Search Results (105,663)

This study investigates the mechanical properties, moisture stability, and environmental safety of microbial-induced carbonate precipitation (MICP)-treated phosphogypsum (PG)-based mixtures (MPGT) for road base utilization. Optimal cementation solution concentrations and bacterial-to-cementation solution ratios were determined via unconfined compressive strength (UCS), California bearing ratio (CBR), and splitting tensile strength tests. Durability was compared with untreated mixtures, and enhancement mechanisms were analyzed using XRD, SEM, and FTIR. Additionally, toxicity leaching tests evaluated environmental safety. Results indicated optimal parameters of 2.0 mol/L cementation solution and a 2:1 bacterial/cementation solution ratio for maximum mechanical strength. Under these conditions, MPGT durability significantly improved compared to untreated mixtures. Mechanism analysis revealed that MICP-generated calcium carbonate coats PG particles and fills voids, enhancing strength and durability. Furthermore, F⁻ and PO₄³⁻ leaching concentrations were significantly reduced. In summary, MICP improves the mechanical performance, durability, and environmental safety of PG-based mixtures, promoting PG recycling in road engineering. Full article

The development of innovative wound dressings capable of accelerating diabetic wound healing while simultaneously reducing scar formation is a significant clinical challenge. In this study, we designed and fabricated a multifunctional nanofibrous scaffold PCL/Az-CS/dECM/NAC by incorporating decellularized extracellular matrix (dECM) and N-acetylcysteine (NAC) into a composite backbone of polycaprolactone (PCL) and azidobenzoic acid-modified chitosan (AZCS). The scaffold exhibited ideal hydrophilicity and swelling capacity, and demonstrated excellent biocompatibility. In vitro studies demonstrated that the scaffold effectively scavenged reactive oxygen species (ROS) and promoted the polarization of macrophages from the M1 phenotype to the M2 phenotype; in vivo studies confirmed that the PCL/AZ-CS/dECM/NAC scaffold significantly accelerated wound closure, promoted mature angiogenesis, and facilitated orderly collagen deposition. The PCL/AZ-CS/dECM/NAC scaffold mitigated scar formation by increasing the proportion of regenerative type III collagen, optimizing the collagen I/III ratio. Our findings suggest that the PCL/AZ-CS/dECM/NAC scaffold is a highly promising candidate for a multifunctional dressing designed to treat recalcitrant diabetic wounds and prevent excessive scarring. Full article

Background: Oxidative stress plays a critical role in cancer initiation and progression. Although vitamin D exhibits multiple anti-tumorigenic properties, its antioxidant effects across different cancer types remain incompletely characterized. This study aimed to evaluate the antioxidant role of vitamin D in cancer. Methods: This in vitro study was conducted using breast (MCF-7, MDA-MB-231), colorectal (HCT-116, HT-29), and head and neck (Detroit-562, FaDu) cancer cell lines. Cells were treated with 1,25-dihydroxyvitamin D₃ (1 nM, 10 nM, and 100 nM) for 48 h. Reactive oxygen species (ROS) were quantified using the ROS-Glo™ H₂O₂ assay. Oxidative stress biomarkers were assessed by measuring 8-hydroxy-2′-deoxyguanosine (8-OHdG) using enzyme-linked immunosorbent assay (ELISA), while thiobarbituric acid reactive substances (TBARS) and protein carbonyls (PC) were measured using colorimetric assays. Xanthine oxidase (XOD) protein levels were determined by ELISA, whereas superoxide dismutase (SOD) and catalase (CAT) activity and/or expression were evaluated using colorimetric assays. Results: Vitamin D significantly reduced ROS levels in all investigated cell lines in a dose-dependent manner compared with control cells (p < 0.05). Levels of 8-OHdG and TBARS were significantly decreased across all cell lines, whereas reductions in PC and XOD were cell-type-dependent. Vitamin D significantly increased SOD activity and protein expression in all cell lines, while CAT activity was elevated in most cell lines. Conclusions: This study provides proof-of-concept evidence that vitamin D exerts dose-dependent and cell-specific antioxidant effects in cancer. These findings suggest potential antioxidant roles for vitamin D in the prevention or treatment of breast, colorectal, and head and neck cancers. Full article

Background/Objective: Root resective procedures are well established tooth-preserving techniques used when pathology is confined to one root of a multirooted tooth or in the furcation area. Although in recent years implant therapy has become a standard approach in many cases, the rising incidence of peri-implantitis has renewed interest in classical conservative treatment alternatives, such as hemisection, root resection and bicuspidization. The aim of this study is to present clinical cases in which hemisection and bicuspidization were performed to maintain compromised molars in function and achieve long-term outcomes. Methods: This retrospective case series study was conducted in a private dental practice and included three patients treated between 2009 and 2017. The presented cases involved molar teeth exhibiting a vertical fracture or extensive subgingival carries in one root while the remaining root(s) demonstrated favourable periodontal, endodontic and restorative prognosis. An interdisciplinary approach was followed in each case, involving comprehensive clinical and radiographic evaluation including cone beam computed tomography when indicated. The clinical treatment included an endodontic approach (primary treatment or retreatment if required) followed by hemisection or bicuspidization and placement of a permanent prosthetic rehabilitation with full-coverage restoration designed to optimize proper load distribution. Clinical and radiographic follow-up examination was done up to six years in case one, after six months in case two and up to six years in case three. Results: The teeth remained in function through their respective follow-up periods. Clinical and radiographic assessments, according to predefined success criteria, demonstrated periodontal stability (probing depth ≤ 4 mm), no evidence of secondary caries or root fracture, absence of clinical symptoms, normal tooth mobility and masticatory function, absence or reduction in periradicular radiolucency, and stable bone levels. Conclusions: Resective techniques require an interdisciplinary approach, namely, careful case selection, lege artis endodontic treatment, precise surgical technique, and appropriate prosthetic rehabilitation, in order to provide predictable and long-term outcomes. Within the limitations of this case series, resective techniques appeared to be a reliable and predictable alternative to extraction and implant placement in carefully selected clinical cases. Full article

Background: Flatfoot is an alteration of the normal structure of the foot, characterized by a partial or total reduction of the medial longitudinal plantar arch, valgus deformity of the heel, and abduction of the forefoot. While treatments often include strengthening of the intrinsic foot muscles, evidence of its efficacy in adults with flatfoot remains limited. Objectives: The main objective of this review was to evaluate the effects of strengthening the plantar intrinsic muscles in adults with flatfoot. Methods: Searches were conducted in PubMed, Embase, Cochrane, PEDro, and Web of Science databases up to October 2023. The review protocol was developed and followed according to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. Studies included were those published on intrinsic muscle strengthening in adult populations. A qualitative synthesis of all included articles was performed, along with a quantitative sub-analysis of randomized controlled trials and a critical methodological assessment. Results: Eleven studies involving a total of 374 participants were selected. Most studies identified the “short foot exercise” as the optimal exercise for isolating and training the plantar intrinsic foot muscles. The most commonly analyzed variables were the Foot Posture Index and the Navicular Drop Test. Conclusions: Strengthening the plantar intrinsic muscles enhances the height of the medial longitudinal arch, improves hindfoot posture and balance, and increases hallux abductor muscle activity. This strengthening, whether achieved through short foot exercises alone or in combination with other techniques, is effective in treating adult flatfoot. Current literature suggests that a duration of 4–6 weeks may be sufficient to achieve beneficial outcomes. Full article

As robotic manipulators evolve toward lightweight and long-link structures, flexibility increasingly affects dynamic response and trajectory tracking accuracy. However, existing studies often lack a consistent coupling mechanism between finite element structural models and control models, and flexible effects are typically treated as disturbances, limiting the direct use of structural parameters for control prediction and optimization. This paper proposes a structure–control collaborative co-simulation framework for a six-degree-of-freedom (6-DOF) flexible-joint manipulator. ANSYS-based finite element analysis (FEA) is integrated with the MATLAB/Simulink control environment to extract joint-level equivalent stiffness, inertia, modal frequencies, and damping parameters, which are embedded into a rigid–flexible coupled dynamic model. A regression-based representation is introduced to capture unmodeled flexible residual dynamics, and a regression-compensated adaptive PID torque controller with σ-modification and a dead-zone mechanism is developed to ensure bounded adaptation and closed-loop stability. Simulation results under no-load and payload conditions demonstrate improved oscillation suppression and tracking accuracy. By establishing a unified coupling mechanism from structural parameters to the control model, the proposed method achieves consistent co-modeling of the structural and control domains and provides an engineering-feasible co-simulation approach for dynamic prediction and control optimization of multi-DOF flexible manipulators under varying operating conditions. Full article

Protection of water resources is an urgent priority in the context of increasing freshwater scarcity. Sustainable and circular water management focuses on reducing water consumption as well as measures to recover and reuse alternative water sources. This study assesses the life cycle assessment (LCA) of a domestic rainwater harvesting (DRWH) system located in Poland. Moreover, the most significant environmental contributors and the quantification of each component’s role in the system’s overall footprint are assessed. The study used the OpenLCA tool and assumes 1 m³ of treated water as the functional unit. Findings reveal a highly concentrated impact distribution for the components. The high-density polyethylene (HDPE) tank dominates, which represents 78.69% of total environmental impacts and leads in 18 of the 18 categories examined. Its influence is greatest in non-renewable fossil energy use, where it accounts for 92% of the impact, and in photochemical oxidant formation, with contributions exceeding 90%. The data quality assessment (DQA) of the system resulted in uncertain temporal and geographical correlation. Further Monte Carlo simulations confirmed the uncertainties regarding climate change and energy-related impact categories. The methodology aligns with ISO 14044 guidelines, providing a foundation for evidence-based environmental management decisions. Full article

Background and Clinical Significance: Metastases of prostate adenocarcinoma most commonly involve the skeletal system, while orbital metastases, including those in the lacrimal gland, are extremely rare. Despite significant advances in the sensitivity of available imaging methods, their diagnosis is often delayed due to nonspecific clinical presentation and rarity of occurrence. Although exceedingly uncommon, orbital metastases have also been reported in other solid tumors, including certain gynecologic malignancies. Case presentation: A 49-year-old patient treated at our center for prostate adenocarcinoma with a Gleason score of 9, regional lymphadenopathy and bone metastases presented to the outpatient clinic with ptosis of the left eyelid, which had developed 7 days prior to examination (13 months after diagnosis of PC). Radiological diagnostics, including CT of the endocranium, revealed enlargement of the left lacrimal gland. An exploratory anterior orbitotomy was performed with an incisional biopsy of the tumor change under retrobulbar anesthesia, and histopathological analysis confirmed a metastatic tumor of the lacrimal gland originating from prostate adenocarcinoma. Despite the application of all available therapeutic measures, a fatal outcome occurred 6 months after the onset of ophthalmic symptoms. Discussion: Orbital involvement in metastatic prostate cancer remains poorly characterized due to its extreme rarity and nonspecific clinical presentation. This case emphasizes the need for a high index of suspicion for metastatic disease in patients with known advanced prostate cancer presenting with new orbital or lacrimal gland lesions, as imaging findings alone may be insufficient to distinguish metastases from primary orbital tumors. Conclusions: Metastasis of prostate adenocarcinoma to the lacrimal gland is an extremely rare clinical manifestation. Timely diagnosis and adequate radiological assessment are crucial for patient management and survival. The aims of this case report areto present a rare metastatic manifestation of prostate adenocarcinoma with orbital/lacrimal metastasis of prostate adenocarcinoma origin, and to highlight metastatic prostate disease as a potential differential diagnosis in orbital lesions and the importance of imaging methods in their detection. Full article

Background: Intraoperative radiotherapy (IORT) offers single-session treatment during breast-conserving surgery (BCS). Outcomes depend heavily on patient selection and tumor characteristics. Objectives: To assess local recurrence (LR) and prognosis using the 2024 American Society for Radiation Oncology (ASTRO) risk classification in IORT-treated patients. Methods: This multicenter retrospective study analyzed 358 IORT cases (356 patients) treated between 2014 and 2018 using the Zeiss INTRABEAM system. Cases were classified per the 2024 ASTRO partial-breast irradiation guidelines. The primary endpoint was local recurrence-free survival (LRFS); secondary endpoints included overall survival (OS) and mastectomy-free survival (MFS). Findings: The median age was 66 years (range 48–80); all tumors were invasive with a median tumor size of 10 mm. At a median follow-up of 7.1 years, LR occurred in 14/358 cases (3.9%) at a median of 5.2 years post-diagnosis. Five- and 8-year LRFS were 98.3% and 94.8%, respectively; 5- and 8-year OS were 99.4% and 97.7%; MFS at 8 years was 98.2%. Cases that were classified as “conditionally recommended” or “conditionally not recommended” had significantly higher LR than the “suitable” group (8.5% vs. 2.7%; HR 3.25, 95% CI 1.05–10.08, p = 0.041). Exploratory analysis showed that cases with ≥2 conditional criteria carried a markedly higher risk than those with 0–1 (21.4% vs. 3.2%; Firth-penalized Cox HR 8.26, 95% CI 2.06–26.06, p = 0.005). Conclusions: In appropriately selected patients, IORT achieves local control consistent with contemporary series. The 2024 ASTRO risk classification effectively identifies high-risk cases, supporting its use for risk-adapted candidate selection. Full article

Background: Cancer and cardiovascular disease are the two leading causes of death in Canada. Although treatments have improved tremendously across the years, interventions such as radiotherapy and chemotherapies are known to have negative impacts on cardiovascular health and can lead to death if not treated in time. Using a retrospective approach, we determined factors associated with cancer therapy-related cardiac dysfunction (CTRCD). Methods: Patients followed through a dedicated Cardio-Oncology clinic with comprehensive screening for CTRCD were identified. CTRCD was defined as a drop in left ventricular ejection fraction of at least 10% to a value lower than 53%. We performed multivariable logistic regression to determine factors associated with CTRCD. Results: In total, 2460 patients with cancer were identified from clinical records—919 had breast cancer, 758 had hematologic malignancies, and 783 had other cancer types. Patients with breast cancer and hematologic malignancies were more likely to experience CTRCD, with odds ratios (ORs) of 2.10 (p = 0.059) and 1.96 (p = 0.047), respectively. Anthracycline and trastuzumab use were independently associated with CTRCD, with ORs of 1.98 (p = 0.002) and 3.19 (p < 0.001), respectively. In hematologic malignancy patients, hypertension (OR = 2.18, p = 0.047) and diabetes (OR = 2.31, p = 0.036) were also significant predictors of CTRCD. Conclusions: We confirmed the importance of anthracycline, trastuzumab, and radiation in the development of CTRCD. However, among patients with hematologic malignancies, traditional cardiovascular risk factors are also associated with CTRCD. This information could help physicians personalize CTRCD surveillance strategies. Full article

Human African Trypanosomiasis (HAT) and Malaria are serious infectious diseases endemic in tropical regions, caused by protozoan parasites, and necessitating an urgent development of new antiprotozoal drugs. As part of our ongoing search for new antiprotozoal steroidal alkaloids from plants, we investigated the methanolic stem bark extract of Holarrhena pubescens (Apocynaceae). H. pubescens is a tropical tree that some Kenyan coastal communities have long used to treat various ailments, including fever and stomach pain. The crude extract, alkaloid fraction, and 16 subfractions acquired through centrifugal partition chromatography (CPC) displayed promising in vitro antiprotozoal activity against Trypanosoma brucei rhodesiense (Tbr) and Plasmodium falciparum (Pf). Partial least squares (PLS) regression modeling of UHPLC/+ESI QqTOF-MS data and the antiprotozoal activity data of the crude extract and its fractions was performed to predict compounds that may be responsible for the observed antiplasmodial activity. Chromatographic separation of the alkaloid fraction afforded one new steroidal alkaloid (5), along with 18 known compounds (1, 2, 4, 6–20), and one artifact (3) that was presumably formed during the acid–base extraction process. The structural characterization of the isolated compounds was accomplished using UHPLC/+ESI-QqTOF-MS/MS and NMR spectroscopy. The isolated compounds were tested for their in vitro antiprotozoal properties against the two aforementioned pathogens, as well as for their cytotoxicity against mammalian cells (L6 cell line). Compounds 2 and 16 (IC₅₀ = 0.2 μmol/L) demonstrated the highest antitrypanosomal activity, with compound 2 showing the highest selectivity (SI = 127). The new compound 5 exhibited the strongest antiplasmodial activity and selectivity against Pf (IC₅₀ = 0.7 μmol/L, SI = 43). Our findings provide further promising antiprotozoal leads for HAT and Malaria. Full article

Mangrove ecosystems are recognized as highly efficient blue-carbon reservoirs, yet their monitoring requires scalable, transparent methods suitable for climate-finance and greenhouse-gas accounting applications. This study quantifies interannual carbon-stock dynamics and derives a carbon-market valuation indicator for Ecuador’s Churute Mangrove Ecological Reserve (2015–2021) using publicly available remote-sensing land-cover products. Annual activity data were derived from Copernicus Global Land Service LC100 (100 m, 2015–2019) and ESA WorldCover (10 m, 2020–2021), harmonized to a common reporting scheme, and combined with IPCC Tier 1 default coefficients for biomass and soil organic carbon in tropical wetlands. Total carbon stocks averaged 1.67 million t C across the period, remaining stable within the internally consistent LC100 phase (2015–2019), with trend statistics treated as descriptive given the short annual series, while a pronounced drop in 2020 primarily reflected methodological discontinuities between products rather than ecological change. Converted to CO₂e equivalents (mean 6.1 million t CO₂e), illustrative market values fluctuated between USD 18 and 123 million annually, driven predominantly by carbon-price variability. This remote-sensing-based, MRV-aligned approach provides a conservative baseline for protected-area blue-carbon accounting, highlighting the need for homogeneous high-resolution time series to distinguish real dynamics from classification artifacts in future assessments. Full article

Bowdichia virgilioides Kunth is a tree largely present in South America, notably in the Cerrado savannah. The species is known for the quality of its dense and resistant wood, used in construction and furnishing. B. virgilioides is also a medicinal plant used, from leaves to roots, for the treatment of various human pathologies (pharyngitis, bronchitis, healing wounds, diabetes, and arthritis). The present review provides an analysis of the scientific literature pertaining to B. virgilioides, with a focus on pharmacological activities. Aqueous and organic extracts have been used to treat inflammatory pathologies and to combat infectious diseases caused by microorganisms and parasites. All phytochemicals at the origin of the bioactivities of extracts have been identified, including 37 terpenoids, 8 alkaloids, 21 flavonoids and 13 other products. All natural products are discussed, with a focus on a dozen compounds with well-documented pharmacological properties and/or a known mechanism of action. Key products include ormosanine (alkaloid), vouacapane (diterpenoid), lupeol (terpenoid), isoquercetin (flavonoid), isocordoin (chalcone), and little-known specific products (bowdichine and bowdenol). The botanical and phytochemical analysis shed light on this valuable Fabaceae species with the objective to promote its preservation and cultivation, as well as further pharmacological investigations aimed at rationalizing its long-established ethnobotanical use. Full article

(1) Background: Meyerozyma guilliermondii is a yeast species widely distributed in the natural environment and one of the rare emerging pathogens capable of causing difficult to treat, severe infections. The species’ susceptibility profile is not fully defined; however, the species could be more prone to develop resistance than other Candida species. The objective of this research was to determine the susceptibility of a local collection of Meyerozyma guilliermondii clinical isolates to classical antifungal drugs as well as a new one—manogepix. (2) Methods: The study included 20 clinical isolates identified using the MALDI–TOF method followed with sequencing of ITS1-2 region of DNA. Overall, the susceptibility to 12 antifungal drugs was tested. Nine drugs (amphotericin B, flucytosine, fluconazole, itraconazole, posaconazole, voriconazole, anidulafungin, caspofungin, and micafungin) were assessed using the MICRONAUT–AT test. The susceptibility to the new drug, manogepix, as well as isavuconazole, clotrimazole and anidulafungin, was determined using the microdilution method recommended by EUCAST. Additionally, anidulafungin and voriconazole MIC was also examined with commercial gradient tests. (3) Results: Overall, the isolates showed low MIC values for amphotericin B (0.125 to 1 mg/L) and for flucytosine (≤0.06 to 32 mg/L), with the exception of one isolate with a high MIC value. The MIC ranges for azoles were 2–64 mg/L (fluconazole), 0.008–0.5 mg/L (voriconazole), ≤0.03–≥4 mg/L (itraconazole) and 0.008–0.5 mg/L (posaconazole). One isolate showed non-WT phenotype to all tested azoles. For anidulafungin, the MIC values ranged from ≤0.06 to 0.25 mg/L; however, in the reference method, higher values were observed, but they did not exceed 2 mg/L (ECOFF value). For manogepix, the MIC values ranged from 0.002 to 0.125 mg/L. Finally, the comparison of the obtained and published susceptibility data was conducted. (4) Conclusions: The data obtained in this study are consistent with reports by other authors and indicate that resistance to azoles or 5-fluorocytosine among clinical isolates of Meyerozyma guilliermondii should be considered. The low MIC values of manogepix suggest the potentially good efficacy of this drug against Meyerozyma guilliermondii species. Full article

A novel low-cost poly(propylene carbonate-co-epichlorohydrin) (PPC-ECH) with mechanical properties similar to those of poly (butylene adipate-co-terephthalate) (PBAT) was developed and incorporated into a poly(propylene carbonate-co-phthalate) (PPC-P) matrix. Meanwhile, 4, 4’-diphenylmethane diisocyanate (MDI) was employed as a reactive compatibilizer and mixed with PPC-P and PPC-ECH to create a variety of PPC-P/PPC-ECH/MDI blends. The effects of PPC-ECH and MDI content on the mechanical, optical, thermal, morphological, and gas barrier properties of the blends were systematically investigated. Results demonstrated that MDI reacts with both PPC-P and PPC-ECH, forming a chemically bonded interface that significantly improves their compatibility. Notably, when 2 phr of MDI was incorporated, the elongation at break of the PPC-P/PPC-ECH/2MDI blend increased dramatically from 71% to 502%, while maintaining good tensile strength (~23 MPa) and light transmittance (~80%). To further enhance the gas barrier performance, a high-oxygen-barrier poly(vinyl alcohol) (PVA)/tannic acid (TA) complex coating was applied to the surface of the PPC-P/PPC-ECH/2MDI film. This coating synergistically leveraged the abundant hydroxyl groups in PVA and TA to form a dense hydrogen-bonded network, reducing oxygen permeability to an ultra-low value of 0.1 cm³·mm/(m²·day). This outstanding performance highlights the strong potential of PPC-P/PPC-ECH-based films for advanced packaging applications. Full article