SI) and aromaticity index (CI) increased by 3.74% and 3.89% in Chengdu, and by 9.39% and 8.54% in Guangzhou, respectively, confirming the exacerbating effect of humidness on ageing. During the regeneration process, industrial animal oil effectively diluted polar molecules in aged asphalt, resulting in reductions in SI by 38.88%, 36.74%, and 37.74%, and in CI by 63.77%, 62.54%, and 63.11% under ageing conditions in Beijing, Guangzhou, and Chengdu, respectively. Rejuvenation is achieved by replenishing lighter components, thereby promoting the aggregation and swelling of the degraded SBS chains. Full article

Excessive blood loss is a leading cause of mortality among soldiers and accident victims. The wound healing process typically ranges from three weeks to several months, with disruptions in healing stages potentially prolonging recovery time. Chronic wounds may persist for years, creating a favorable environment for microbial growth. Chitosan, a derivative of chitin—the second most abundant biopolymer in nature—is obtained through deacetylation and exhibits mucoadhesive, analgesic, antioxidant, biodegradable, non-toxic, and biocompatible properties. Due to its hemostatic and regenerative support capabilities, chitosan is widely applied in the food, cosmetic, and agricultural industries; environmental protection; and as a key component in dressings for chronic wound healing. Notably, its antibacterial properties make it a promising candidate for novel biomaterials to replace traditional antibiotics and prevent the emergence of drug-resistant strains. The primary aim of this study was the chemical cross-linking of chitosan with the amino acids L-aspartic and L-glutamic acid in the presence of periclase (magnesium oxide) under microwave radiation conditions. Subsequent research stages involved the analysis of the samples’ physicochemical properties using SEM, FT-IR, XPS, atomic absorption spectrometry, swelling behavior (in water, SBF, and blood), porosity, and density. Biological assessments included biodegradation, cytotoxicity, and antibacterial activity against Escherichia coli and Staphylococcus aureus. The obtained results confirmed the high potential of the newly developed hemostatic agents for effective hemorrhage management under non-sterile conditions. Full article

This study investigates the synthesis and properties of innovative poly(oligo(alkylene glycol)) methacrylate hydrogels synthesized via gamma radiation-induced copolymerization and the crosslinking of oligo(ethylene glycol) methacrylate (OEGMA) and oligo(propylene glycol) methacrylate (OPGMA) at varying mole fractions. Our primary objective is to investigate the impact of copolymerization on the swelling properties of P(OEGMA/OPGMA) hydrogels compared to their homopolymeric counterparts, namely, POEGMA and POPGMA, which exhibit distinct volume phase transition temperatures (VPTTs) of around 70 and 13 °C, respectively, under physiological conditions. To this end, a comprehensive library of smart methacrylate-based hydrogel biomaterials was developed, featuring detailed data on their swelling behavior across different copolymer molar ratios and physiological temperature ranges. To achieve these objectives, we conducted swelling behavior analysis across a wide range of temperatures, assessed the pH sensitivity of hydrogels, utilized scanning electron microscopy for morphological characterization, performed in vitro biocompatibility assessment through cell viability and hemolysis assays, and employed diclofenac sodium as a model drug to control drug delivery testing. Our findings demonstrate that the newly synthesized P(OEGMA₄₀/OPGMA₆₀) copolymeric hydrogel exhibits desirable characteristics, with VPTT close to the physiological temperatures required for controlled drug delivery applications. Full article

Lymphedema is a chronic condition characterized by the accumulation of lymphatic fluid in the tissues, causing swelling primarily in the limbs, though other body parts can also be affected. It commonly develops after lymph node removal, or radiation therapy, or due to congenital lymphatic system defects. Effective management is essential due to its significant impact on physical function and quality of life. Complete Decongestive Therapy (CDT) is the primary treatment for lymphedema. This comprehensive approach combines manual lymphatic drainage (MLD), compression bandaging, skincare, and exercise. An early diagnosis and initiation of CDT are critical to preventing irreversible damage to the lymphatic system and worsening symptoms. Successful outcomes depend on timely treatment, patient adherence, and the consistent use of all CDT components, with compression therapy and exercise playing particularly vital roles. Recent research highlights how skin and fat tissue characteristics, such as increased skin thickness and adipose tissue accumulation, complicate lymphedema management, especially in advanced stages. In these cases, where fibrosis and fat deposition are more prominent, traditional CDT may need to be supplemented with advanced treatments like liposuction or enhanced compression techniques. This study explores the factors influencing the success of decongestive therapy, including the stage of lymphedema at the diagnosis, treatment protocols, and individual patient characteristics like skin and fat tissue properties. Full article

Biomaterials (films, foils, fibers, coatings) based on proteins are becoming increasingly important due to the growing applications for which pork and beef gelatins are used. Alternative types of gelatins (poultry or fish), which have not yet been sufficiently tested, represent a high potential. This study looks at the effect of different UV exposure times on chicken gelatin films with added glycerol. The gelatin was prepared using a unique enzymatic hydrolysis process. The quality of the UV-exposed films was compared with gelatin films not exposed to UV light. Radiation-induced crosslinking improved the mechanical and physical properties of the films. The UV crosslinked films are stabilized at a degree of swelling from 700 to 900%; moreover, they extend their dissolution to more than 7 days while maintaining their original shape. In contrast, non-crosslinked films swell and dissolve in water faster. Further, the effect of UV radiation on the water vapor permeability and color of the films was monitored. Water vapor permeability decreased by 2.5 times with increasing crosslinking time for 30% and 40% glycerol content, and the yellowness of the irradiated samples increased with exposure time in the interval from 24 to 28. Using Fourier transform infrared spectroscopy, the differences in the amount of bonding based on irradiation time were analyzed. As a result of crosslinking, the intensity of existing bonds increased. Thermal properties were verified through differential scanning calorimetry and thermogravimetric analysis. The results proved that chicken gelatin is suitable for preparing films in foods and medicine. Applying UV radiation to crosslink gelatin films is an alternative to traditionally used chemical crosslinkers. Full article

In this study, a polyvinyl alcohol/polyethylene glycol/hydroxypropyltrimethyl ammonium chloride chitosan (PVA/PEG/HACC) ternary composite hydrogel was synthesized using electron-beam radiation. The materials were thoroughly characterized via Fourier transform infrared spectroscopy, X-ray diffraction, scanning electron microscopy, thermogravimetric analysis, Brunauer–Emmett–Teller analysis, gelation fraction tests, and swelling rate tests. Systematic adsorption experiments revealed that the rate of adsorption of calf thymus DNA (ctDNA) by the PVA/PEG/HACC hydrogel reached 89%. The adsorption process followed the Langmuir isotherm and pseudo-second-order kinetic model. This process was mainly characterized by monolayer chemical adsorption, with intraparticle diffusion playing a crucial role. In addition, the process was spontaneous, with higher temperatures enhancing adsorption. The possible adsorption mechanisms included electrostatic interactions, hydrogen bonding, and van der Waals forces. The maximum ctDNA desorption rate was 81.67%. The adsorption rate remained at 71.39% after five adsorption–desorption cycles. The bioactivity of the PVA/PEG/HACC hydrogel was validated by antibacterial, cytotoxicity, and apoptosis tests. The results of this study demonstrated the crucial application potential of adsorbent materials in DNA adsorption and biomedical applications. Full article

This study aims to develop efficient and sustainable hydrogels for dye adsorption, addressing the critical need for improved wastewater treatment methods. Carboxymethyl cellulose (CMC)-based hydrogels grafted with AAc were synthesized using gamma radiation polymerization. Various AAc to CMC ratios (5:5, 5:7.5, 5:10, 5:15) were treated with 37% NaOH and exposed to 1–15 kGy radiation, with the optimal hydrogel obtained at 5 kGy. Swelling studies showed an increase in swelling with 5–7.5% AAc content, with the 5:7.5 hydrogel achieving the highest swelling at 18,774.60 (g/g). FTIR spectroscopy confirmed the interaction between AAc and CMC, indicating the successful formation of the hydrogel. DSC analysis revealed that higher AAc content led to increased glass transition and decomposition temperatures, thereby enhancing thermal stability. The swelling kinetics were linked to a reduction in pore size and improved AAc grafting. The 5:7.5 hydrogel demonstrated the highest adsorption capacity (681 mg/g) for methylene blue at 80 mg/L, achieving a desorption efficiency of 95% in 2M HCl. Kinetic analysis revealed non-uniform physisorption on a heterogeneous surface, which followed Schott’s pseudo-second-order model. This study advances the development of efficient hydrogels for water purification, providing a cost-effective and environmentally friendly solution for large-scale applications. Full article