Search Results (942)

Established in 1917, the Spiritual Society (Lingxuehui 灵学会) centered its activities on spirit-writing (fuji 扶乩), constructing a sacred discourse through the Spiritual Chronicles (Lingxue Congzhi 灵学丛志) that blended Confucian ethics, Buddhist–Daoist notions of reincarnation and karmic causality, and the terminologies of modern science. This synthesis aimed to restore moral order and epistemic legitimacy amid intense social upheaval. Beginning in 1918, however, New Youth—the flagship journal of the New Culture Movement—launched sustained critiques against Spiritualism (Lingxue 灵学). Moving beyond a historical narrative, this article draws on Weber, Foucault, and Abbott to analyze this confrontation as a contest for exclusive jurisdiction over “explaining the world” and “healing society.” New Culture intellectuals labeled fuji as “superstition” through the lenses of scientism and psychology, linking it to imperial residues and anti-modern ideologies. Scientific discourse, by deploying the label of “superstition”, secured epistemological orthodoxy and systematically marginalized indigenous spiritual traditions. The confrontation between the “divinity–medium–text” structure and the modern logic of “science–rationality–nation” reveals a deeper struggle over knowledge boundaries and legitimacy, while also illuminating the tensions and negotiations that shaped China’s trajectory toward modernity. Full article

The precise management of chronic wounds poses a global medical challenge, owing to their complex and dynamically shifting pathological microenvironment, coupled with their inherent difficulty in healing. Traditional dressings, which lack capabilities for real-time monitoring and active intervention, fall short of meeting modern clinical needs. Composite hydrogels offer a novel solution to this problem. By integrating functional fillers within biocompatible hydrogel matrices, they form intelligent materials capable of sensing key wound parameters. This review systematically outlines the composite systems and material classification of such hydrogels designed for the intelligent monitoring of chronic wounds. It subsequently details the construction of multimodal monitoring systems and their applications across different types of chronic wounds., Finally, future development direction are discussed, aiming to advance the implementation of next generation, personalized intelligent wound management systems. Full article

Background/Objectives: Surgical site infection (SSI) after autologous rib cartilage microtia reconstruction is an uncommon but potentially devastating complication, as infection of the avascular cartilage framework can rapidly lead to partial or complete framework loss. Traditional management often favored aggressive debridement or framework removal, resulting in significant deformity. This study aimed to evaluate salvage-oriented management strategies and to propose a structured treatment algorithm for SSI following microtia reconstruction. Methods: A retrospective case series was conducted of patients who developed SSI after autologous rib cartilage microtia reconstruction between March 2021 and November 2025. SSI was defined by clinical and surveillance criteria requiring intervention beyond routine postoperative care. Nine patients were included. Management strategies were analyzed with respect to infection control, framework preservation, and wound healing outcomes. Results: SSI occurred at variable time points, ranging from early postoperative infection to delayed and late-onset presentations. Identified pathogens included Gram-positive cocci and multidrug-resistant Gram-negative organisms. Negative-pressure wound therapy (NPWT) was applied in all cases with wound dehiscence, persistent drainage, or cartilage exposure. Conservative staged debridement was performed only after clear demarcation of nonviable tissue. Overall auricular framework preservation was achieved in 100% of patients, with no cases requiring complete framework removal, although limited cartilage loss occurred in select cases. These outcomes demonstrate the clinical feasibility and effectiveness of salvage-oriented management across heterogeneous infection scenarios. Conclusions: SSI following autologous microtia reconstruction can be effectively salvaged without routine framework removal through a structured, timing-based algorithm emphasizing early culture-guided antimicrobial therapy, NPWT, and conservative staged intervention. This salvage-oriented approach provides a clinically relevant and reproducible framework for preserving auricular structure while minimizing morbidity, even in infections involving multidrug-resistant organisms. Full article

Accurate documentation of burn wounds is essential for evaluating treatment outcomes and monitoring healing progression. Traditional two-dimensional (2D) photography remains the clinical standard but lacks depth and volumetric accuracy. Three-dimensional (3D) scanning offers enhanced visualization of wound morphology and tissue vitality, potentially improving objectivity in burn assessment. This study compares two handheld 3D scanning systems—Artec Eva and Revopoint Miraco—in documenting acute and healing burn wounds, using standard clinical photography as the reference. Fifteen patients with second-degree and third-degree burns were prospectively examined at the Burn Unit of AGEL Hospital Košice-Šaca, with five representative cases selected for detailed analysis. For each patient, clinical photographs and paired 3D scans were obtained under standardized conditions and evaluated for color fidelity, wound margin clarity, representation of epithelialisation islands, necrotic tissue, and correlation with clinical findings. Across all cases, Artec Eva demonstrated superior color accuracy, clearer wound delineation, and more realistic visualization of tissue vitality and re-epithelialisation. Revopoint Miraco reliably captured wound shape but produced darker tones and exaggerated surface relief, occasionally distorting depth perception. Overall, both systems successfully identified key healing features; however, Artec Eva provided more clinically accurate and visually consistent results. Three-dimensional scanning represents a valuable adjunct to conventional burn documentation. Full article

The recent development in polymer science has gone beyond the traditional linear and randomly functionalizable macromolecules to the architected polymer systems, which integrate modular synthesis and dynamic responsiveness. Although the literature related to polymer synthesis and stimuli-responsive materials and applications is widely discussed, it is common to review the aspects independently, restricting a complete picture of how architectural modularity controls adaptive performance. This gap is filled in this review with an integrated framework of relating modular polymer synthesis, stimuli-responsive design, and application-oriented functionality in a single coherent design philosophy. The scientific novelty of this review is that the focus on modular polymers is not only on synthetic constructs, but is a programmable functional scaffold where the structural precision is the direct determinant of responsiveness, multifunctionality, and performance. Controlled polymerization and post-polymerization modification regimes are mentioned to be tools that allow precise positioning of functional modules, and this allows polymers to respond in predictable ways to environmental stimuli like pH, temperature, light, redox conditions, etc. In addition, the review identifies the role of a synergistic combination of various responsive modules in the emergence of behaviours that would not be reached in conventional polymer systems. This review offers a coherent viewpoint on the future of functional polymers of the next generation by bringing together synthetic approaches to nano-responsive behaviour and real-world technologies, such as drug delivery, self-healing surfaces, adaptive surfaces, and biosensing surfaces. The framework in the present paper provides a logical route towards the development of environmentally friendly, multifunctional, and adjustable polymer structures. Full article

Diabetic foot complications represent a major global health burden and arise from a multifactorial interaction between neuropathy, ischemia, infection, and impaired wound repair. Increasing evidence suggests that, beyond traditional vascular and metabolic risk factors, endocrine dysregulation plays a central role in shaping vascular dysfunction and tissue vulnerability in patients with diabetes. This narrative review provides an updated overview of the endocrine–vascular axis in the development, progression, and healing of diabetic foot ulcers (DFUs), integrating evidence from experimental and clinical studies identified through targeted searches of PubMed, Embase, and Scopus. We examine how alterations in insulin signaling, relative glucagon excess, adipokine imbalance, dysregulation of stress hormones, and thyroid dysfunction interact with chronic hyperglycemia, dyslipidemia, mitochondrial dysfunction, and low-grade inflammation to impair endothelial homeostasis. These disturbances promote oxidative stress, reduce nitric oxide bioavailability, and compromise microvascular perfusion, thereby creating a pro-ischemic and pro-inflammatory tissue environment that limits angiogenesis, extracellular matrix (ECM) remodeling, immune coordination, and effective wound repair. By linking pathophysiological mechanisms to clinical relevance, this review highlights potential biomarkers of endocrine–vascular dysfunction, implications for risk stratification, and emerging therapeutic perspectives targeting metabolic optimization, endothelial protection, and hormonal modulation. Finally, key knowledge gaps and priority areas for future translational and clinical research are discussed, supporting the development of integrated endocrine-based strategies aimed at improving DFU prevention, healing outcomes, and long-term limb preservation in patients with diabetes. Full article

Agentic artificial intelligence (AI) is emerging as a paradigm for next-generation smart grids, enabling autonomous decision-making, adaptive coordination, and resilient control in complex cyber–physical environments. Unlike traditional AI models, which are typically static predictors or offline optimizers, agentic AI systems perceive grid states, reason about goals, plan multi-step actions, and interact with operators in real time. This review presents the latest advances in agentic AI for power systems, including architectures, multi-agent control strategies, reinforcement learning frameworks, digital twin optimization, and physics-based control approaches. The synthesis is based on new literature sources to provide an aggregate of techniques that fill the gap between theoretical development and practical implementation. The main application areas studied were voltage and frequency control, power quality improvement, fault detection and self-healing, coordination of distributed energy resources, electric vehicle aggregation, demand response, and grid restoration. We examine the most effective agentic AI techniques in each domain for achieving operational goals and enhancing system reliability. A systematic evaluation is proposed based on criteria such as stability, safety, interpretability, certification readiness, and interoperability for grid codes, as well as being ready to deploy in the field. This framework is designed to help researchers and practitioners evaluate agentic AI solutions holistically and identify areas in which more research and development are needed. The analysis identifies important opportunities, such as hierarchical architectures of autonomous control, constraint-aware learning paradigms, and explainable supervisory agents, as well as challenges such as developing methodologies for formal verification, the availability of benchmark data, robustness to uncertainty, and building human operator trust. This study aims to provide a common point of reference for scholars and grid operators alike, giving detailed information on design patterns, system architectures, and potential research directions for pursuing the implementation of agentic AI in modern power systems. Full article

Pathological scars are fibrotic lesions that result from aberrant wound healing following tissue injury, such as burns. They are frequently associated with disfigurement and dysfunction, thereby severely impairing the quality of life of affected patients. Current clinical treatments, including surgery, laser therapy, and corticosteroid injections, are often characterized by limited efficacy, high recurrence rates, and undesirable side effects, including skin atrophy. Furthermore, the dense structure and excessive extracellular matrix (ECM) deposition in scar tissue present a significant barrier to effective drug penetration, thereby further limiting therapeutic efficacy. In recent years, biomaterial-based drug delivery systems, which integrate sustained drug release with minimally invasive transdermal technologies, have emerged as a promising strategy to overcome the limitations of traditional therapies. This review systematically outlines the pathogenesis and molecular mechanisms of pathological scars, summarizes established and emerging treatments, and highlights the application strategies and future prospects of novel biomaterial-based drug delivery systems for managing this condition. Full article

Pine needles are traditional herbal remedies used for centuries to treat various ailments, including rheumatism, bronchitis, burns, inflammation, and infections. This study aimed to evaluate the antioxidant, analgesic (peripheral and central), and wound-healing activities of Pinus pinaster (PPN) and Pinus halepensis (PAN) needles while identifying the bioactive compounds responsible for these effects. Phytochemical analysis revealed several phenolic compounds, including p-coumaroylquinic acid, quercetin, narcissin, and myricetin-3-O-glucoside. Both extracts showed strong antioxidant activity, with high total phenolic content (TPC: 384.84 ± 0.84 and 524.46 mg GAE/g DM for PPN and PAN, respectively) and flavonoid content (TFC: 109.44 ± 0.62 and 111.64 ± 0.62 mg QE/g DM, respectively). Peripheral analgesic activity, assessed using the acetic acid-induced writhing test, revealed that PAN (300 mg/kg) significantly reduced pain by 72.3%, while central analgesic effects, evaluated by the tail immersion test, were comparable to the reference drug for both extracts. In vivo wound-healing tests showed accelerated wound contraction and complete closure by day 21, indicating strong regenerative potential. Overall, this study demonstrates that PPN and PAN needle extracts possess significant antioxidant, analgesic, and wound-healing activities, supporting their traditional use and highlighting their potential as natural therapeutic agents for managing oxidative stress, pain, and skin injuries. Full article

Background/Objectives: The genus Tristerix comprises at least ten species, found from southern Chile to Colombia in South America. In Chile, several species of these hemiparasitic plants are known as quitral or quintral. Quitral, mainly T. corymbosus (syn. T. tetrandus), is used in alternative medicine for its anti-inflammatory, digestive, hemostatic, hypocholesterolemic, and wound-healing properties. This study investigates the phytochemical composition and antimicrobial properties of T. corymbosus. Methods: A hydroalcoholic extract of T. corymbosus was prepared from leaves and small branches. The addition of methanol, on the extract, produced precipitation allowing us to isolate a methanol-soluble fraction, a brown powder obtained after filtration, and a tar-like residue remaining in the flask. These fractions were resuspended and tested for antimicrobial activity. Results: All fractions showed activity against Streptococcus pyogenes, but not E. coli. The brown powder exhibits the strongest potency against Gram-positive bacteria, some Gram-negative and C. albicans. HPLC-MS analysis revealed presence of lipidic compounds with surfactant properties. Conclusions: The abundant lipidic molecules present in the analyzed fraction likely account for the antimicrobial effects through affecting membrane structure of microorganisms supporting the traditional wound-healing uses of T. corymbosus in ancestral medicine. Full article

This study presents an innovative approach by combining magnetized water (MW) with Bacillus megaterium to improve the sustainability of concrete under various curing conditions. These enhancements contribute directly to reduced cement use and improved durability, both essential factors in sustainable construction. An experimental program with 27 distinct mixes analyzed variables such as the type of water (tap water/TW and two magnetization sequences/MW1 and MW2), bacterial dosage (0%, 2.5%, and 5% relative to cement weight), and curing methods (traditional water curing/C1, thermal shock/C2, freeze–thaw/C3). The primary discovery is a synergistic relationship between MW and bacteria: the MW1 treatment (1.5 T followed by 0.9 T) paired with a 2.5% bacterial dosage significantly improved the mechanical and self-healing properties of the concrete. This combination led to significant improvements in workability and compressive strength, achieving an increase of as much as 46.5% compared to the control. There was also an impressive recovery of strength in pre-cracked specimens, particularly under thermal shock curing (C2), where some healed cubes exceeded the strength of the uncracked ones. On the other hand, a 5% bacterial dosage was less effective, often resulting in reduced returns due to variations in microstructure. SEM and XRD analyses confirmed a more compact matrix and increased calcite precipitation with 2.5% bacteria, illustrating the combined effects of microbial activity and microwave treatment for sustainable concrete. Full article

Regarding the issues arising from the addition of external curing agents in the application of epoxy resin in cement-based materials, this paper explores the feasibility of endogenous curing of epoxy resin in the alkaline environment of cement-based systems. It further analyzes and investigates the curing characteristics of epoxy resin without external curing agents and their impact on the performance of cement-based materials. Differential scanning calorimetry, mechanical property testing, microstructural observation, and electrochemical impedance spectroscopy were used to study the mechanism of sodium hydroxide (NaOH) catalyzing the process of bisphenol-A epoxy resin (E-51)-based curing, the influence of moisture and temperature on curing kinetics, and the performance of epoxy resins in mortar and self-healing concrete. The results showed that E-51 achieved self-curing under alkaline conditions in the absence of an external hardener. However, moisture significantly inhibited the reaction process. Elevating the temperature and reducing environmental humidity effectively promoted the curing reaction. In cement-based materials, E-51 exhibited endogenous curing by the inherent alkalinity of the system, remarkably enhancing the compressive strength of mortar. At 60 °C, mortar containing 10% E-51 (by cement mass) exhibited a 1.5-fold higher compressive strength than that of the control group without E-51 at 14 days of curing. It demonstrated higher healing efficiency in a microencapsulated self-healing concrete system than the traditional curing agent systems. Concrete specimens with damage induced by loading at 60% of their compressive strength exhibited 100% recovery of ultrasonic pulse velocity after storing indoors for 28 d. The findings of this study can provide theoretical basis and technical support for the application of epoxy resins in cement-based materials without the need for curing agents. Full article

Background: Extended platelet-rich fibrin (e-PRF) membranes are a novel 100% autologous biomaterial with a longer resorption time (4–6 months) than traditional solid-PRF membranes (two weeks). In part 1 of this 2-part publication series, four clinical variations for using these novel e-PRF membranes for socket preservation were introduced. In this randomized clinical trial (RCT), all four iterations of e-PRF membranes were compared to traditional collagen membranes in alveolar ridge preservation for hard and soft tissue dimensional changes and early wound healing outcomes. Methods: A single-center RCT was conducted, including 55 patients requiring the extraction of a single tooth with planned implant placement. All sockets were grafted with a “sticky bone” (bone allograft mixed with PRF) and secured with either a collagen membrane (control) or e-PRF membranes utilizing the four variations present in Part 1 (both formed extra-orally or intra-orally, each with or without an overlying solid PRF membrane). The time of fabrication and application of each e-PRF iteration was recorded. Cone beam computed tomography was utilized to evaluate horizontal and vertical ridge dimensions at baseline and 3 months post-operatively, and soft tissue thickness was also measured at both time intervals utilizing an endodontic reamer. Early wound healing was recorded at 2 weeks, utilizing the Landry, Turnbull, and Howley Index by three blinded clinicians. Results: The results demonstrated that, at 3 months, the e-PRF membranes fabricated utilizing all 4 treatment variations demonstrated equal improvements in horizontal and vertical ridge dimensions and soft tissue thickness when compared to collagen membranes. Additionally, the membrane (p = 0.029) and membrane w/solid (p = 0.021) groups demonstrated statistically significant superior early wound healing compared to the collagen membrane group. Notably, the Bio-Filler groups demonstrated statistically significant reduction in fabrication/application time compared to the membrane groups. Conclusions: Within the limitations of this RCT, all e-PRF iterations performed comparably to collagen membranes in maintaining both hard and soft tissue ridge dimensions when combined with sticky bone, while also significantly improving soft tissue wound healing. Future RCTs with alternative grafting materials, direct wound-margin assessment, and evaluation of patient-reported outcomes are necessary to clarify the advantages of each membrane type. Full article

Extracts from the stem bark of Stryphnodendron adstringens (barbatimão) exhibit relevant medicinal properties, such as anti-inflammatory, antioxidant, antimicrobial, and wound-healing activities, which reinforce their potential for developing herbal medicines. The $550 billion plant bioactive market (by 2030) demands safer, green-chemistry-aligned extraction methods for responsible industrial scaling. In this study, dry extracts obtained from the stem bark of S. adstringens were obtained by ultrasound-assisted maceration in one- and two-step extraction systems. Parameters such as yield, solvent evaporation time, cost, acute toxicity, epigallocatechin gallate (EGCG) concentration, cell viability, antioxidant potential, and anti-inflammatory activity were evaluated. High-EGCG two-step organic extracts were industrially difficult, needing more raw material and toxic solvents. In contrast, the single-step extracts showed a better balance between yield, cost, safety, and biological efficacy. All extracts showed cell viability above 70% at safe concentrations and significantly reduced the production of inflammatory cytokines. Thus, the results confirm that optimizing single-step extraction, with lower environmental impact solvents, enables producing safe and effective polyphenol-rich extracts, consolidating water as the main candidate for industrial-scale phytotherapeutic formulations of barbatimão, in line with its traditional use in infusions. Full article

The growing environmental effect of asphalt pavements has fueled interest in sustainable alternatives including the application of recycled materials and self-healing systems. This research investigates the synergistic possibilities of steel slag aggregates and steel wool fibers in hot-mix asphalt compositions to increase sustainability and let crack healing via electromagnetic induction heating. Using either recycled steel slag or natural porphyritic aggregates, two kinds of AC16 Surf S mixtures with 35/50 bitumen were created incorporating two levels of steel fiber content (2% and 4%). Based on repeated semi-circular bending (SCB) testing following regulated induction heating and confinement, a committed self-healing evaluation plan was developed. The results verified that combinations including recycled steel slag met or outperformed traditional mixes in terms of mechanical behavior. Induction heating successfully set off partial recovery of fracture toughness, with more fiber content and repeated heating cycles producing better healing values. Recovery levels ran from 14.6% to 40%, therefore proving the practicality of this approach. These results encourage the creation of asphalt mixtures with improved endurance and environmental advantages. The research offers both an approved approach for assessing healing and real-world recommendations for the construction of low-maintenance, round pavements utilizing induction-based techniques. Full article