Search Results (2,362)

Objectives: To quantitatively assess masticatory function with instrumental measures in a group of patients suffering from temporomandibular joint (TMJ) arthralgia, and to compare the results with symptom-free controls. Methods: Data of bite force, variance-of-hue-based (VOH) chewing efficiency, chewing frequency, the bilateral pressure pain threshold (PPT) of the temporalis and masseter muscles, and mandibular range of motion (RoM) were collected in a sample of TMJ arthralgia patients (n = 14) and controls (n = 19). The diagnosis of arthralgia was obtained following the DC/TMD protocol. Comparison between the groups was conducted using independent samples t-tests (level of significance α = 0.05). Associations within the arthralgia group were assessed using Pearson’s correlation coefficient. Results: In comparison to the controls, arthralgia patients showed significantly restricted pain-free and maximum unassisted mouth opening (p < 0.001, p = 0.022 respectively) as well as a significant decrease in both bite force (p < 0.001) and chewing frequency (p = 0.01). The average chewing efficiency for the arthralgia group was 0.14 ± 0.08 VOH. The PPT for both masseter muscles did not show significant differences in comparison to the control group. Conclusions: In patients with TMJ arthralgia, functional markers such as RoM, bite force, and chewing frequency exhibited significant limitations compared to the control group. The employment of instrumental measurements in the documentation of symptoms in clinical practice provides an objective basis for the assessment of functional limitations. Hence, we recommend integrating them into the longitudinal patients’ observation during therapy. Full article

Change-of-direction (COD) ability is a key determinant of performance in youth basketball, yet the relative contribution of braking, re-acceleration, trunk motion, and body composition remains unclear. Thirty-two male U18 national-team level players (17.6 ± 0.7 y; 194.8 ± 4.5 cm; 89.1 ± 9.4 kg) completed whole-body and segmental DEXA assessment, bilateral countermovement jump (CMJ) testing and a 505 agility test (505) instrumented with a local positioning system. Mean COD times were 2.36 ± 0.09 s (505) and 1.84 ± 0.08 s (303), with maximal deceleration (DcMax) of −7.26 ± 0.52 m·s⁻². Paired t-tests showed no significant differences between right- and left-leg turns for any variable (all p > 0.25), indicating symmetrical COD performance. General linear models revealed that DcMax was the only consistent predictor of COD time (505: R² = 0.53, F (7,24) = 3.91, p = 0.006, partial η² = 0.31; 303: R² = 0.49, F(9,22) = 2.34, p = 0.050, partial η² = 0.34), with a smaller additional effect of approach speed for the 303 segment (p = 0.049). Body-composition indices and CMJ variables showed only weak, non-significant correlations with COD time (|r| < 0.30, p > 0.05), and neither centripetal force nor trunk angular speed was associated with performance. These findings indicate that high-intensity braking capacity, rather than muscle mass or jump power per se, is the primary mechanical determinant of COD in elite youth basketball, suggesting that deceleration-focused training should be prioritized in performance development. Full article

Due to their vast potential, Unmanned Aerial Vehicles (UAVs) are increasingly being utilized in various applications. To prevent in-flight failures and loss of control, implementing Internet of Things (IoT)-based Predictive Maintenance (PdM) systems is crucial. However, data collected from PdM systems often contains outliers, which can significantly degrade the accuracy and performance of predictive models. In this paper, we present a comparative performance analysis of several outlier detection methods, namely K-Nearest Neighbors (KNN), Autoencoder (AE), and Isolation Forest (IForest). The datasets used to evaluate these methods were acquired from a UAV predictive maintenance system designed to estimate the Remaining Useful Life (RUL) of Li-ion batteries and detect faults in Brushless DC (BLDC) motors. Ultimately, this study aims to determine the most effective outlier detection method for UAV predictive maintenance datasets. Full article

Dendritic cells (DCs) are key sentinels in the lung mucosa that interpret environmental signals to either promote tolerance or trigger inflammation, influencing the development of chronic lung diseases. This review highlights recent mechanistic insights showing that metabolic checkpoints serve as upstream regulators of DC fate and activity: inflammatory stimuli activate HIF-1α/mTOR-linked glycolytic pathways that drive maturation, cytokine secretion, antigen presentation, and migration. In contrast, AMPK-related oxidative and lipid metabolism pathways support tolerogenic states that encourage regulatory T-cell responses and inhibit checkpoints like PD-1/PD-L1. We also present evidence that DC subset specialization (cDC1 vs. cDC2) and their tissue location interact with these metabolic pathways to regulate lymphoid tissue formation, including the development and persistence of tertiary lymphoid structures in chronically inflamed lungs. These ectopic lymphoid tissues enhance local immune responses through DC–stromal interactions and ongoing T follicular helper–B cell communication, contributing to persistent inflammation and tissue remodeling in conditions such as COPD, asthma, pulmonary hypertension, and fibrotic interstitial lung disease. Finally, we discuss the translational potential of targeting this immunometabolic–lymphoid pathway, suggesting that modulating metabolic regulators, migratory circuits, and tolerogenic programs could restore immune balance while maintaining host defense—a promising framework for developing advanced therapies for chronic lung inflammation. Full article

Background/Objectives: Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common neurodevelopmental disorders in childhood and it tends to remain during adulthood. It not only affects cognitive abilities and behavior but also often presents emotional disturbances and alterations in the perceived quality of life. These symptoms are primarily related to dysfunctions in the ventromedial and dorsolateral prefrontal network. The main objective was to evaluate the feasibility and explore the initial outcomes of an integrated protocol combining neuropsychological treatment and transcranial direct current stimulation (tDCS). Methods: This study presents a single-case experimental A-B design of a 21-year-old woman, diagnosed with predominantly inattentive ADHD, treated at the University Psychology Clinic of Loyola Andalucía University. The treatment was carried out twice a week for 5 weeks (10 sessions in total), with 20 min of anodal tDCS at F3 and cathodal tDCS at F4 (2 mA), while digital neurorehabilitation exercises and psychotherapeutic support were provided. Results: An overall significant improvement was observed in cognitive functions (p = 0.008), with clinically significant gains in cognitive flexibility, visual working memory, and planning. Mixed results were found in inhibition, with improvement in interference control but no change in response inhibition. No significant changes were observed in sustained attention, auditory working memory, or processing speed. In terms of emotional state, an overall improvement was noted (p = 0.046), particularly in depression symptoms and perceived quality of life related to physical and psychological health. However, no significant changes were observed in anxiety symptoms or in areas related to the environment and social relationships. These findings reflect pilot-level evidence of clinical change within a feasibility framework. Conclusions: The combined treatment was found to be safe and feasible, showing promising preliminary improvements in cognitive and emotional domains. As a single-case study, these results serve as hypothesis-generating evidence for future controlled trials. Full article

Background/Objectives: Mild cognitive impairment (MCI) is common in Parkinson’s disease (PD) and significantly impacts quality of life. Non-invasive brain stimulation (NIBS) techniques have emerged as potential therapeutic interventions. This systematic review analyzes the current evidence regarding the efficacy of Transcranial magnetic stimulation (TMS) and transcranial electrical stimulation (tES) on cognitive domains in patients with PD-MCI. Methods: A systematic search was conducted across the PubMed, Scopus, Web of Science, and Medline Ultimate databases up to 20 November 2025. We included studies investigating the effects of NIBS compared to sham stimulation on neuropsychological outcomes in diagnosed PD-MCI patients. Results: Eight studies involving different stimulation protocols were included. Interventions primarily used TMS or tES targeting the left dorsolateral prefrontal cortex (DLPFC). Episodic memory and global cognition were the most responsive domains, assessed with specific neuropsychological scales. Findings for executive functions and attention were heterogeneous, while visuospatial abilities generally showed limited immediate response. Conclusions: NIBS represents a promising but low-certainty-evidence adjunctive therapy for PD-MCI, with improvements found in memory and global cognition. Future research should prioritize larger sample sizes, combined interventions (NIBS plus cognitive rehabilitation), and extended follow-ups to evaluate long-term neuroplasticity. Full article

Vibration energy harvesting is a promising approach to support and supplement power, thereby extending the lifetime of low-power sensor nodes under suitable vibration conditions, i.e., in environments where sufficient ambient vibrations are available. It is not a universal autonomous power-supply solution, particularly when generalized across the Internet of Things (IoT), because the harvested power is typically limited to the µW–mW range and depends strongly on the vibration frequency content, amplitude, and operating point relative to resonance. Furthermore, many practical harvesters rely on resonant mechanisms, which are inherently narrowband, and therefore their performance can degrade significantly under detuning or broadband/variable-frequency excitations. In addition, energy-management and power-conditioning electronics (rectification, storage, and regulation) are required to convert the generated electrical energy into a stable and usable DC supply for practical loads. In this work, we develop a nonlinear state-space model of a three-phase electromagnetic vibration energy harvester with spatially displaced coils and evaluate its electrical output characteristics and DC power behavior using numerical simulations. Full article

Background: Chronic pain is a prevalent and disabling condition that affects physical health but also cognitive domains. Executive functions, including inhibitory control, cognitive flexibility, and working memory, essentials for self-regulation, treatment adherence, and coping with symptoms, are particularly compromised. Physiotherapy interventions, traditionally aimed at physical outcomes, may also influence executive functions; however, their impact remains unclear. Objective: This review aimed to synthesize current evidence regarding the effects of physiotherapy-related interventions on executive function in adults with chronic pain. Methods: The review followed the Cochrane Handbook and Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines, and the protocol was registered in PROSPERO (CRD42024611800). A comprehensive search was performed. Randomized controlled trials (RCTs) included adults with chronic pain (≥3 months) whose executive function outcomes were evaluated after physiotherapy-based interventions. Results: Out of 12,391 records, 10 randomized controlled trials were included. Populations primarily had fibromyalgia, chronic low back pain, and chronic musculoskeletal pain. Interventions encompassed transcranial direct current stimulation (tDCS), transcranial magnetic stimulation (rTMS), neurofeedback, structured exercise, and multimodal physical-cognitive-mindfulness training. Intervention durations ranged from one session to 16 weeks. Executive function was assessed with diverse neuropsychological tests. tDCS improved attention, inhibitory control, cognitive flexibility, and working memory. Exercise interventions showed benefits in working memory and inhibitory control. Conclusions: Preliminary evidence suggests that physiotherapy interventions, particularly anodal tDCS and structured exercise, may improve executive functions in individuals with chronic pain. Future trials should incorporate long-term follow-up. Integrating cognitive targets into physiotherapy may enhance the multidimensional management of chronic pain. Full article

Herpes simplex virus type 2 (HSV-2) is the primary pathogen responsible for genital herpes. Predominantly transmitted via sexual contact, HSV-2 not only poses significant physical and psychological burdens on infected individuals but also substantially elevates the risk of HIV acquisition and represents a potentially fatal threat to newborns. Following primary infection, HSV-2 establishes lifelong latent infection within the sacral ganglia. Currently, there are no vaccines or therapeutics capable of eradicating this latent virus reservoir or effectively preventing initial infection. The core impediment to developing such interventions lies in the incomplete elucidation of the protective immune mechanisms against HSV-2 and its precise molecular pathogenesis. The host immune response against HSV-2 hinges critically on the coordinated interplay between innate and adaptive immunity. The innate immune system, serving as the first line of defense, acts to curtail early viral replication and initiate adaptive responses. This is achieved through mechanisms, including the genital mucosal barrier, activation of Toll-like receptors (TLRs), the cGAS-STING signaling pathway, interferon (IFN)-mediated antiviral effector functions, and activation of innate immune cells such as natural killer (NK) cells and dendritic cells (DCs). Crucially, however, HSV-2 counteracts these host defenses by expressing immune modulatory proteins (e.g., ICP0, ICP27, ICP35) that target key host antiviral signaling pathways, thereby affecting immune evasion. Within the adaptive immune response, neutralizing antibodies generated by the humoral immunity can provide localized protection at mucosal sites, but their protective efficacy is limited due to sophisticated viral immune evasion mechanisms. Cellular immunity, particularly mediated by CD4+ T cells, constitutes the core mechanism for viral clearance and suppression of recurrent outbreaks. Notably, tissue-resident memory T cells (TRMs) play a pivotal role in controlling the reactivation of latent HSV-2 within the ganglia. This review integrates current research advances to delineate the innate and adaptive immune mechanisms engaged during HSV-2 infection from the perspective of the dynamic host–virus interplay, with an ultimate aim to provide a theoretical foundation informing the rational development of preventive vaccines and therapeutic agents against HSV-2. Full article

This study addresses the problem of efficient utilization of aspiration dust (AD) generated during crushing of high-carbon ferrochrome (HCFeCr). To solve this issue, a briquetting technology was proposed, involving aspiration dust blended with dry gas-cleaning dust (20 wt.% as filler) and an organic polymer binder (3 wt.%). The produced briquettes demonstrated high mechanical strength (average 195 kg per briquette in splitting strength and 98% drop resistance), ensuring maximum integrity during transportation and handling. Pilot-industrial remelting of 35 tons of briquettes in a 1.8 MVA direct current electric arc furnace (DC EAF) confirmed the effectiveness of the proposed technology for HCFeCr production. Chromium recovery into the alloy reached 94%, which is 3–4% higher compared to remelting of loose dust. The specific electric energy consumption was 1600 kWh/t, representing a 29% reduction compared to loose dust processing. The produced metal met commercial grades FeCr800–FeCr900 specifications. Additional advantages included elimination of dust formation, reduction in fines generation during crushing of the final metal to 15%, and improved environmental performance. The developed technology represents an economically and environmentally viable solution for comprehensive recycling of ferroalloy dust waste. Full article

Background: Non-invasive brain stimulation (NIBS) is increasingly used as an adjunctive option in late-life depression (≥60 years), a condition frequently complicated by multimorbidity and incomplete response to standard treatments. Comparative real-world evidence between repetitive Transcranial Magnetic Stimulation (rTMS) and transcranial Direct Current Stimulation (tDCS), particularly including functional outcomes, remains limited. Methods: We conducted a retrospective, naturalistic comparative study of 104 depressed inpatients (≥60 years), either unipolar or bipolar, treated with rTMS (n = 48) or tDCS (n = 56) as part of routine care. Depression severity was assessed with the 21-item Hamilton Depression Rating Scale (HDRS21) at baseline, 2 weeks, and 1 month; response was defined as ≥50% HDRS21 score reduction and remission as HDRS21 < 7 at 1 month. Global Assessment of Functioning (GAF) was assessed at admission and discharge (baseline and 1 month). Longitudinal changes were examined using covariate-adjusted mixed-effects models; categorical outcomes were compared using χ² tests. Propensity score matching was applied as an additional approach to reduce confounding due to the observational design. Results: At 1 month, response and remission rates were significantly higher in the rTMS group than in the tDCS group (87.5% vs. 55.4%, p < 0.001; 62.5% vs. 41.1%, p = 0.047, respectively). rTMS showed greater HDRS21 score reductions at 2 weeks and 1 month (Time × Treatment, p < 0.001). GAF scores significantly improved over time in both groups (Time effect, p < 0.001) without between-technique differences (Time × Treatment, p = 0.56), and GAF scores did not differ by response/remission status. Conclusions: In this cohort of inpatients aged ≥ 60 years with depressive episodes, rTMS was associated with greater short-term reductions in HDRS21 scores compared with tDCS, whereas both modalities showed comparable improvements in GAF from admission to discharge. Full article

Taxillus chinensis (DC.) Danser is an important hemiparasitic medicinal plant whose propagation is severely limited by the desiccation sensitivity of its recalcitrant seeds. Dehydrins (DHNs), which protect plants against dehydration-induced stresses such as salinity, drought, and low temperatures, may play a critical role in protecting recalcitrant seeds. However, the role of DHNs in the seeds of T. chinensis remains unclear. In this study, a differentially expressed gene was identified from the seed transcriptome of T. chinensis and designated TcDHN1. Sequence alignment and phylogenetic analyses revealed that TcDHN1 encodes a dehydrin protein. Heterologous overexpression of TcDHN1 in Arabidopsis did not affect growth under normal conditions. Under salt, drought, and cold stresses, transgenic lines exhibited higher seed germination rates, longer primary roots, and improved seedling growth compared with wild-type (WT) plants. The transgenic lines showed significantly increased activities of antioxidant enzymes, including superoxide dismutase, catalase, and peroxidase. In addition, ectopic overexpression of TcDHN1 in Arabidopsis conferred enhanced tolerance to abiotic stresses compared to WT plants, accompanied by increased expression of the stress-responsive genes Responsive to Desiccation 29A (AtRD29A) and Heat Shock Protein 70-1 (AtHSP70-1). The above results indicate that TcDHN1 confers enhanced tolerance to abiotic stresses. This study provides a functional characterization of an abiotic stress-responsive gene from recalcitrant seeds and identifies a potential genetic resource for molecular breeding. This could potentially improve abiotic stress resistance in T. chinensis and related medicinal plants. Full article

The adoption of electric vehicles (EVs) is a promising strategy for reducing emissions and promoting sustainable mobility. The increasing adoption of EVs has created a demand for efficient and sustainable charging infrastructure. The integration of rooftop solar-powered EV charging stations into distribution networks is a promising solution for reducing carbon emissions and improving grid efficiency. This integration also introduces challenges, such as power quality issues, grid instability, and the impact of environmental factors on solar generation. This study proposes a novel system that integrates a smart control algorithm for a central battery management system (CBMS) with advanced bidirectional DC-DC converters for optimised power distribution. Unlike existing systems that focus on individual components, this study combines real-time environmental monitoring with adaptive power management algorithms to handle variations in generation owing to solar irradiance, temperature, and shading, and ensure maximum power harvesting. This study also presents the role of the DC-to-DC converter integrated with a smart charging control and CBMS in smart grid-enabled EV charging station. The proposed system was validated using MATLAB 2025b Simulink simulations. This study demonstrates an improvement in overall grid stability and highlights the potential of DC-DC converter technologies for smart grid applications and decarbonisation efforts. Full article

In this study, a highly crystalline 2H (hexagonal)-phase MoS₂ sensing layer with a precisely controlled crystal structure was realized through a combination of DC sputtering and sulfurization annealing processes, and subsequently integrated with a D-shaped optical fiber to develop a highly sensitive carbon dioxide (CO₂) sensor. Conventionally sputtered MoS₂ thin films often suffer from the presence of unstable metallic 1T (tetragonal) phases and a high density of sulfur vacancies, which significantly degrade sensor reversibility and long-term stability. Here, high-temperature annealing under a sulfur-rich atmosphere was employed to induce a complete phase transition from the metastable 1T phase to the stable semiconducting 2H phase, while simultaneously healing sulfur vacancies. Enhanced crystallinity was confirmed by Raman spectroscopy. The fabricated sensor exhibited excellent linearity (R² > 0.99) and markedly improved repeatability over a CO₂ concentration range of 1000–10,000 ppm. This significant performance enhancement is attributed to reversible charge transfer induced by sulfur vacancy passivation, which modulates the complex refractive index of the MoS₂ layer and optimizes optical interaction with the evanescent field of the D-shaped fiber. The phase engineering and defect-healing strategy presented in this work effectively addresses the drift issues commonly observed in conventional electrical gas sensors and provides a crucial pathway toward the realization of high-performance optical gas sensors. Full article

Background: Postpartum cardiomyopathy (PPCM) is a rare but life-threatening condition characterized by left ventricular dysfunction occurring in the peripartum period. Alterations in carnitine metabolism have been implicated in myocardial energy dysregulation, yet targeted metabolic profiling in PPCM remains limited. Methods: We conducted a targeted metabolomics study comparing serum carnitine and acylcarnitine profiles between 40 PPCM patients and 40 age-matched healthy controls. Samples were analyzed using LC–MS/MS. Multivariate analyses (PCA and PLS-DA), univariate statistics (t-test, ANOVA, and Tukey’s HSD), and ROC curve analysis were applied to identify discriminatory metabolites and their diagnostic potential. Results: PPCM patients showed significantly decreased free carnitine (C0, p < 0.001) and elevated short-chain acylcarnitines such as acetylcarnitine (C2, p < 0.001) and propionylcarnitine (C3, p < 0.001) compared to controls. Notably, C14:1 and C18:1 were significantly reduced, whereas C6DC was elevated in PPCM (p < 0.001). PLS-DA and VIP analyses highlighted C2, C6DC, and C16 as key discriminators between groups. ROC analysis confirmed limited but notable diagnostic performance for C2 (AUC = 0.633), C6DC (AUC = 0.635), and C16 (AUC = 0.623). Conclusions: Our findings demonstrate that PPCM is associated with profound alterations in carnitine metabolism, particularly reductions in long-chain acylcarnitines and increases in short-chain species. Specific metabolites such as C2, C6DC, and C16 may serve as potential biomarker candidates for PPCM diagnosis and prognosis. These results highlight the utility of targeted metabolomics in uncovering novel metabolic signatures of cardiomyopathy. Full article