Search Results (205)

Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality worldwide, with heart failure (HF) representing a major contributor to hospitalizations, healthcare costs, and death. Effective management of HF is hindered by the limitations of current biomarkers and diagnostic tools. Conventional biomarkers, such as natriuretic peptides, primarily reflect downstream hemodynamic stress and often lack specificity, particularly in HF with preserved ejection fraction or multiple comorbidities. While imaging provides valuable structural and functional information, it is resource-intensive, costly, and unsuitable for frequent longitudinal monitoring. As a result, these conventional approaches are inadequate to capture the dynamic and heterogeneous nature of HF pathophysiology. Circulating cell-free nucleic acids (cfNAs), including cell-free DNA (cfDNA) and RNA (cfRNA), have emerged as promising noninvasive liquid biopsy biomarkers capable of providing real-time insight into upstream pathological events, such as cardiomyocyte injury, immune activation, inflammation, and maladaptive remodeling. Importantly, cfNAs also act as active mediators of CVD pathology. When released under stress or injury, cfNAs interact with pattern recognition receptors (PRRs) that trigger sterile inflammation, cardiovascular cell dysfunction, and adverse cardiac remodeling. This review summarizes the origins, mechanistic roles, and clinical significance of cfNAs in HF and related CVD, highlighting their dual roles as diagnostic biomarkers and mechanistic effectors of disease. Finally, we discuss emerging cfNA-targeted therapeutic strategies, challenges, and future opportunities for precision medicine in HF and HF-associated CVD. Full article

The aim of the research was to detect the existing microclimatic conditions of the environment in the Visitor Center of the Sirmium Imperial Palace and to determine whether they pose any potential risks to the preservation of the mosaics in room 34 (M34). In order to estimate the microclimatic conditions of the environment and examine their effects on the deterioration processes of the mosaic, the following research methods were applied: one-year microclimatic monitoring of air temperature and relative humidity, monitoring of physical processes in the mosaic and on its surface, determining the presence of soluble salts, the potential biological contamination by aerobiological sampling, and the present biological contamination by using adhesive tape and sterile swabs. The results of microclimatic monitoring indicate that the relative humidity values during January, February, November and December were constantly above 80%. The annual range of temperature values ranged from 0.4 °C to 31.5 °C, while the relative humidity values ranged from 38.9% to 93.9%. The results of microbiological analysis showed high biological contamination of the M34 mosaic, which could be expected because the conditions were favorable for fungal growth throughout the year (a_w > 0.6). Soluble salts, i.e., sulfates, nitrates and chlorides, were identified on the mentioned mosaic. It can be concluded that the existing conditions in the Visitor Center of the Sirmium Imperial Palace pose a risk to the preservation of the mosaic and that they need to be improved. Considering the interdependence of the microclimatic conditions of the environment and the physical, chemical and biological processes of mosaic deterioration, microclimatic monitoring must be introduced at archeological sites with mosaics as a mandatory procedure for the purpose of monitoring the microclimatic conditions of the environment and preventive protection. Full article

Dairy products from unpasteurized milk produced using traditional production methods may contain many groups of microorganisms, including Staphylococcus aureus and Listeria monocytogenes. Therefore, the use of postbiotics as an alternative preservation method may be important for improving the safety of these products. Therefore, the main aim of the research conducted was to isolate and identify lactic acid bacteria and prepare postbiotics from selected strains using four different methods, sterilization, pasteurization, sonication and pascalization, to determine their antibacterial properties. The antilisterial and antistaphylococcal activities of the prepared postbiotics were investigated in vitro and in a fresh cheese model. The obtained results showed that the most effective method of postbiotic preparation was pascalization. Both, the results of the MRS medium and the challenge test confirmed that postbiotics produced through pascalization exhibited antistaphylococcal activity. This study may help identify more effective biopreservation compounds to combat pathogens in food products, particularly in dairy products. Full article

Royal jelly, a high-value natural product rich in bioactive compounds, is highly susceptible to quality deterioration during storage and processing. However, current quality standards rely predominantly on basic physicochemical parameters and measuring the content of 10-hydroxy-2-decenoic acid (10-HDA), which fail to capture the comprehensive and dynamic nature of its freshness. This significant knowledge gap hinders the accurate assessment, prediction, and control of royal jelly quality throughout its supply chain. To address this limitation, this review systematically elucidates the molecular mechanisms underlying the deterioration of royal jelly freshness, including key pathways such as protein denaturation, Maillard reactions, enzymatic inactivation, and lipid oxidation, and analyzes the combined effects of intrinsic and extrinsic factors on its quality stability. It highlights the potential applications of novel biochemical markers—including major royal jelly proteins (MRJPs), Maillard reaction products, enzymatic activity indicators, and energy metabolites—while comparing the advantages and limitations of traditional chromatographic techniques with modern rapid sensing and spectroscopic analysis methods. Regarding preservation, a critical yet inadequately summarized area, this review systematically evaluates the applicability and limitations of various approaches, including low-temperature storage, drying treatments, non-thermal sterilization, microencapsulation, and modified atmosphere packaging. Future directions for integrated quality control are outlined, providing a theoretical basis for holistic quality management of royal jelly. Full article

Post-surgical pyoderma gangrenosum is a rare neutrophilic dermatosis that may occur after surgical procedures, mimicking a wound infection. Early recognition is crucial to prevent unnecessary debridement and worsening of lesions due to pathergy. We report the case of a 67-year-old woman who underwent nipple-sparing mastectomy for invasive breast carcinoma with immediate reconstruction using a tissue expander. In the early postoperative period, she developed an extensive sterile necrotic–ulcerative inflammation of the left breast, unresponsive to broad-spectrum antibiotics and repeated surgical revisions. Histopathology revealed an aseptic neutrophilic infiltrate, confirming the diagnosis of post-surgical pyoderma gangrenosum. The patient responded favorably to high-dose corticosteroid therapy, achieving complete wound healing and definitive reconstruction with a TRAM flap. This case highlights the importance of considering post-surgical pyoderma gangrenosum in the differential diagnosis of inflammatory postoperative complications in breast oncology surgery. Prompt diagnosis and early initiation of immunosuppressive therapy within a multidisciplinary approach are key to preserving tissues and ensuring optimal functional and aesthetic outcomes. Full article

Otitis media is among the most common pediatric illnesses globally, constituting a leading cause of antimicrobial prescriptions, recurrent medical consultations, and preventable hearing loss in early childhood. Traditionally regarded as a sterile cavity intermittently invaded by pathogens, the middle ear is now recognized as a dynamic ecological niche influenced by anatomical immaturity of the Eustachian tube, host immune development, and the composition of resident microbial communities. Increasing evidence demonstrates that microbial dysbiosis and the establishment of biofilms are central to the persistence and recurrence of disease. This review synthesizes current knowledge of the pediatric middle ear microbiome, highlighting how commensal organisms contribute to mucosal resilience and colonization resistance, whereas pathogenic bacteria exploit ecological disruption to establish biofilm communities. Biofilm formation provides bacteria with enhanced survival through immune evasion, altered microenvironments, and antibiotic tolerance, thereby transforming acute otitis media into recurrent or chronic states. Furthermore, studies demonstrate how adenoids act as reservoirs of biofilm-forming organisms, seeding the middle ear and perpetuating infection. The emerging ecological perspective emphasizes the limitations of conventional antibiotic-centered management and directs attention toward innovative strategies, including microbiome-preserving interventions, probiotic or live biotherapeutic approaches, and antibiofilm agents. By defining pediatric otitis media as a disorder of disrupted host–microbe equilibrium, future research may pave the way for precision-based preventive and therapeutic strategies aimed at reducing the global burden of this pervasive disease. Full article

Background and Clinical Significance: Advanced periodontitis with severe vertical bone loss and grade III mobility is usually managed by extraction and implant placement. Digital workflows and modern regenerative techniques have opened the possibility of preserving teeth that would traditionally be considered for extraction. This report describes a digitally guided modified intentional replantation (MIR) protocol applied to a maxillary tooth with severe periodontal involvement and unfavourable prognosis. Case Presentation: A 68-year-old male, non-smoker, with a history of heart transplantation under stable medical control, presented with generalized Stage IV, Grade C periodontitis. Tooth 21 showed >75% vertical bone loss, probing depths ≥ 9 mm, bleeding on probing, and grade III mobility. After non-surgical therapy and periodontal stabilization, a CAD/CAM-assisted MIR procedure was planned. Cone-beam computed tomography (CBCT) and a 3D-printed tooth replica were used to design a surgical guide for a new recipient socket. The tooth was atraumatically extracted, stored in chilled sterile saline, and managed extraorally for approximately 10 min. Apicoectomy and retrograde sealing with Biodentine^® were performed, followed by immediate replantation into the digitally prepared socket, semi-rigid splinting, and guided tissue regeneration using autologous bone chips, xenograft (Bio-Oss^®), enamel matrix derivative (Emdogain^®), and a collagen membrane (Bio-Gide^®). A conventional orthograde root canal treatment was completed within the first month. At 12 months, tooth 21 exhibited grade 0 mobility, probing depths of 3–4 mm without bleeding on probing, and stable soft tissues. Standardized periapical radiographs and CBCT showed radiographic bone fill within the previous defect and a continuous periodontal ligament-like space, with no signs of ankylosis or root resorption. The tooth was fully functional and asymptomatic. Conclusions: In this medically complex patient, digitally guided MIR allowed preservation of a tooth with severe periodontal involvement and poor prognosis, achieving favourable short-term clinical and radiographic outcomes. While long-term data and larger series are needed, MIR may be considered a tooth-preserving option in carefully selected cases as an alternative to immediate extraction and implant placement. Full article

Dural tear (DT) and cerebrospinal fluid (CSF) leakage, though uncommon complications, represent a potentially serious risk of anterior cervical spine surgery, particularly in patients with ossification of the posterior longitudinal ligament (OPLL). While the incidence in routine anterior cervical discectomy and fusion (ACDF) or corpectomy (ACCF) is typically below 0.5%, it rises sharply to 4–32% in OPLL cases. Furthermore, it exceeds 60% when dural ossification (DO) is present. Adhesion and ossification obliterate the normal epidural plane, creating a fragile osteofibrotic interface that is highly susceptible to tearing during decompression. This review synthesizes current evidence on the pathophysiology of DT and CSF leakage in anterior cervical spine surgery, provides a framework for risk stratification, and outlines evolving techniques for successful repair and management. Intraoperative management has shifted from direct resection toward dura-preserving floating decompression and biologically reinforced multilayer repair using fascia, collagen matrix, fibrin adhesives, and polyethylene glycol (PEG) hydrogel sealants. Postoperative care emphasizes controlled CSF pressure regulation, sterile wound management, and early ambulation. Most DTs achieve successful closure with timely recognition and standardized treatment. However, persistent leakage may require escalation to composite reconstruction, epidural blood patch, or vascularized flap reinforcement. Emerging technologies such as bioactive hydrogels, 3D-printed dural scaffolds, and artificial intelligence–assisted imaging offer potential future improvements, although clinical adoption remains limited. This review summarizes current evidence on the mechanisms, risk factors, diagnostic predictors, repair strategies, and postoperative management of DT and CSF leakage, with specific attention to OPLL-related DO. A more apparent distinction between established clinical practice and emerging investigational technologies is provided to guide evidence-based decision-making. Full article

The development of advanced delivery systems for bioactive factors is a critical focus in regenerative medicine and tissue engineering. In this study, we present a waterborne polyurethane (WPU)-based scaffold fabricated through a fully aqueous electrospinning process, providing a solvent-free and green method for delivering secretome derived from human mesenchymal stromal cells (MSCs). We optimized the electrospinning parameters to enable efficient secretome incorporation while preserving fiber morphology, sterility, and biocompatibility. The resulting membranes exhibited a uniform nanofibrous architecture, supported high cell viability, and demonstrated effective secretome loading and release, detected following release of vascular endothelial growth factor (VEGF)-A over 24 h. Overall, our findings highlight the potential of WPU nanofibrous scaffolds as sustainable and functional platforms for the delivery of MSC-derived bioactive factors in biomedical applications. Full article

This study aimed to evaluate the impact of UVC (Ultraviolet C Radiation), detergent foam, and alcohol (70%) sterilization methods on the surface morphology of acrylonitrile–butadiene–styrene (ABS) specimens using a novel SEM (Scanning Electron Microscope) image processing approach. Twelve 3D-printed specimens were prepared, and five concentric circular regions of interest (ROIs) per specimen were analyzed. Three quantitative descriptors—defect area fraction, anisotropy ratio, and RMS (Root Mean Square) roughness—were extracted to assess surface alterations. To validate the image-based findings, EDX (Energy-Dispersive X-ray Spectroscopy) elemental analysis for carbon (C), nitrogen (N), and oxygen (O) was employed as a complementary and traditional benchmark technique. Statistical comparisons and p-value heat maps revealed strong convergence between SEM and EDX results. UVC sterilization consistently preserved surface morphology and elemental stability, showing the lowest defect fraction (p = 0.2684), balanced anisotropy (p = 0.02481), and minimal oxygen incorporation (O = 7.6). Foam sterilization produced intermediate effects, with significant anisotropy changes (p = 0.007456) and reduced nitrogen (19.6). Alcohol sterilization induced the most severe damage, characterized by high defect density, increased roughness, and elemental imbalance (N = 17.3, O = 13.9), confirming oxidative degradation. The convergence of SEM and EDX outcomes demonstrates that SEM image processing is a reliable novel method validated by traditional elemental analysis. Together, these approaches provide a robust framework for ranking sterilization efficacy, with UVC identified as the most favorable method, detergent foam as an acceptable alternative, and alcohol as the least effective due to its destabilizing effects. Full article

Milk coffee is a composite beverage in which interactions among dairy proteins, lipids, and coffee polyphenols govern flavor, texture, and stability. This review synthesizes recent research to guide formulation and processing, covering conventional Ultra-high temperature sterilization (UHT) and innovative routes including blending-after-sterilization (BAS), high-pressure homogenization (HPH), ultrasound/pulsed electric field (PEF)/cold plasma (CP), microencapsulation, and plant-based matrices. Key findings show that non-covalent protein–polyphenol complexes and interfacial partitioning at fat-globule membranes control volatile retention, astringency, droplet structure, and phenolic bioaccessibility; appropriate fat levels and HPH refine microstructure; BAS better preserves aroma; and matrix or decaffeination choices modulate antioxidant capacity. Guided by these insights, we propose a concise “process–activity–stability” framework linking parameters to functionality and shelf life to accelerate the development of high-quality, nutritious, enjoyable, and more sustainable milk coffee products. Full article

(1) Background: Most robotic MIS platforms lack native haptic feedback, leaving surgeons to infer tissue loads from vision alone—an especially risky limitation in esophageal procedures. (2) Methods: We develop a sensorless, image-only force-estimation pipeline that maps endoscopic video to tool–tissue forces using a lightweight EfficientNetV2B0 CNN. The model is trained on 9691 labeled frames from in vitro esophageal experiments and validated against an FT300 load cell. For intraoperative feasibility, the system is deployed as a plug-in on PARA-SILSROB, consuming the existing laparoscope feed and driving a commercial haptic device. The runtime processes every 10th frame of a 60 FPS stream (≈6 Hz updates) with ~15–20 ms per-prediction latency. (3) Results: On held-out tests, the model achieves MAE = 0.017 N and MSE = 0.0004 N², outperforming a recurrent CNN baseline while maintaining real-time performance on commodity hardware. Integrated evaluations confirm stable operation at the deployed update rate and low latency compatible with closed-loop haptics. (4) Conclusions: By avoiding distal force sensors and preserving sterile workflow, the approach is readily translatable and retrofit-friendly for current robotic platforms. The results support the practical feasibility of real-time, sensorless force feedback for robotic esophagectomy and related MIS tasks, with potential to reduce tissue trauma and enhance operative safety. Full article

Although nanotechnology is increasingly applied in plant tissue culture in many parts of Europe, its use in the Balkans remains limited, revealing a regional gap with untapped potential for advancing in vitro propagation and preservation of woody plant species. Building upon a recently published regional review covering 2001–2024, which analyzed in vitro biotechnology progress in nine Balkan countries, this paper introduces the concept of a “nano gap”, referring to the limited connection between existing nanotechnology research potential and its use in in vitro woody plant biotechnology. In Serbia, Greece, Bulgaria, Croatia, and Albania, significant progress has been made in optimizing micropropagation and in vitro conservation strategies by introducing temporary immersion systems, synthetic seed technology, adapting genotype-specific sterilization and multiplication protocols, and modifying established cryopreservation methods for regional woody species. However, the integration of nanotechnology into these systems remains largely unexplored. To date, there are no published results or validated applications for nano-enhanced media or nanoscale delivery systems for micropropagation and in vitro conservation of woody species. The limited integration of nanotechnology may be due to insufficient funding, lack of specialized infrastructure, and limited interdisciplinary expertise. Nevertheless, many Balkan countries possess growing capacities in nano-applications within agriculture and environmental sciences and are ready to advance toward interdisciplinary research and innovation. By mapping both scientific readiness and structural barriers, this review provides a strategic framework for bridging the “nano gap” and offers a novel regional perspective with broader implications for European research policy, sustainable agriculture, biodiversity preservation, and green innovation. Full article

Fungal contamination of donor corneas, although rare, constitutes a serious infection risk to recipients. Therefore, microbiological quality control with methods optimized for fungal detection is crucial in eye banks to detect and discard contaminated corneas. This study aimed to compare the performance of different BACT/ALERT^® bottles (iFA Plus and iLYM) incubated at different temperatures (32 °C and 37 °C) when corneal preservation media, with or without amphotericin B, were cultured. A total of 6 culture conditions were compared by inoculation of fewer than 100 colony-forming units of 18 fungi (10 yeasts and 8 filamentous fungi). iFA Plus bottles incubated at 32 °C reliably detected 94.4% of fungi, regardless of amphotericin B presence, while iLYM bottles detected 77.8% in the absence of amphotericin B and 72.2% in its presence. At 37 °C, iFA Plus fungal detection decreased to 61.1%. iFA Plus bottles incubated at 32 °C provided the highest detection rates, effectively neutralizing the effect of amphotericin B and enabling recovery of both yeasts and filamentous fungi, except for Cladosporium. Our findings support that the optimal strategy for cornea sterility testing is incubating iFA Plus bottles at 32 °C for optimal fungal recovery, while maintaining iFN Plus at 37 °C to allow timely detection of anaerobic bacteria. Full article

Bivalve molluscs represent an important food source and have a significant economic impact through their commercialization in many countries. As high-capacity filter feeders, they can bioaccumulate contaminants and pathogens, creating tangible consumer health risks. This study presents the first comprehensive patent landscape of bivalve mollusc decontamination technologies indexed in international patent databases (Espacenet). The survey identified 30 patents filed between 1989 and 2025. Unlike reviews based solely on scientific literature, this work provides, for the first time, a global mapping of technological developments aimed at enhancing the safety of bivalves-derived foods. The analysis highlights depuration as the predominant technology, which continues to be refined and optimized. It also reveals the emergence of disruptive approaches—such as photodynamic sterilization, the use of probiotics, immunopotentiators, natural antimicrobial compounds, and genetic hybridization—developed to preserve the viability and sensory quality of the organisms. The novelty of this study lies in providing a technological overview of innovation within the aquaculture sector, emphasizing the transition from conventional methods to cleaner, integrated, and sustainable technologies. Furthermore, the research identifies the advancement of hybrid decontamination systems that combine microbiological efficiency, environmental preservation, and commercial value, contributing to safer and more technologically advanced shellfish production. Full article