Search Results (73)

Background: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is strongly associated with atrial structural remodeling driven by activated cardiac fibroblasts. Autophagy has been implicated in AF-related atrial remodeling; however, the non-coding RNA mechanisms that govern autophagic activation in atrial fibroblasts under rapid electrical stress remain poorly understood. Methods: Human cardiac fibroblasts from adult atria (HCF-aa) were subjected to rapid electrical stimulation (RES) at 0.5 V/cm and 10 Hz. Expression levels of exosomal metastasis-associated lung adenocarcinoma transcript 1 (MALAT1), cytoplasmic miR-204-5p, and microtubule-associated protein light chain 3B (LC3B) were measured using quantitative real-time PCR and Western blot analyses. Luciferase reporter assays were performed to confirm direct molecular interactions. The functional roles of MALAT1 siRNA, miR-204-5p mimics/antagomirs, rapamycin, and 3-methyladenine (3-MA) on LC3B expression and autophagic activation were assessed by Western blot and immunofluorescence confocal microscopy for LC3B puncta formation. Results: RES significantly induced exosomal MALAT1 expression in a voltage- and time-dependent manner, peaking at 2 h post-stimulation, while cytoplasmic MALAT1 levels remained unchanged. Cytoplasmic miR-204-5p exhibited an initial transient rise followed by a significant decline at 2 h, inversely correlating with peak MALAT1 levels. LC3B mRNA and protein expression subsequently increased, peaking at 6 and 16 h, respectively. Luciferase reporter assays confirmed that miR-204-5p directly binds both the MALAT1 transcript and the 3′-UTR of LC3B mRNA. MALAT1 knockdown augmented miR-204-5p levels and suppressed LC3B expression, while miR-204-5p overexpression attenuated RES-induced LC3B upregulation and LC3B puncta accumulation. Conversely, miR-204-5p inhibition further enhanced autophagic activation, as evidenced by increased LC3B puncta density. Conclusions: In HCF-aa subjected to RES, MALAT1 functions intracellularly as a competing endogenous RNA to putatively sequester miR-204-5p, thereby de-repressing LC3B expression and promoting autophagic activation. Concurrent exosomal secretion of MALAT1 may additionally serve as a paracrine signal to neighboring cells, though this requires future conditioned-media transfer experiments to confirm. Full article

Background: The Forward Lunge is a representative squash-specific footwork movement involving rapid acceleration, braking, postural stabilization, and return propulsion. This study examined whether pre-competition neuromuscular electrical stimulation (NMES) combined with weighted squats was associated with differences in Forward Lunge performance and neuromuscular control in squash athletes. Methods: Thirty-six male squash athletes were randomly assigned to three groups: Weighted Squats, Fake Stimulation, and Real Stimulation, with 12 participants in each group. After the assigned acute intervention, all participants completed the squash-specific star test. Completion time was recorded using a Microgate Witty photocell timing system, while surface electromyographic (sEMG) signals from 14 right-side muscles were collected using a Delsys Trigno wireless electromyography system. High-speed video was used to identify the Forward Lunge movement cycle, and transistor–transistor logic (TTL) synchronization enabled temporal alignment among timing, video, and sEMG signals. Normalized root mean square (RMS), muscle co-activation index (CI), and non-negative matrix factorization (NMF)-based muscle synergy parameters were calculated. Between-group differences were analyzed using one-way analysis of variance (ANOVA) with Bonferroni post hoc comparisons, and false discovery rate (FDR) correction was applied to secondary neuromuscular outcomes. Results: Star test completion time differed significantly among the three groups (F = 28.65, p < 0.001, η² = 0.63). The Real Stimulation group showed a shorter completion time (10.35 ± 0.45 s) than the Weighted Squats group (11.80 ± 0.55 s) and Fake Stimulation group (11.55 ± 0.50 s). During the Forward Lunge movement cycle, normalized RMS values of the rectus abdominis (ABS; F = 18.56, p < 0.001, η² = 0.55) and latissimus dorsi (LD; F = 13.42, p < 0.001, η² = 0.44) were significantly higher in the Real Stimulation group. The gluteus maximus–biceps femoris (GLM–BF) co-activation index also differed significantly among groups (F = 58.42, p < 0.001, η² = 0.78), with higher values in the Real Stimulation group. Muscle synergy analysis showed group differences in selected muscle activation weights and temporal activation parameters. Conclusions: In this parallel-group acute intervention study based on post-intervention measurements, real NMES combined with weighted squats was associated with shorter star test completion time and altered neuromuscular control during the Forward Lunge movement cycle. The integrated use of photocell timing, wireless sEMG, high-speed video, and TTL synchronization provided temporally aligned sensor-based evidence for evaluating acute pre-competition activation strategies. However, due to the absence of baseline measurements, the findings should be interpreted as post-intervention between-group differences rather than definitive evidence of individual improvement. Full article

Objective: Rapid vertical manoeuvres and intermittent vibration in autonomous electric vertical take-off and landing (eVTOL) aircraft can provoke pronounced psychological anxiety in passengers. To address this, we propose a closed-loop adaptive system that integrates an in-ear wearable sensor with dynamic regulation of the cabin microenvironment, enabling real-time monitoring of each passenger’s autonomic state and delivering individualised mitigation through a continuous sense–analyse–intervene–feedback loop. Methods: The system is built around a pair of custom in-ear modules that integrate dual-wavelength photoplethysmography (PPG; 525 nm green and 940 nm infrared), galvanic skin response (GSR), and a six-axis inertial measurement unit (IMU) sampled at 200 Hz. To suppress the 20–80 Hz vibration generated by the distributed electric propulsion system, a compliant silicone damping sleeve attenuates high-frequency components at the hardware level, while a Kalman filter fuses the IMU and PPG streams and an adaptive notch filter removes residual rotor harmonics. The pipeline raises the heart-rate-variability (HRV) signal-to-noise ratio (SNR) to 24.1 dB, with a Pearson correlation of 0.96 against a medical-grade chest strap. A hybrid CNN–LSTM network—two convolutional layers (32 filters each) followed by two LSTM layers (128 hidden units)—predicts impending anxiety from HRV time-domain features (RMSSD, pNN50) and frequency-domain features (LF/HF ratio), triggering intervention 8.2 s in advance on average. According to the predicted anxiety level (mild/moderate/severe), a fuzzy controller modulates transcutaneous auricular vagus nerve stimulation (1–5 mA), the binaural-beat frequency (4–8 Hz, theta band), and the cabin lighting colour temperature (2700–6500 K) in real time. The intervention parameters are continuously refined by SPSA-based stochastic optimisation of the HRV recovery rate (step size 0.01; updated every 30 s). Results: In a randomised controlled experiment conducted in a simulated flight environment (N = 50; aged 22–45 years; 1:1 sex ratio), the active group reached physiological recovery in 52.3 s on average, compared with 98.6 s for the sham-controlled group—a 47% reduction (Cohen’s d = 1.24, p < 0.001). User acceptance reached 94%. Conclusions: The proposed in-ear platform enables closed-loop adaptive regulation of anxiety in the eVTOL cabin and overcomes the limitations of conventional passive mitigation strategies. By combining vibration-tolerant physiological sensing with multimodal environmental control, the work offers a practical pathway for improving passenger experience in urban air mobility and provides a useful reference for human-factors standards governing autonomous aircraft. Full article

Titanium-based perovskites have garnered significant attention for photocatalytic applications, particularly in the field of environmental remediation through the degradation of synthetic dyes and pharmaceuticals in aqueous solutions. This review paper aims to explore the synthesis methods, crystal structures, photoactivity, and photocatalytic performance of titanium-based perovskites in degrading synthetic dye and pharmaceutical effluents in water. The unique advantages of titanium-based perovskites as photocatalysts, associated with their high redox potentials and excellent optical and electrical properties, are highlighted. Their limitations in visible light absorption and photocatalytic efficiency due to rapid charge carrier recombination are also discussed. Several strategies to overcome these limitations, such as surface modifications of the photocatalysts, metal and non-metal doping, the introduction of structure defects, the formation of heterojunctions with electron-accepting materials, and the deposition of plasmonic metal nanoparticles are systematically examined. This review also provides an overview of the photocatalytic degradation of dyes and pharmaceuticals as emerging contaminants, utilizing titanium-based perovskites as photocatalysts, to highlight their efficiency and potential for real-word applications. By covering research findings, current knowledge, and future perspectives, this review aims to stimulate advancements in the design and application of titanium-based perovskite photocatalysts. Full article

Background: Electrochemotherapy enhances the intracellular delivery of anticancer agents through electroporation but is traditionally limited to cytotoxic drugs associated with significant side effects. Vitamin C (ascorbic acid) exhibits selective anticancer activity when accumulated at high intracellular concentrations; however, its therapeutic application is restricted by poor membrane permeability and rapid systemic clearance. Methods: In this study, we investigated whether reversible electroporation, applied using a custom-designed variable plate electrode system designed to deliver a uniform electric field, could potentiate the antitumor efficacy of low-dose vitamin C. Numerical simulations were performed to optimize electrode spacing and stimulation voltage, suggesting homogeneous electric field coverage throughout the tumor volume. The proposed approach was evaluated in vitro using MDA-MB-231 and 4T1 breast cancer cell lines and in vivo in a 4T1 murine breast cancer model. Results: Low-dose vitamin C alone produced minimal cytotoxic effects, whereas its combination with electroporation significantly reduced cell viability and increased apoptotic and necrotic cell death in vitro. In vivo, vitamin C–assisted electrochemotherapy resulted in pronounced tumor growth suppression, with tumor volumes reduced to approximately 0.34-fold of baseline by day 15, accompanied by decreased proliferation and marked tissue disruption. Conclusions: These findings demonstrate that uniform-field reversible electroporation markedly enhances the intracellular delivery and antitumor activity of low-dose vitamin C, supporting this technology-driven strategy as a promising, low-toxicity alternative to conventional chemotherapeutic agents in electrochemotherapy for solid tumors. Full article

Peripheral nerve regeneration is most rapid during the early post-injury period but gradually slows over time, often limiting functional recovery. Electrical stimulation (ES) delivered via percutaneous needle electrodes has been shown to modulate the local neural microenvironment and promote axonal regeneration; however, the optimal temporal window and duration of stimulation remain unclear. This study aimed to evaluate the time-dependent effects of needle-based ES on peripheral nerve regeneration in a rat model of sciatic nerve transection, using a well-established silicone nerve conduit as a stable and reproducible non-biodegradable repair model. Female Sprague–Dawley rats underwent sciatic nerve transection and repair. Postoperatively (PO), animals were randomly assigned to control (C) needle insertion or needle-based ES groups, receiving stimulation for either 3 weeks (C-3W-PO and ES-3W-PO, respectively) or 7 weeks (C-7W-PO and ES-7W-PO, respectively). Functional recovery was evaluated using cold plate latency and rotarod performance tests. Electrophysiological assessments included measurements of nerve conduction velocity (NCV), compound muscle action potential amplitude, and muscle action potential (MAP) area. Histomorphometric analysis of regenerated nerve tissue quantified total nerve cross-sectional area, endoneurial space, axon number, and axon density. Retrograde labeling with fluoro-gold (FG) was used to quantify reinnervated motor neurons. Immunohistochemical analyses of calcitonin gene-related peptide (CGRP) and macrophage-associated markers were conducted to assess sensory neuropeptide expression and immune cell infiltration within the regenerated nerve. ES significantly improved both sensory and motor recovery in a duration-dependent manner. Behavioral data showed increased cold pain thresholds and improved motor coordination in ES groups, with the most pronounced functional gains observed in the ES-7W-PO group. Electrophysiological measures revealed higher NCV, amplitude, and MAP area in ES-treated animals, with the most pronounced improvements at 7 weeks. Morphologically, ES enhanced nerve regeneration, as evidenced by increased total and endoneurial areas, axonal counts, and axon density. FG-labeled neuron counts were significantly elevated in ES groups, indicating enhanced motor reinnervation. At 3 weeks, ES induced higher CGRP expression and macrophage density, suggesting transient activation of sensory-associated and pro-regenerative immune responses during the early post-injury phase. These findings demonstrate that ES accelerates peripheral nerve repair in rats and that sustained stimulation across the early regenerative window yields superior structural and functional outcomes. Full article

Background: Post-exercise oxygen consumption (EPOC) contributes to the health benefits of exercise, and changes in EPOC may play a role in the development of diabetes. Near-infrared spectroscopy (NIRS) is a tool used to evaluate muscle metabolism. This study used a novel NIRS-based method of measuring EPOC in the forearm muscles of young adults with and without a family history of diabetes. Methods: Fourteen female adults with and without an immediate family history of diabetes were tested. A two-group, one-day design was used with three protocols: ischemic reperfusion, EPOC, and mitochondrial capacity. Muscle oxygen levels were measured with NIRS in the forearm. Blood flow was assessed as the initial reperfusion rate following 5 min of ischemia. EPOC was measured after 60 s of rapid wrist curls with a 2.3 kg weight, followed by measurements every minute for 10 min. Muscle mitochondrial capacity (mVO₂max) was determined from the recovery rate of muscle metabolism after 30 s of electrical stimulation. EPOC was calculated as the area under the curve of oxygen consumption over 10 min after exercise, subtracting the phosphocreatine contribution calculated from mVO₂max. Group comparisons were made using t-tests with significance at p < 0.05. Results: mVO₂max was not different between those with a positive (1.60 ± 0.15 min⁻¹) and those with a negative family history (1.45 ± 0.17 min⁻¹), p = 0.11. Net EPOC was not different between those with a positive (20.0 ± 7.2 O₂·s) and those with a negative (19.6 ± 11.3 O₂·s) family history, p = 0.94. Conclusions: Muscle EPOC minus PCr was calculated after a short, intense bout of exercise. No differences were found in the mitochondrial capacity or EPOC between young healthy individuals with and without a family history of diabetes. This study presents the use of EPOC to evaluate muscle metabolism in populations at risk for diabetes and other related disorders. Full article

Olfactory dysfunction (OD) is an early symptom associated with a variety of diseases, including COVID-19, Alzheimer’s disease, and Parkinson’s disease, where patients commonly experience hyposmia or anosmia. Effective restoration of olfactory function is therefore crucial for disease diagnosis and management, and improving overall quality of life. Traditional treatment approaches have primarily relied on medication and surgical intervention. However, recent advances in bionic sensing and brain–computer interface (BCI) technologies have opened up novel avenues for olfactory rehabilitation, facilitating the reconstruction of neural circuits and the enhancement of connectivity within the central nervous system. This review provides an overview of the current research landscape on OD-related diseases and highlights emerging olfactory restoration strategies, including olfactory training (OT), electrical stimulation, neural regeneration, and BCI-based approaches. These developments lay a theoretical foundation for achieving more rapid and reliable clinical recovery of olfactory function. Full article

This study presents a soft exoskeleton system designed to enhance the safety of electrical maintenance personnel during tower climbing by augmenting the hand grip and providing fall prevention assistance. Inspired by biological principles, a compact, stroke-amplified, and fast-response actuator based on a spring energy storage–release mechanism was developed and evaluated through tensile and speed tests, demonstrating sufficient locking force and a fast response time of 37.5 ms. A dual-sensing module integrating pressure and flexible bending sensors was designed to detect grasping states in real time. System effectiveness was further validated through functional electrical stimulation (FES) and simulated climbing experiments. FES tests confirmed the system’s ability to maintain grasp posture under involuntary hand extension, while climbing experiments verified consistent and reliable transitions between locking and unlocking during movement. Although preliminary, these results suggest that integrating soft exoskeletons with rapid-response actuators offers a promising solution for improving grip stability and operational safety in high-risk vertical environments. Full article

Background/Objectives: Electrical threshold testing (ETT) offers a promising method for assessing somatosensory function. Despite its growing use, fundamental aspects such as the physiological recovery time required between repeated threshold measurements remain poorly understood. This gap is critical when evaluating sensory, motor, or pain thresholds (EST, EMT, EPT) in pre–post designs or rapid intra-session protocols. The aim is to investigate the short-term recovery dynamics of electrical thresholds following electrical threshold testing, and to determine the minimum interval required for values to return to a stable baseline. Methods: In this pilot, repeated-measures study, 10 healthy adults (20 upper limbs) underwent three progressive stimulation trials (sensory, motor, and pain). Electrical thresholds were assessed at fixed recovery intervals (0–120 s), with duplicate measurements at each time point. Stability was defined as the absence of significant differences between repeated measures. Results: EST stabilized rapidly after sensory or motor stimulation, showing no significant differences beyond 0 and 15 s, respectively. Within pain stimulation, EST recovered at 60 s. EMT showed immediate recovery with motor stimulation and required longer recovery with pain stimulation, with stabilization observed at 90 s. EPT exhibited the highest variability, with the smallest time-dependent differences observed immediately after the first assessment. Conclusion: Recovery time after electrical stimulation varies by threshold type and intensity of the stimuli. EST and EMT can be reliably reassessed immediately after sensory and motor stimulation, respectively. However, when stimulation reaches EPT level, EST requires 60 s to recover and EMT needs 90 s. EPT demonstrates higher variability, indicating the need for further investigation. These findings support the implementation of standardized recovery intervals in ETT and underscore the importance of interpreting EPT results with caution during rapid assessments. Full article

Non-thermal technologies (NTTs) such as ultrasound (US), pulsed electric fields (PEF), high-pressure processing (HPP), cold plasma (CP), and pulsed light (PL) are emerging as versatile tools in food fermentation, offering microbial control and process enhancement without the detrimental heat effects of conventional methods. Operating at ambient low temperatures, these techniques preserve heat-sensitive compounds, modulate microbial activity, and improve mass transfer, enabling both quality retention and functional enrichment. Recent studies highlight their potential to stimulate metabolic pathways and enhance the release of bioactive compounds, opening new opportunities for fermented food production. The bibliometric analysis of the recent literature further reveals a growing interest in NTT applications in fermentation, with HPP and PEF showing the highest industrial maturity. Each technology exhibits distinct mechanisms and optimal niches across upstream, midstream, and downstream stages: HPP for uniform volumetric treatment, US for fermentation intensification, CP for surface-selective oxidative chemistry, PEF for membrane permeability control, and PL for rapid, residue-free decontamination. While the degree of industrial readiness varies, critical barriers such as scale-up limitations, high capital costs, energy distribution uniformity, process standardization, and techno-economic feasibility remain to be overcome. Beyond technical aspects, the successful commercialization of NTTs will also depend on addressing regulatory approval pathways, ensuring consumer trust and acceptance, and demonstrating their contribution to sustainability goals through lower energy use, reduced food waste, and environmentally responsible processing. Strategic, stand-alone, or hybrid applications of NTTs can therefore act not only as technological alternatives but also as enablers of a more sustainable, consumer-centered, and innovation-driven food system. Full article

Driven by the urgent need to decarbonize the logistics sector—where conventional vehicles exhibit high energy consumption and emissions, posing significant environmental sustainability challenges—electrification represents a pivotal strategy for reducing emissions and achieving sustainable urban freight transport. Despite rising global electric vehicle sales, the penetration rate of electric logistics vehicles (ELVs) remains comparatively low, impeding progress toward sustainable logistics objectives. Battery-swapping mode (BSM) has emerged as a potential solution to enhance operational efficiency and economic viability, thereby accelerating sustainable adoption. This model improves ELV operational efficiency through rapid battery swaps at centralized stations. This study constructs a tripartite evolutionary game model involving government, consumers, and BSM-ELV manufacturers to analyze market dynamics under diverse strategies. Key considerations include market scale, government environmental benefits, battery leasing/purchasing costs, lifecycle cost analysis (via discount rates), and resource efficiency (reserve battery ratio $\lambda$). MATLAB-2021b-based simulations predict participant strategy evolution paths. Findings reveal that market size and manufacturer expectations significantly influence governmental and manufacturing strategies. Crucially, incorporating discount rates demonstrates that battery leasing reduces consumer enterprises’ initial investment, enhancing economic sustainability and cash flow while offering superior total cost of ownership. Furthermore, gradual reduction of government subsidies effectively stimulates market self-regulation, incentivizes leasing adoption, and bolsters long-term economic/operational sustainability. Market feedback can guide policy adjustments toward fiscally sustainable support mechanisms. This study proposes the following management implications for advancing sustainable logistics: 1. Governments should phase out subsidies systematically to foster market resilience; 2. Manufacturers must invest in BSM R&D to improve efficiency and resource circularity; 3. Consumer enterprises can achieve economic benefits and emission reductions by adopting BSM-ELVs. Full article

Autonomic dysfunction of the stomach typically manifests as delayed gastric emptying or gastroparesis and is seen in individuals with both type 1 and 2 diabetes. However, impaired gastric motility is only modestly associated with the presence of upper gastrointestinal symptoms, and the diagnosis of gastroparesis essentially requires a formal measurement of gastric emptying, ideally employing a sensitive and precise technique such as scintigraphy. There is a bidirectional relationship between gastric emptying and glycemia: insulin-induced hypoglycemia accelerates, while acute elevations in blood glucose may delay gastric emptying. On the other hand, relatively more rapid emptying is associated with a higher initial rise in postprandial glucose. The management of gastroparesis requires an individualized approach, integrating dietary modifications, nutritional supplementation, pharmacological therapies, and, in severe cases, advanced interventions including gastrojejunostomy and gastric electrical stimulation. This review provides an overview of the pathophysiology and diagnosis of autonomic neuropathy of the diabetic stomach and discusses current clinical management strategies. Full article

A wearable closed-loop transcutaneous electrical nerve stimulation (TENS) platform has been developed to address the limitations of conventional open-loop neuromodulation systems. Unlike existing systems such as CLoSES—which targets intracranial stimulation—and electromyography-triggered functional electrical stimulation (EMG-FES) platforms primarily used for motor rehabilitation, the proposed device uniquely integrates low-latency surface electromyography (sEMG)-driven control with six-channel current stimulation in a fully wearable, non-invasive format aimed at ambulatory pain modulation. The system combines real-time sEMG acquisition, adaptive signal processing, a programmable multi-channel stimulation engine, and a high-voltage, boost-regulated power supply within a compact, battery-powered architecture. Bench-top evaluations demonstrate rapid response to EMG events and stable biphasic output (±22 mA) across all channels with high electrical isolation. A human-subject protocol using the Cold Pressor Test (CPT), heart rate variability (HRV), and galvanic skin response (GSR) has been designed to evaluate analgesic efficacy. While institutional review board (IRB) approval is pending, the system establishes a robust foundation for future personalized, mobile neuromodulation therapies. Full article

Topological insulators (TIs) hold considerable promise for the advancement of optoelectronic technologies, including spectroscopy, imaging, and communication, owing to their remarkable optical and electrical characteristics. This study proposes a novel combination of Bi${}_2$Se${}_3$ TIs and ReSe${}_2$ for self-powered broadband photodetectors with high sensitivity and fast response time. The Bi${}_2$Se${}_3$/ReSe${}_2$ heterojunction photodetector achieves broadband response spectra ranging for 375 nm to 1 $\mathsf{\mu }$m. It demonstrates a significant responsivity of 64 mA/W at a wavelength of 600 nm (1 mW/cm${}^2$), exhibits a rapid response speed of 345 $\mathsf{\mu }$s rise/336 $\mathsf{\mu }$s fall time, and has a 3 dB bandwidth of 1.4 kHz under zero-bias conditions. The high performance can be attributed to the suitable energy band structure of Bi${}_2$Se${}_3$/ReSe${}_2$ and high carrier mobility in surface states of Bi${}_2$Se${}_3$. Excitingly, self-powered TIs photodetectors allow for high-quality signal transmission. The TIs employed in photodetectors can stimulate the production of new optoelectronic features, but they could also be used for highly integrated photonic circuits in the future. Full article