Search Results (705)

Urban parks can mitigate residents’ mental health risks. Although bamboo landscapes are widespread in Chinese parks, evidence for their stress-relief benefits remains limited, and current evaluation media are constrained. This study assessed the feasibility of virtual reality 180° (VR180) for landscape evaluation and examined the stress-relief benefits of bamboo landscapes in urban parks. A pilot study (n = 232) compared perceptual realism and psychological perception across four presentation modes (on-site scene, binocular 3D video, binocular 3D photograph, and two-dimensional photograph). A main experiment (n = 280) examined the stress-relief benefits of six bamboo landscape types (bamboo–terrain, bamboo–architecture, bamboo–environmental furniture, bamboo–pavement, bamboo–water, and bamboo–plant landscapes) using pre- and post-viewing changes in skin conductance level (SCL), heart rate variability indices, including high-frequency power (HF) and the LF/HF (low-frequency/high-frequency) ratio, and systolic and diastolic blood pressure (SBP and DBP), with urban block landscapes as the control. VR180 outperformed two-dimensional photographs in perceptual realism and psychological perception and showed relatively high substitutability for on-site evaluation, with binocular 3D videos performing better than binocular 3D photographs. Urban park bamboo landscapes generally elicited stress-relief benefits, whereas urban block landscapes showed the opposite pattern. Bamboo–water and bamboo–plant landscapes showed the most favorable overall responses, with bamboo–water ranking higher, whereas bamboo–pavement ranked lowest. Overall, bamboo landscapes combined with naturalized elements tended to produce more favorable stress-relief responses, while hard elements may partly influence these benefits through cultural expression. This study provides a methodological option for landscape evaluation in small-scale scenes and offers physiological evidence for understanding the health value of urban park bamboo landscapes. Full article

Background/Objectives: Atopic dermatitis (AD) is a chronic inflammatory skin disease involving barrier dysfunction, pruritus, and immune dysregulation, and microbial-based interventions are being explored as supportive approaches. This study first conducted an exploratory pilot model-development experiment to characterize DNCB-induced dermatitis-like inflammation and subsequently compared oral live Lactobacillus, heat-killed Lactobacillus (paraprobiotics), and a combined live/heat-killed formulation after disease induction. Methods: Male BALB/c mice received repeated topical DNCB exposure followed by 21 days of oral intervention. Outcomes included gross lesion scores, cumulative scratching time, ear and spleen indices, histopathology, qualitative mast-cell staining in the therapeutic experiment, and serum IgE, IL-4, and IFN-γ. Longitudinal gross scores were reanalyzed using generalized estimating equations with group, time, and group-by-time interaction. Results: After Holm correction, the mixed formulation showed a lower left-ear erythema score than placebo at Week 2, whereas no other intervention-versus-placebo gross-score comparison remained significant. Paraprobiotic and mixed formulations reduced spleen weight, but histopathological and serum biomarker responses were variable. Conclusions: These findings indicate partial, endpoint-dependent effects of live and heat-killed Lactobacillus formulations in DNCB-induced dermatitis-like inflammation. Full article

Leprosy presents a broad clinical–immunological spectrum, whose heterogeneity challenges early diagnosis and disease stratification. Metabolomic approaches have emerged as promising tools for identifying potential biomarkers associated with the disease’s pathophysiology. This study aimed to investigate metabolic profiles associated with the different clinical forms of leprosy using untargeted metabolomics in formalin-fixed paraffin-embedded (FFPE) tissue samples. A retrospective cross-sectional study was conducted with 55 patients classified according to the Ridley–Jopling spectrum. Metabolites were extracted from FFPE skin biopsies and analyzed by liquid chromatography–mass spectrometry (LC-MS). From 908 metabolites initially detected, 27 were retained after frequency filtering. Six metabolites ultimately met the criteria of one-way analysis of variance (ANOVA, p < 0.05) and fold-change (FC ≥ 2.0) for differential expression, while N-stearoyl tryptophan was identified as an additional candidate metabolite based on its contribution to multivariate group discrimination. These included 11-hydroperoxy-H4-neuroprostane, which showed a specific association with bacterial load, and the Gly-Pro-Lys tripeptide, which correlated with markers of infection progression. Metabolomics applied to FFPE samples proved feasible for discriminating the clinical spectrum of leprosy and annotating signatures associated with immune response. This approach represents an innovative strategy for exploratory biomarker discovery using archived histopathological samples in translational research. Full article

This study develops a mathematical model for non-Darcian flow toward a fully penetrating pumping well in a confined aquifer, explicitly incorporating both well skin effects and non-Darcian flow behavior, which are conventionally neglected in classical models. A two-zone radial flow model consisting of a skin zone and a background region is established to account for hydraulic property differences caused by well construction. The Izbash equation is adopted to describe the nonlinear velocity-gradient relationship, and the transformed differential quadrature method (TDQM) is employed for the efficient solution. By combining the Laplace transform, differential quadrature discretization, and Stehfest numerical inversion, transient drawdown responses are obtained. The model is verified against benchmark solutions and field pumping-test data, showing good agreement. Parametric analyses reveal that (1) increasing the non-Darcian parameter intensifies near-well flow resistance, producing a steeper and more localized drawdown cone; (2) a larger skin factor (improved near-well hydraulic conductivity) significantly reduces drawdown and enhances well efficiency; and (3) increasing skin thickness primarily improves near-field hydraulic response with limited far-field influence. The proposed framework provides an effective tool for analyzing nonlinear pumping behavior in radially heterogeneous aquifers. Full article

Background/Objectives: This study aims to evaluate the effectiveness of binaural beats (BB) on the autonomic nervous system (ANS), kinesiophobia of reinjury and fitness biomarkers in professional athletes with chronic musculoskeletal injuries. Methods: A total of 54 athletes aged 18–25 years, engaged in open-skill sports and experiencing chronic lower-limb injuries for over three months, will be recruited. They will be randomly assigned to one of three groups: an intervention group, a placebo group, and a control group. All athletes will undergo a 15 min auditory intervention five times per week for four weeks. The intervention group will listen to BB embedded in music at high beta and gamma frequencies (30–100 Hz) with guided instructions. The placebo group will receive placebo BB within the same music framework, while the control group will listen only to the music background. Assessments will be conducted at baseline, immediately post-intervention, and at a 4-week follow-up. The primary outcomes will be kinesiophobia of reinjury, ANS function, and heart rate variability (HRV), assessed using the Tampa Scale of Kinesiophobia (TSK-17), Sympathetic Skin Response (SSR), and HRV analysis, respectively. Secondary outcomes will include sport-related anxiety and pain beliefs, assessed using the Sport Competition Anxiety Test (SCAT-15) and the Pain Beliefs and Perceptions Inventory (PBPI-16), respectively; handgrip strength, assessed using the Hand Grip Test; and fitness-related biomarkers, including maximal oxygen uptake (VO₂max) and blood lactate concentration. Conclusions: These findings may provide evidence supporting BB as a complementary, non-invasive intervention to enhance psychological and physiological rehabilitation in injured athletes. Ethics and Dissemination: The study has received ethical approval and is registered on ClinicalTrials.gov. Findings will be disseminated through peer-reviewed publications, conferences, and academic presentations. Full article

The skin microbiome plays a central role in maintaining cutaneous homeostasis, and its disruption has been implicated in a wide range of inflammatory and degenerative skin disorders. This review critically evaluates the current evidence on topical probiotics in dermatology, integrating microbiological mechanisms, formulation strategies, and translational and regulatory challenges within a single framework—an angle that remains insufficiently addressed in previous reviews. A targeted search of PubMed and ScienceDirect (2009–2025) was conducted to identify relevant original studies. The results suggest that topical probiotics may promote skin health through three broad, interconnected axes: (i) modulation of host responses (e.g., inflammation, immune signaling, and oxidative stress); (ii) microbial ecology and pathogen control (e.g., competition, acidification, and antimicrobial metabolite production); and (iii) support of barrier function and tissue repair (e.g., lipid metabolism, re-epithelialization, and extracellular matrix remodeling). Efficacy appears to depend strongly on strain specificity, formulation design, and microbial viability during storage and application. In addition to conventional dosage forms, advanced platforms—hydrogels, microgels, microparticles, and microneedle-based systems—have been investigated to improve stability and local delivery. Promising preclinical and clinical results have been reported for acne, wound healing, skin barrier repair, and anti-aging applications. Nevertheless, major translational challenges remain, including limited standardization, instability of live microorganisms, insufficiently representative experimental models, and regulatory uncertainty. Overall, topical probiotics represent a promising microbiome-based strategy in dermatology, but robust clinical validation and formulation optimization are still needed to support broader clinical implementation. Full article

Plant extracts in vegetable oils are foundational and eco-responsible for skin care, combining their emollient properties with other additional benefits, derived from their antioxidant, antimicrobial and UV-absorbing activity. The present research conducted a complex investigation of Usnea barbata extract in Karanja oil (KO), aiming for its further incorporation into various cosmetic formulations. The lichen extract (UBKO) was obtained through cold maceration. Phytochemical screening was performed using the Folin–Ciocalteu method and Graphite Furnace Atomic Absorption Spectrophotometry (GFAAS). Physicochemical properties were evaluated via Fourier Transform Infrared Spectroscopy (FTIR) and Atomic Force Microscopy (AFM). The rheological behavior and oxidative stability of the oil samples, UBKO and KO, were also investigated. UBKO had a slightly lower density (0.827 vs. 0.955) and pH (4.22 vs. 4.86) than KO, and a slightly higher oxidative resistance, quantified as the induction period (IP) value (6.45 vs. 6.00). The total phenolic-equivalent content (TPC, µg GAE/mL oil sample) was significantly greater in UBKO than in KO (567.16 ± 14.96 vs. 433.26 ± 22.96, p = 0.001). The values of minimum inhibitory concentration (MIC, mg/mL) indicated significantly higher antibacterial effect against S. aureus and antifungal effect against C. albicans for UBKO than KO (9.62 ± 2.87 vs. 31.25 ± 18.75, p = 0.049, and, respectively, 5.06 ± 1.68 vs. 37.50 ± 12.50, p = 0.01). Finally, our results showed that UBKO had an estimated sun-protective factor (SPF) of 30.9, slightly higher than 29.8 for the base oil formulation, KO; these findings represent baseline in vitro UV-absorbing trends. All of these results suggest that U. barbata extract in Karanja oil may exhibit complementary bioactive properties with potential applications in skincare. Full article

This paper investigates the axial compressive behavior of perfobond rib (PBL)-stiffened double-skin composite walls with circumferential gaps. Axial compression tests were first conducted on three specimens with different gap ratios to examine the failure mode, load-shortening response and strain development. Finite element models were then developed and validated against the test results, and a parametric study was subsequently carried out to quantify the effects of gap ratio, steel ratio and material strengths on the axial resistance. The results show that circumferential gaps do not alter the basic failure mode, which remains governed by outward local buckling of the steel faceplates accompanied by crushing of the infilled concrete, but they reduce the peak resistance and weaken the post-peak response. The reduction in axial resistance is mainly attributed to the weakened steel–concrete interaction before the peak load, while the local re-contact developing after the peak contributes little to the peak resistance. The reduction factor generally decreases with increasing gap ratio and is also affected by the material strengths and steel ratio, which can be represented by a strength-ratio index. Based on these results, a simplified evaluation model is proposed by expressing the axial resistance as the intact-wall resistance multiplied by a reduction factor related to the gap ratio and strength-ratio index. The proposed model provides acceptable prediction accuracy within the investigated parameter range and should be interpreted as a design-oriented simplified evaluation approach. Full article

Human-computer interaction (HCI) exploits various input methods to improve user experience, but those without visual access suffer more than the mainstream. In this context, this paper proposes a novel Gesture-based Human-Computer Interaction (GCI) system for visually impaired people (VIP). However, a large set of gestures introduces complexity, which poses challenges for VIP to interact with computers. Therefore, an accessible assistive application with a minimal set of gestures is designed here. Nineteen (19) participants engaged, and several dimensions were evaluated, including skin conductance, NASA-TLX, and performance indicators. The gesture response time revealed that the proposed GCI technique is 39% faster than the existing technique. In addition, the skin conductance revealed a modest reduction, which means GCI caused a more relaxed reaction than the existing technique. GCI demonstrated significant statistical advantages in gesture response time, skin conductance, and forgot word count, while other measures showed comparable performance between the two techniques. GCI provides a more efficient and cognitively favorable interaction experience which opens a new era in the design and development of assistive technologies for VIP. Full article

Diffusion-based generative models achieve high-fidelity image synthesis; however, controlling internal representations for abstract visual concepts remains challenging due to the ambiguity of textual descriptions. In this work, we propose a prompt-guided concept-vector learning framework for the controllable manipulation of such concepts without requiring external human-annotated image pairs, segmentation masks, identity labels, or manually annotated editing targets. The method introduces a learnable concept vector optimized in the bottleneck (mid-block) feature space of a pretrained Stable Diffusion U-Net, while keeping all pretrained model parameters frozen. A multi-prompt data generation strategy based on paired positive and neutral prompts provides weak semantic guidance for capturing the target concept direction and reducing dependence on a single prompt formulation. The learned vector is further applied in an image-to-image setting through controlled noise injection and concept-guided denoising, enabling the semantic modification of real images while preserving structural content. The concept strength is controlled by a scaling parameter $\gamma$, while the image-to-image noise strength is controlled by $\beta$, allowing for a practical balance between semantic modification and structural fidelity. Experiments are conducted on two main abstract concepts, perfect skin and peaceful lake, with additional qualitative analysis on subjective portrait-level concepts. Quantitative evaluation using SSIM, LPIPS, and CLIP similarity demonstrates that the proposed method improves semantic alignment while maintaining structural preservation compared with Stable Diffusion image-to-image baselines. A human preference study further shows that concept-injected outputs are preferred in 76.0% of responses for perfect skin and 85.7% for peaceful lake. Ablation studies further demonstrate the controllability and robustness of the proposed framework. Overall, the method provides a simple and parameter-efficient approach for interpretable concept-level manipulation in diffusion models. Full article

Objectives: Skin wound repair has long remained a crucial clinical challenge, in response to which, in this study, we propose a novel injectable hydrogel delivery system. In particular, we focus on the efficient delivery of bioactive factors and modulation of the local wound microenvironment. Methods: The hydrogel integrates selenium nanoparticles (SeNPs) and basic fibroblast growth factor (bFGF), which serve as key therapeutic components in the proposed system, and are additionally co-integrated with oxidized hyaluronic acid (OHA) and heparin-grafted carboxymethyl chitosan (CMCS-g-Hep) to construct a multifunctional SeNPs/bFGF-loaded CMCS-g-Hep/OHA hydrogel network. Accordingly, this proposed hydrogel was systematically evaluated using chemical synthesis, physicochemical characterization, in vitro cellular assays, and C57BL6J mice studies, which we used to jointly assess the biocompatibility and wound-healing efficacy of the proposed system. Results: The results demonstrated that the hydrogel enabled sustained bFGF release and was capable of significantly enhancing fibroblast proliferation, migration, and collagen deposition. In a mouse skin defect model, treatment with the loaded hydrogel markedly accelerated wound closure. Additionally, we conducted mechanistic investigations to further illustrate that the hydrogel can modulate the wound microenvironment by regulating inflammatory and chemotactic signaling pathways. Conclusions: These findings suggest a promising therapeutic pathway for chronic wound repair. Full article

Background/Objectives: Merkel cell carcinoma (MCC) is a rare but aggressive skin cancer with a 40% recurrence rate. However, reliable biomarkers for early recurrence detection or treatment guidance are lacking, especially for virus-negative tumors. Circulating tumor DNA (ctDNA), a fragment of tumor-derived cell-free DNA in blood, has emerged across multiple cancers as a minimally invasive precision biomarker to detect minimal residual disease (MRD); predict recurrence; and monitor treatment response. This review’s objective was to summarize recent advances in ctDNA as a tool for therapeutic decision-making in MCC, contextualized by findings in other malignancies. Methods: A comprehensive literature review was performed, focusing on studies published between 2016 and 2026 that evaluate ctDNA in MCC and other cancers. Key prospective trials, observational studies, and case reports were identified through PubMed and relevant conference proceedings. Data on ctDNA assay methods (tumor-informed vs. tumor-agnostic), clinical sensitivity, lead time for recurrence detection, and predictive value for therapy response were extracted and synthesized. Results: Across cancers such as colorectal, lung, and melanoma, ctDNA positivity after curative treatment predicts relapse months in advance of imaging and can guide adjuvant therapy decisions. In MCC, recent studies demonstrate that ctDNA levels correlate with MCC tumor burden and exhibit high sensitivity and specificity for clinically evident disease. Stage I-III MCC patients who were ctDNA-positive within four months of treatment had a 7.4-fold higher recurrence risk within the subsequent 12–18 months of follow-up. Serial ctDNA monitoring may enable earlier intervention in otherwise asymptomatic ctDNA-positive MCC cases, helping distinguish responders from non-responders. Conclusions: ctDNA is an emerging precision biomarker that offers significant prognostic and surveillance utility in MCC. It enables earlier detection of recurrence, potentially allowing treatment to begin before clinical disease manifests. It also helps stratify patients by risk and treatment response, informing personalized surveillance intensity and therapeutic choices. Integrating ctDNA monitoring into MCC management could improve outcomes by guiding timely interventions, although prospective trials are needed to confirm that ctDNA-guided decisions translate to improved patient survival. Formal cost-effectiveness analyses have not yet been conducted and represent an important area for future investigation. Full article

Extracellular vesicles (EVs), particularly small extracellular vesicles (sEVs), are lipid bilayer-delimited particles involved in intercellular communication through the transfer of proteins, lipids, and nucleic acids; many products and studies in aesthetic medicine refer to these preparations as exosomes, although endosomal origin is not always demonstrated. This review examines current evidence on the mechanisms, clinical effectiveness, safety, therapeutic applications, and regulatory challenges of EV- and sEV-based interventions, complemented by an exploratory qualitative assessment of physicians’ perceptions regarding clinical implementation. A narrative review of studies indexed in Scopus and PubMed was conducted with emphasis on skin rejuvenation, hair restoration, wound healing, pigmentation disorders, and inflammatory dermatoses, and responses from 12 aesthetic physicians in Colombia were analyzed qualitatively. Available evidence suggests that EVs/sEVs may promote extracellular matrix remodeling, angiogenesis, immunomodulation, and tissue repair, with potential benefits across several aesthetic and regenerative indications. However, the literature remains heterogeneous and limited by variability in biologic sources, isolation and administration protocols, insufficient high-quality clinical trials, and unresolved regulatory issues. Reports of adverse reactions linked to unapproved products marketed as exosome-based formulations further highlight the need for stronger oversight. EVs, particularly sEVs, often referred to as exosomes in the aesthetic literature, remain a promising therapeutic platform, but safe clinical integration requires rigorous validation, technical standardization, and robust regulatory frameworks. Full article

Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease with systemic features, characterized by painful nodules, abscesses, and sinus tracts. Pro-inflammatory cytokines may serve as biomarkers of disease severity, inflammatory burden, and therapeutic response. The aim of this article is to systematically review the current evidence on serum concentrations of pro-inflammatory cytokines in patients with HS and to evaluate their potential utility as biomarkers of disease activity and personalized treatment guidance. Materials and Methods: This systematic review was conducted in accordance with the PRISMA 2020 guidelines. A literature search was performed in PubMed, Embase, and Scopus, with Google Scholar used as a supplementary source. The search included English-language publications from 2015 to 2026. The following keywords were used in combination: “cytokines”, “serum”, “hidradenitis suppurativa”, and “markers”. In addition, reference lists and citations of eligible full-text articles were manually screened. Eligible studies for inclusion were peer-reviewed, original human studies reporting serum cytokine levels in patients with HS. Reviews, meta-analyses, case reports, editorials, letters, in vitro and animal studies, conference abstracts without the full text available, non-serum studies, and thematically unrelated publications were excluded. Results: Database searches identified records in PubMed, Embase, Scopus, and Google Scholar, of which three PubMed studies met the inclusion criteria. Manual screening of reference lists and citations identified three additional eligible publications. Overall, six studies were included in the final qualitative synthesis. The included studies reported elevated serum levels of key inflammatory mediators, including IL-17A, IL-6, IL-1β, IL-23, IL-18, and soluble TNF receptors, in patients with HS compared to healthy controls. Several cytokines were associated with disease severity, and selected markers showed changes during biologic treatment. Stratification into immunological endotypes based on cytokine profiles and clinical features was also proposed. Conclusions: Pro-inflammatory cytokines, especially those involved in the IL-1β–IL-17 axis, show potential as biomarkers of disease severity and treatment response in HS. Their assessment may support future personalized therapeutic strategies. However, current evidence remains limited by small study numbers and methodological heterogeneity. Further large-scale prospective and longitudinal studies are required before serum cytokine profiling can be implemented in routine clinical practice. Full article

Background/Objectives: Ultraviolet (UV) radiation is a major environmental carcinogen responsible for skin damage through oxidative stress, DNA damage, and inflammation. The nuclear factor erythroid 2-related factor 2 (Nrf2) pathway plays a central role in regulating cellular antioxidant defences against UV-induced damage. This scoping review aims to evaluate the potential role of sulforaphane (SFN), a known Nrf2 inducer, in protecting against UV-induced skin damage and photocarcinogenesis. Methods: A literature search was conducted in PubMed and Scopus from inception to 27 January 2026, to identify original experimental studies investigating SFN, glucoraphanin, or broccoli sprout extracts in the context of UV-induced skin damage. Eligible studies included in vitro, ex vivo, in vivo, and human models assessing outcomes related to oxidative stress, inflammation, molecular signalling pathways, and tumour development. Following screening and eligibility assessment, twelve studies were included in the qualitative synthesis. Results: The included studies suggest that SFN exerts photoprotective effects across multiple experimental models. In murine studies, SFN and SFN-rich extracts were associated with a reduction in tumour incidence, multiplicity, and volume following UV exposure. In human studies, topical SFN application reduced UV-induced erythema and induced cytoprotective enzyme expression, although clinical evidence remains limited. Mechanistically, SFN consistently activated the Nrf2 pathway, leading to increased expression of antioxidant and phase II detoxifying enzymes, and was associated with modulation of inflammatory responses and inhibition of MAPK/AP-1 signalling. Emerging evidence also indicates potential effects on UV-induced metabolic and epigenetic alterations. Conclusions: Current evidence supports a potential role for sulforaphane in mitigating UV-induced skin damage through activation of endogenous defence pathways. However, the available data are predominantly preclinical, and further well-designed clinical studies are needed to clarify its efficacy and translational relevance in humans. Full article