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17 pages, 1874 KiB  
Article
A Novel Trivalent BVDV mRNA Vaccine Displayed by Virus-like Particles Eliciting Potent and Broad-Spectrum Antibody Responses
by Shi Xu, Jing Li, Mengwei Xu, Yafei Cai, Yingjuan Qian, Rui Liu, Qing He, Caiyi Fei, Aili Wang, Keyue Ruan, Shang Liu, Wei Geng, Xu Gao, Huiling Chen and Tiyun Han
Vaccines 2025, 13(7), 691; https://doi.org/10.3390/vaccines13070691 - 26 Jun 2025
Viewed by 462
Abstract
Background/Objectives: Bovine viral diarrhea virus (BVDV) causes significant economic losses in the cattle industry worldwide. The current vaccines have limited efficacy against diverse BVDV genotypes. Currently, multi-antigen target design and nanocarrier display technologies can provide ideas for broad-spectrum and efficient BVDV vaccine [...] Read more.
Background/Objectives: Bovine viral diarrhea virus (BVDV) causes significant economic losses in the cattle industry worldwide. The current vaccines have limited efficacy against diverse BVDV genotypes. Currently, multi-antigen target design and nanocarrier display technologies can provide ideas for broad-spectrum and efficient BVDV vaccine design. Methods: Here we developed a trivalent mRNA vaccine encoding the domains I-II of envelope glycoprotein E2 from three BVDV genotypes (3E2), introduced with bovine IgG1 Fc (bFc), STABILON (hStab), and artificial virus-like particle (ARVLP) containing CD80 transmembrane (TM) domain, FcγRII cytoplasmic domain, and WW domain of ITCH. Then, in vitro expression, in vivo immunogenicity and neutralizing antibody analysis were performed to evaluate the vaccines. Results: The in vitro expression results showed that bFc and hStab dramatically enhanced antigen expression and immunogenicity. In addition, the ARVLP further enhanced the secretion and potency of neutralizing antibodies. Finally, the immunogenicity of the bFc_BVDV_3E2_ARVLP_hStab mRNA vaccine was evaluated in mice, guinea pigs, and lactating goats and high levels of neutralizing antibodies against all three BVDV genotypes were detected. Conclusions: Our trivalent design strategy with bFc, hStab, and ARVLP shows highly efficient expression as well as strong immunogenicity and provides a promising approach for next-generation BVDV vaccines with broader and stronger protection. Full article
(This article belongs to the Section Nucleic Acid (DNA and mRNA) Vaccines)
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14 pages, 612 KiB  
Article
Trauma Patterns and Psychiatric Profiles in Suicide Attempts at a Regional Trauma Center in South Korea: A Retrospective Single-Center Study
by Young Un Choi, Ji Young Hyun, Seongyup Kim, Keum Seok Bae, Jae Sik Chung, Il Hwan Park, Chan Young Kang, Tae Hui Kim and Chun Sung Byun
J. Clin. Med. 2025, 14(12), 4218; https://doi.org/10.3390/jcm14124218 - 13 Jun 2025
Viewed by 492
Abstract
Background/Objective: South Korea continues to have the highest suicide rate among the Organization for Economic Co-operation and Development (OECD) countries, with a growing number of emergency department (ED) admissions related to self-harm and suicide attempts. However, trauma-focused analyses that integrate [...] Read more.
Background/Objective: South Korea continues to have the highest suicide rate among the Organization for Economic Co-operation and Development (OECD) countries, with a growing number of emergency department (ED) admissions related to self-harm and suicide attempts. However, trauma-focused analyses that integrate psychiatric profiles and suicide mechanisms remain limited, hindering effective clinical care and preventive strategies. Methods: This retrospective study analyzed trauma patients who presented to the ED of Wonju Severance Christian Hospital following suicide attempts between October 2015 and December 2023. Of 305 self-harm cases, 208 survivors who underwent psychiatric evaluation were included. The variables analyzed included the mechanism, site, and severity of injury (ISS and AIS); psychiatric diagnosis and prior psychiatric history; repeated suicide attempts; alcohol use; physical pain; interpersonal conflict; and economic vulnerability. Chi-square, Fisher’s exact, and Kruskal–Wallis’ tests were used for statistical comparisons. Results: Stabbing/cutting (56.7%) and falling (35.6%) were the most common attempts. Mood disorders were the predominant psychiatric diagnosis (63.9%), followed by adjustment disorders (26.0%), alcohol use (25.5%), and psychotic disorders (22.1%). Among the fall-related cases, patients were typically younger and predominantly women. The median ISS was highest in fall-related cases (17) compared with stabbing/cutting (4), with 25.96% of patients with an ISS ≥16, indicating severe trauma. A psychiatric history was associated with a higher incidence of falls (44.3%), and previous suicide attempts correlated with the use of high-lethality attempts. Severe physical pain was linked to stabbing/cutting in 10 of 11 cases. Interpersonal conflict was more frequently associated with stabbing/cutting (59.6%) than with falls (31.9%). No significant association was found between alcohol use and the method of suicide attempt. Conclusions: The suicide mechanisms in patients with trauma are closely associated with psychiatric and psychosocial factors. Stabbing/cutting is often impulsive and driven by interpersonal conflict or alcohol use, while falling is more frequent in patients with psychiatric histories of repeated attempts. These findings emphasize the importance of mechanism-informed psychiatric evaluations and trauma protocols. Regionally adapted, interdisciplinary approaches and early psychiatric intervention are crucial for effective post-attempt management and suicide prevention. Full article
(This article belongs to the Section Emergency Medicine)
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11 pages, 559 KiB  
Review
Evolving Treatment Strategies for Neuropathic Pain: A Narrative Review
by Alan D. Kaye, Grace Armistead, Lane S. Amedio, Mills E. Manthei, Shahab Ahmadzadeh, Brian Bernhardt and Sahar Shekoohi
Medicina 2025, 61(6), 1063; https://doi.org/10.3390/medicina61061063 - 10 Jun 2025
Viewed by 1373
Abstract
Neuropathic pain resulting from injury to the somatosensory nervous system affects approximately 6.9–10% of the general population and significantly impacts quality of life. Common presentations include burning, stabbing, tingling, or electrical sensations, occurring spontaneously or through hyperalgesia or allodynia. Treatment approaches follow a [...] Read more.
Neuropathic pain resulting from injury to the somatosensory nervous system affects approximately 6.9–10% of the general population and significantly impacts quality of life. Common presentations include burning, stabbing, tingling, or electrical sensations, occurring spontaneously or through hyperalgesia or allodynia. Treatment approaches follow a tiered system. First-line therapies include gabapentinoids (e.g., gabapentin, pregabalin), which target voltage-gated calcium channels; tricyclic antidepressants (e.g., amitriptyline, nortriptyline); and serotonin-norepinephrine reuptake inhibitors such as duloxetine. Second-line options encompass topical agents (e.g., 5% lidocaine, 8% capsaicin), opioid-like medications (e.g., tramadol, tapentadol), and adjunctive therapies including psychological therapies and lifestyle interventions. For refractory cases, third-line treatments include NMDA receptor antagonists (e.g., ketamine, dextromethorphan), cannabinoids, and botulinum toxin type A, though these have more limited clinical evidence. Procedural interventions such as spinal cord stimulation and transcutaneous electrical nerve stimulation provide alternatives when pharmacological approaches fail. Despite advances in treatment options, many patients remain undertreated, highlighting the need for individualized, multimodal approaches and continued research into the complex pathophysiology of neuropathic pain conditions. Full article
(This article belongs to the Section Neurology)
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20 pages, 3927 KiB  
Article
Antimicrobial Activity, Genetic Diversity and Safety Assessment of Lactic Acid Bacteria Isolated from European Hakes (Merluccius merluccius, L.) Caught in the Northeast Atlantic Ocean
by Lara Díaz-Formoso, Diogo Contente, Javier Feito, Belén Orgaz, Pablo E. Hernández, Juan Borrero, Estefanía Muñoz-Atienza and Luis M. Cintas
Antibiotics 2025, 14(5), 469; https://doi.org/10.3390/antibiotics14050469 - 6 May 2025
Viewed by 784
Abstract
Background/Objectives: The overuse and misuse of antibiotics has contributed significatively to the growing problem of the emergence and spread of antibiotic resistance genes among bacteria, posing a serious global challenge to the treatment of bacterial infectious diseases. For these reasons, there is a [...] Read more.
Background/Objectives: The overuse and misuse of antibiotics has contributed significatively to the growing problem of the emergence and spread of antibiotic resistance genes among bacteria, posing a serious global challenge to the treatment of bacterial infectious diseases. For these reasons, there is a current and growing interest in the development of effective alternative or complementary strategies to antibiotic therapy for the prevention of fish diseases, which are mainly based on the use of probiotics—in particular, those belonging to the Lactic Acid Bacteria (LAB) group. In this context, the aim of the present study was to characterise, evaluate the genetic diversity and assess the safety of candidate probiotic LAB strains for aquaculture isolated from faeces and intestines of European hakes (Merluccius merluccius, L.) caught in the Northeast Atlantic Ocean (Ireland). Methods: The direct antimicrobial activity of the LAB isolates was tested by the Stab-On-Agar method against key ichthyopathogens. Subsequently, their taxonomic classification and genetic diversity were determined by 16SrDNA sequencing and Enterobacterial Repetitive Intergenic Consensus-PCR (ERIC-PCR), respectively. To ensure the in vitro safety of the LAB isolates, their biofilm-forming ability was assessed by a microtiter plate assay; their sensitivity to major antibiotics used in aquaculture, human and veterinary medicine by a broth microdilution method and their haemolytic and gelatinase activity by microbiological assays. Results: All LAB isolates were biofilm producers and susceptible to chloramphenicol, oxytetracycline, flumequine and amoxicillin. A total of 30 isolates (85.7%) were resistant to at least one of the tested antibiotics. None of the 35 LAB isolates showed haemolytic or proteolytic activity. Conclusions: Among the isolated strains, five LAB strains exhibiting the highest antimicrobial activity against aquaculture-relevant ichthyopathogens, taxonomically identified as Streptococcus salivarius, Enterococcus avium and Latilactobacillus sakei, were selected for further characterisation as potential probiotic candidates to promote sustainable aquaculture. To our knowledge, this is the first study to report that hake intestines and faeces represent viable ecological niches for the isolation of LAB strains with antimicrobial activity. Full article
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10 pages, 198 KiB  
Article
Analysis of Sports Injury Prevalence and Patterns in Recreational Sports Activities in South Korea: Applying the Association Rule Method
by Byeong Seok Min and Nara Jang
Life 2025, 15(5), 701; https://doi.org/10.3390/life15050701 - 26 Apr 2025
Viewed by 522
Abstract
This study aims to identify the prevalence and patterns of sports injuries in recreational sports activities in South Korea. This study utilized data from the “survey of safety accidents” conducted by the Korea Sports Safety Foundation and finally, 3182 recreational sports participants who [...] Read more.
This study aims to identify the prevalence and patterns of sports injuries in recreational sports activities in South Korea. This study utilized data from the “survey of safety accidents” conducted by the Korea Sports Safety Foundation and finally, 3182 recreational sports participants who experienced injuries were selected for the study. For data processing, data related to recreational sports injuries were first collected and organized using Excel 2015, and frequency analysis was conducted using the SPSS 25.0 program. Furthermore, the association rule method was applied via Python 3.13.3 to analyze the patterns of injury sites and types. First, by investigating the prevalence of injuries in recreational sports, it was found that the injury frequency was highest in soccer, followed by cycling, hiking, and badminton. Second, in soccer, it was found that when ankle injuries, which have a high injury frequency, occur, knee, toe, and sprain injuries also occur together (Lift: 1.843). Additionally, in cycling, when knee injuries occur, toe, sprain, and strain (bruise) injuries also occur together (Lift: 2.420). In mountain biking, when ankle injuries, which have a high injury frequency, occur, cuts, sprains, stab wounds (cuts), sprains, and strains (bruises) also occur together (Lift: 1.808). The current survey on recreational sports injuries is expected to be used as basic data to prevent injuries in advance for participants in recreational sports, and it is expected that this will allow them to participate in sports by recognizing common injury sites before participating in sports. Full article
(This article belongs to the Section Epidemiology)
30 pages, 29780 KiB  
Article
SEM Investigation of Failure Mechanisms in Twaron® Aramid Fibers Used for Personal Armors
by Alina Cantaragiu Ceoromila, Lorena Deleanu, Christian Popescu, Ionuț Lom, Alexandru Viorel Vasiliu, Petre Lucian Seiciu, George Ghiocel Ojoc and Simona Maria Sandu
Polymers 2025, 17(8), 1058; https://doi.org/10.3390/polym17081058 - 14 Apr 2025
Viewed by 766
Abstract
This paper presents a synthesis of failures of aramid fibers used in protective systems, with the help of SEM images obtained from three types of samples (panels made of fabrics with aramid fibers) tested against bullets, knives and spikes. This investigation is useful [...] Read more.
This paper presents a synthesis of failures of aramid fibers used in protective systems, with the help of SEM images obtained from three types of samples (panels made of fabrics with aramid fibers) tested against bullets, knives and spikes. This investigation is useful when using a step-by-step magnification and even macro photos in order to explain the mechanical failures of fibers. Several types of failure mechanisms (shear and tensile break, local bending, debonding from the matrix, fibrillation, local necking, etc.) were detected and discussed. Almost all of these failure mechanisms are present, with different densities of occurrence, in the studied panels made of aramid fibers. The description of failure mechanisms had to be conducted following the test conditions accurately. Failure mechanisms of aramid fibers are particularly relevant due to their specific molecular chains making them adequate for applications like ballistic and bladed weapon attacks. Full article
(This article belongs to the Section Polymer Analysis and Characterization)
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25 pages, 9857 KiB  
Article
Dynamic Lipidome Reorganization in Response to Heat Shock Stress
by Luis E. Solano, Uri Keshet, Andrew Reinschmidt, Yonny Chavez, William Drew Hulsy, Oliver Fiehn and Nikolas Nikolaidis
Int. J. Mol. Sci. 2025, 26(7), 2843; https://doi.org/10.3390/ijms26072843 - 21 Mar 2025
Viewed by 1006
Abstract
The heat shock response (HSR) is a conserved cellular mechanism critical for adaptation to environmental and physiological stressors, with broad implications for cell survival, immune responses, and cancer biology. While the HSR has been extensively studied at the proteomic and transcriptomic levels, the [...] Read more.
The heat shock response (HSR) is a conserved cellular mechanism critical for adaptation to environmental and physiological stressors, with broad implications for cell survival, immune responses, and cancer biology. While the HSR has been extensively studied at the proteomic and transcriptomic levels, the role of lipid metabolism and membrane reorganization remains underexplored. Here, we integrate mass spectrometry-based lipidomics with RNA sequencing to characterize global lipidomic and transcriptomic changes in HeLa cells exposed to three conditions: control, heat shock (HS), and HS with eight hours of recovery. Heat shock-induced extensive lipid remodeling, including significant increases in fatty acids, glycerophospholipids, and sphingolipids, with partial normalization during recovery. Transcriptomic analysis identified over 2700 upregulated and 2300 downregulated genes under heat shock, with GO enrichment suggesting potential transcriptional contributions to lipid metabolism. However, transcriptional changes alone did not fully explain the observed lipidomic shifts, suggesting additional layers of regulation. Joint pathway analysis revealed enrichment in glycerophospholipid and sphingolipid metabolism, while network analysis identified lipid transport regulators (STAB2, APOB), stress-linked metabolic nodes (KNG1), and persistent sphingolipid enrichment during recovery. These findings provide a comprehensive framework for understanding lipid-mediated mechanisms of the HSR and highlight the importance of multi-omics integration in stress adaptation and disease biology. Full article
(This article belongs to the Special Issue Advances in Heat-Shock Response and Heat-Shock Proteins)
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37 pages, 9771 KiB  
Review
Comprehensive Review of Endogenous and Exogenous Parameters Influencing Dynamic Stab Impact Performance in Protective Textiles and Fibrous Composite Materials
by Mulat Alubel Abtew, Dereje Berihun Sitotaw and Mukesh Bajya
J. Compos. Sci. 2025, 9(3), 138; https://doi.org/10.3390/jcs9030138 - 15 Mar 2025
Cited by 1 | Viewed by 1119
Abstract
Dynamic stab resistance is a critical property for protective textiles and fibrous composites used in body armor and protective gear applications. This is also a very complex property that depends on various factors, including material properties, structural design, and external impact conditions. This [...] Read more.
Dynamic stab resistance is a critical property for protective textiles and fibrous composites used in body armor and protective gear applications. This is also a very complex property that depends on various factors, including material properties, structural design, and external impact conditions. This review paper presents an in-depth investigation into the dynamic stab impact response and performance of textile and composite materials, focusing on the influences of various endogenous and exogenous parameters. Material-level factors, including material type and properties, fiber orientation, yarn density, textile architecture, chemical treatments, and coatings, are reviewed. In addition, the influence of external conditions, including impact velocity and energy, blade shape and type, impact condition, and impact angles on the stab resistance of the protective materials are discussed. The interplay of these factors significantly affects penetration resistance, energy absorption, and trauma mitigation. This paper further discusses different stab resistance testing methods and standards on various kinds of protective materials and relatively compared the efficiencies of each. Current challenges on flexibility versus protection and future research directions necessary to realize advances in protective textiles with dynamic stab resistance are debated. The present comprehensive analysis gives useful insights to engineers, manufacturers, researchers, and standard makers for selecting, developing, and testing protective textiles and fibrous composite materials with improved stab protection applications. Full article
(This article belongs to the Special Issue Recent Progress in Hybrid Composites)
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7 pages, 655 KiB  
Proceeding Paper
Fish Scale-Inspired Stab-Resistant Body Armour
by Sidharath Sharma and Parvez Alam
Mater. Proc. 2025, 20(1), 6; https://doi.org/10.3390/materproc2025020006 - 12 Mar 2025
Viewed by 715
Abstract
While commercially available lightweight “stab-proof” apparel exists, it offers little resistance to true stabbing as it is primarily designed to withstand slash attacks. Yet, crimes involving the use of a knife or sharp instrument have consistently been rising in the UK over several [...] Read more.
While commercially available lightweight “stab-proof” apparel exists, it offers little resistance to true stabbing as it is primarily designed to withstand slash attacks. Yet, crimes involving the use of a knife or sharp instrument have consistently been rising in the UK over several decades. For the most part, the various proposed solutions to stab-proofing are based on speciality textiles and while these have shown success in slash-proofing, their utility for stab-proofing is still somewhat of a misnomer. Nature showcases a plethora of puncture-resisting materials and structures. At the macro-scale, these include carapaces, egg cases, toughened skin, and more. One of the most effective protective mechanisms known comes through surface scaling, present on animals such as reptiles and fish. Scaled protective armours present in extant fish species include overlapping elasmoid scales, interlocking ganoid scales, placoid scales, tessellating carapace scutes, and interlocking plates. Here, we research overlapping and interlocking scaled structures to ascertain the stab penetration resistance of biomimetic scaled structures against continuum material to obtain the force–time relationship of the impact event as well as ascertaining the penetration depth. We use additive manufacturing methods to manufacture biomimetic armour made of nylon, a common protective artificial material used in slash-proofing textiles. Stab testing to the closely replicated HOSDB body armour standard 2017, we find that biomimetic scales made of nylon offer greater protection against direct stabbing than continuum nylon material sheets. This can be attributed to (a) the heightened flexibility in an interlocked fish scale structure that does not exist in a continuum sheet of the same material; (b) the effect of overlapping of the fish scales, resulting in a greater penetration depth requirement before the structure undergoes perforation; and (c) segmentation into smaller armour plates (of the same thickness) rather than continuum sheets provides a lower span-to-depth ratio, therefore leading to a smaller deflection of the plate upon impact and a greater deceleration and, hence, a greater impact force. Full article
(This article belongs to the Proceedings of The 1st International Online Conference on Biomimetics)
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12 pages, 2302 KiB  
Article
Intraoperative Management of Parathyroid Glands and Long-Term Outcome of Parathyroid Function Following Total Thyroidectomy
by Feng-Yu Chiang, Kang Dae Lee, Kyung Tae, Kwang Yoon Jung, Chih-Chun Wang, Tzer-Zen Hwang, Che-Wei Wu, Shih-Wei Wang, Yu-Chen Shih and Tzu-Yen Huang
Diagnostics 2025, 15(5), 593; https://doi.org/10.3390/diagnostics15050593 - 28 Feb 2025
Viewed by 916
Abstract
Background/Objectives: In situ preservation is the primary strategy to preserve parathyroid gland (PG) function during thyroid surgery, while autotransplantation is used when inadvertent removal or devascularization occurs. Deciding on the optimal approach intraoperatively for exposed PGs remains challenging. This study evaluates intraoperative PG [...] Read more.
Background/Objectives: In situ preservation is the primary strategy to preserve parathyroid gland (PG) function during thyroid surgery, while autotransplantation is used when inadvertent removal or devascularization occurs. Deciding on the optimal approach intraoperatively for exposed PGs remains challenging. This study evaluates intraoperative PG management strategies and long-term outcomes of PG function following total thyroidectomy. Methods: This retrospective study included 543 patients undergoing primary total thyroidectomy, excluding those with comorbid parathyroid disease. A stabbing test assessed the vascular supply of exposed PGs. PGs with fresh blood oozing after the test were preserved in situ; otherwise, they were autotransplanted. Intact parathyroid hormone (iPTH) and ionized calcium (iCa) were measured preoperatively and on postoperative day 1 (PO-1D), and during follow-up. Permanent hypoparathyroidism (PHPS) was defined as iPTH < 15 pg/mL, iCa < 4.2 mg/dL, or continued need for calcitriol or calcium supplementation after a postoperative period of 12 months (PO-12M). The PHPS rate was compared with the corresponding intraoperative PG status. Results: A total of 528 patients were enrolled in this study. At PO-1D, 434 patients (82.2%) had iPTH ≥ 15 pg/mL, 65 (12.3%) had iPTH between 4 and 15 pg/mL, and 29 (5.5%) had iPTH < 4 pg/mL. At PO-12M, 527 patients (99.81%) had iPTH ≥ 15 pg/mL, 1 (0.19%) had iPTH between 4 and 15 pg/mL, and none had iPTH < 4 pg/mL. Five patients (0.95%) were in PHPS after PO-12M. Among the 462 patients with at least one viable PG preserved in situ, the PHPS rate was 0.2%, compared to 6.1% (66 patients) for those without a viable PG preserved in situ (p < 0.001). Conclusions: Permanent hypoparathyroidism is rare when at least one viable PG is preserved in situ during total thyroidectomy. The stabbing test is a simple, useful, and cost-effective method to assess the vascular supply of exposed PGs, providing surgeons with essential information for intraoperative PG management. Full article
(This article belongs to the Special Issue Advances in the Diagnosis and Management of Head and Neck Disease)
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11 pages, 237 KiB  
Review
Uterine Penetrating Wounds in Pregnant Women—Review and Case Study
by Klaudia Dolińska-Kaczmarek, Bartosz Burchardt, Zuzanna Aurast, Franciszek Ambrosius, Sebastian Szubert, Szymon Rzepczyk, Paweł Świderski and Czesław Żaba
J. Clin. Med. 2025, 14(3), 800; https://doi.org/10.3390/jcm14030800 - 26 Jan 2025
Viewed by 1606
Abstract
Introduction: Uterine penetrating wounds in pregnant women are rare. Usually, they are caused by traffic accidents, but sometimes they are an effect of violence, accidental injuries, or deliberate self-harm. Case Report: We present a case of a stab wound to the uterus in [...] Read more.
Introduction: Uterine penetrating wounds in pregnant women are rare. Usually, they are caused by traffic accidents, but sometimes they are an effect of violence, accidental injuries, or deliberate self-harm. Case Report: We present a case of a stab wound to the uterus in a 25-year-old woman in the 37th week of pregnancy, which was the result of a knife attack. Emergency splenectomy and cesarean section were performed less than an hour after the attack. The child required resuscitation and long-term intensive therapy. Both the woman and the newborn survived; however, the newborn’s condition remained poor. The child died a few months later, according to community-acquired pneumonia. Discussion: Cases of wounds penetrating the uterus have been described for many years around the world. They are often the result of violence, most often from the partner. Statistically, pregnant women are more likely to be victims of violence. Sometimes, the wounds penetrating the uterus are accidental and arise, for example, as a result of a fall. A rare but not isolated case is self-mutilation to terminate a pregnancy. Women often inflict such injuries on themselves using sharp tools, sometimes firearms. There are also cases of another person helping to terminate a pregnancy in this way. Conclusions: Violence against women, including pregnant women, remains a significant social problem in all regions of the world and poses a challenge to uniformed services, medical professions, and social services. Regardless of the mechanism of injury, in the event of an imminent threat to the life of the mother and fetus, it is crucial to make quick decisions aimed at saving lives. Full article
(This article belongs to the Section Emergency Medicine)
14 pages, 15081 KiB  
Article
CFD-Based Investigation of Static and Dynamic Pressure Effect in Aerostatic Bearings with Annular Grooves at High Speed
by Wentao Song, Minggui Li, Peng Cheng, Decheng Wang, Chenxi Shao and Junying Zhou
Lubricants 2025, 13(2), 46; https://doi.org/10.3390/lubricants13020046 - 22 Jan 2025
Viewed by 928
Abstract
Based on the SST k-ω turbulence model, this study investigated the flow fields of annular groove and non-groove small-hole throttling aerostatic bearings (AGSTABs and STABs). It examined the formation mechanisms of static and dynamic pressure effects in both flow fields at high speed, [...] Read more.
Based on the SST k-ω turbulence model, this study investigated the flow fields of annular groove and non-groove small-hole throttling aerostatic bearings (AGSTABs and STABs). It examined the formation mechanisms of static and dynamic pressure effects in both flow fields at high speed, evaluating how parameters such as eccentricity, groove width ratio, and depth ratio influence the average load capacity and static and dynamic pressure effects. The findings show that STABs combine static and dynamic pressure effects at high speeds, while AGSTABs decouple them to enhance load capacity, simultaneously reducing vortex and backflow intensity. At low eccentricities, AGSTABs exhibit superior performance over STABs, achieving 20% higher average load capacity at 0.1 eccentricity. Additionally, increasing eccentricity enhances static and dynamic pressure effects in both bearings. A larger groove width ratio decreases the throttling efficiency and dynamic pressure, with pressure dropping from 3.5 MPa (static) to 1.6 MPa, and 6.3 MPa (dynamic) to 1.7 MPa respectively, at 30,000 RPM. In contrast, the depth ratio of annular groove has only a minor impact on static and dynamic pressure effects. Full article
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22 pages, 1228 KiB  
Article
Non-Instrumental and Instrumental Tools Validity in Bruxism Diagnostics
by Adrian Marcel Popescu, Mihaela Ionescu, Diana Elena Vlăduțu, Sanda Mihaela Popescu, Iulia Roxana Marinescu, Monica Scrieciu and Veronica Mercuț
Diagnostics 2025, 15(2), 200; https://doi.org/10.3390/diagnostics15020200 - 16 Jan 2025
Cited by 4 | Viewed by 1756
Abstract
Background/Objectives: The study aimed to validate the diagnostic system proposed by the Standardized Tool for the Assessment of Bruxism (STAB) by correlating the results obtained based on questionnaire and non-instrumental and instrumental tools. Methods: The study had three stages (questionnaire, clinical examination, and [...] Read more.
Background/Objectives: The study aimed to validate the diagnostic system proposed by the Standardized Tool for the Assessment of Bruxism (STAB) by correlating the results obtained based on questionnaire and non-instrumental and instrumental tools. Methods: The study had three stages (questionnaire, clinical examination, and electromyographic study). The subjects completed a questionnaire and clinical exam. Positive signs of bruxism included oral mucosal signs and the presence of dental wear according to the BEWE index. In stage three, sEMG was performed after allocating subjects into four groups according to the questionnaire and clinical exam results: sleep bruxism (SB), awake bruxism (AB), sleep and awake bruxism (SB AB), and no bruxism (no B). After the third stage, a new selection was made, and the subjects were divided into four groups, according to sEMG results. Diagnostic accuracy was computed for possible bruxism SB and grinding and clenching sound diagnosis, possible bruxism AB and AB acknowledgment, possible bruxism SB AB, and tooth wear index. Results: For SB, the sensitivity and specificity of the tools were the highest. The non-instrumental questionnaire and clinical assessment identified 67% of SB cases and 89% without SB. For AB, the specificity was higher (84%), while the sensitivity was lower (55%), as almost half of the subjects were not aware of the presence of AB. The tests showed a low sensitivity (15%) but a high specificity (83%) for tooth wear. The absence of tooth wear was frequently associated with the absence of bruxism, while the presence of tooth wear did not necessarily imply the existence of bruxism. Conclusions: Non-instrumental evaluation of bruxism through questionnaires and clinical exams is valuable, especially for SB. Instrumental evaluation through electromyography remains a gold standard for bruxism diagnosis. Full article
(This article belongs to the Special Issue Diagnostics and Management in Oral and Maxillofacial Medicine)
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37 pages, 3801 KiB  
Article
Migraine Genetic Susceptibility Does Not Strongly Influence Migraine Characteristics and Outcomes in a Treated, Real-World, Community Cohort
by Bruce A. Chase, Roberta Frigerio, Susan Rubin, Irene Semenov, Steven Meyers, Angela Mark, Thomas Freedom, Revital Marcus, Rima Dafer, Jun Wei, Siqun L. Zheng, Jianfeng Xu, Ashley J. Mulford, Alan R. Sanders, Anna Pham, Alexander Epshteyn, Demetrius Maraganore and Katerina Markopoulou
J. Clin. Med. 2025, 14(2), 536; https://doi.org/10.3390/jcm14020536 - 16 Jan 2025
Viewed by 952
Abstract
Background/Objectives: Migraine is a common neurological disorder with highly variable characteristics. While genome-wide association studies have identified genetic risk factors that implicate underlying pathways, the influence of genetic susceptibility on disease characteristics or treatment response is incompletely understood. We examined the relationships [...] Read more.
Background/Objectives: Migraine is a common neurological disorder with highly variable characteristics. While genome-wide association studies have identified genetic risk factors that implicate underlying pathways, the influence of genetic susceptibility on disease characteristics or treatment response is incompletely understood. We examined the relationships between a previously developed standardized integrative migraine polygenic genetic risk score (PRS) and migraine characteristics in a real-world, treated patient cohort. Methods: This retrospective cohort study used covariate-adjusted regression to comprehensively evaluate associations between the PRS and clinical characteristics in 1653 treated migraine cases with European ancestry at baseline and, in 800 cases, after one year. Cases were deeply phenotyped by neurologists during extensive interviews, using structured clinical documentation tools to record ~200 discrete data elements. Results: In treated patients, higher standardized PRS showed associations with two common migraine symptoms: photophobia (odds ratio [confidence interval]: 1.33 [1.13–1.56], p = 0.001) and stabbing pain (1.21 [1.08–1.36], p = 0.001]; both retained significance at Q = 0.05. Associations with phonophobia, nausea, emesis, and unilateral headache had similar effect sizes but did not survive correction for multiple tests. In this population, the PRS was not associated with other symptoms of migraine attacks, objective measures of migraine disability, frequency, severity, average duration, time-to-peak intensity of migraine attacks, chronification, emergency department visits, triptan responsiveness, or changes at follow-up. Conclusions: In treated patients, genetic risk was associated with common migraine symptoms but not with the severity of migraine characteristics or treatment outcomes. This suggests that in treated patients, other genetic and non-genetic factors influence migraine symptom severity and disease course more strongly than genetic susceptibility. Full article
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Review
Pathogenesis, Diagnosis, and Management of Trigeminal Neuralgia: A Narrative Review
by Yao Liu and Eiji Tanaka
J. Clin. Med. 2025, 14(2), 528; https://doi.org/10.3390/jcm14020528 - 15 Jan 2025
Cited by 2 | Viewed by 4954
Abstract
Trigeminal neuralgia (TN) is an excruciating neurological disorder characterized by intense, stimulus-induced, and transient facial stabbing pain. The classification of TN has changed as a result of new discoveries in the last decade regarding its symptomatology, pathogenesis, and management. Because different types of [...] Read more.
Trigeminal neuralgia (TN) is an excruciating neurological disorder characterized by intense, stimulus-induced, and transient facial stabbing pain. The classification of TN has changed as a result of new discoveries in the last decade regarding its symptomatology, pathogenesis, and management. Because different types of facial pain have different clinical therapy and neuroimaging interpretations, a precise diagnosis is essential. Diagnosis should include magnetic resonance imaging with specific sequences to rule out secondary causes and to identify possible neurovascular contact. The purpose of demonstrating a neurovascular contact is to aid in surgical decision making, not to validate a diagnosis. Microvascular decompression is the first-line procedure for individuals who do not respond to medical management, whereas carbamazepine and oxcarbazepine are the preferred medications for long-term care. New developments in animal models and neuroimaging methods will shed more light on the biology and etiology of TN. This paper reviews the pathogenesis, the clinical features, the diagnosis, and the management of TN. Furthermore, the potential role of low-intensity pulsed ultrasound in neurological disorders is discussed. Full article
(This article belongs to the Special Issue Current Challenges in Clinical Dentistry: 2nd Edition)
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