Search Results (102)

Background: Successful unicompartmental knee arthroplasty (UKA) requires complete ligamentous competence, including the anterior cruciate ligament (ACL). The present study evaluated the long-term outcomes, complications, survival, and osteoarthritis (OA) progression in patients with medial femorotibial OA and ACL lesions undergoing simultaneous combined UKA and ACL reconstruction (ACLR). Methods: Patients who underwent simultaneous medial UKA and ACLR or revision ACLR from January 2004 to December 2021 were retrospectively reviewed. Inclusion criteria were a minimum follow-up period of 2 years and implantation of a cemented, fixed-bearing UKA. Outcomes were measured using the Knee Society Score (KSS), Tegner Activity Scale (TAS), University of California, Los Angeles (UCLA) Activity Score, and range of motion (ROM). Results: Thirty-four patients met the inclusion criteria. Mean follow-up was 11.7 years. Mean age was 52 years. Patients demonstrated significant improvements in KSS-C (from 52.8 ± 6.8 to 94.9 ± 7.9), KSS-F (from 58.3 ± 10.0 to 98.1 ± 4.2), TAS (from 0.7 ± 0.5 to 4.9 ± 1.1), UCLA (from 1.4 ± 0.6 to 6.6 ± 1.4), and ROM (from 109.1 ± 8.9 to 126.3 ± 6.1) (p < 0.01). Survival rate was 97.1% at 11.7 years. Lachman test results improved significantly (from 16 patients with grade II and 16 grade III to 13 grade 0 and 19 grade I, p < 0.01). No significant difference in functional outcomes was found between primary and revision ACLR groups; however, patients undergoing revision ACLR exhibited higher OA progression in the lateral compartment (p = 0.03). Conclusions: Simultaneous medial UKA and ACLR or revision ACLR led to excellent long-term outcomes, high survival rates, significant functional improvements, and minimal OA progression in the lateral compartment. Full article

Background: Previous studies showed that workplace physical activity programs (WPAPs) could improve general health among employees. However, there is a lack of correlation between oxidative redox status and the metabolic and physical fitness (PF) of workers. The objective of the study was to evaluate the improvements of a 24-week combined circuit training and mobility training program on PF, oxidative redox status, and metabolic parameters on healthy academic employees. Methods: Twenty-six university employees (52.8 ± 11.5 years) followed a 24-week WPAP composed of two circuit training sessions and one mobility training session per week. PF components were assessed through one leg stand, shoulder/neck mobility, handgrip, dynamic sit-up, jump and reach, and 2-Minute step test (2MST). Oxidative stress and antioxidant potential were evaluated through derived-Reactive Oxygen Metabolites (d-ROM) and biological antioxidant potential (BAP) tests, respectively. Metabolic measurements included total cholesterol, LDL-C, HDL-C, triglycerides, and fasting plasma glucose. All assessments were conducted at baseline and after 24 weeks. Results: D-ROM values increased significantly likely due to an acute adaptive response to exercise and a stable BAP/d-ROM ratio was maintained. At baseline, subjects with higher 2MST scores showed a better BAP/d-ROM ratio compared to those with lower 2MST scores, which was also associated with normal weight status (p < 0.05), healthy values of triglycerides (p < 0.01), and LDL-C (p < 0.01). Excluding statin-treated subjects, an intriguing shift toward a condition of enhanced antioxidant capacity was observed. Conclusions: Overall, the 24-week WPAP improved metabolic health and maintained redox balance, despite increased reactive oxygen species (ROS) production. Statin supplementation may have hidden antioxidant adaptations to physical exercise, an intriguing observation that warrants further studies. Full article

This study examines the upper-ocean response to Typhoon Khanun, which traversed the northern South China Sea in October 2017, by integrating multi-satellite observations with numerical simulations from the Regional Ocean Modeling System (ROMS). For the ROMS simulations, an Arakawa C-grid was adopted with a 4-km horizontal resolution and 40 vertical terrain-following $\sigma$-layers, covering the domain of 105° E to 119° E and 15° N to 23° N. Typhoons significantly influence ocean dynamics, altering sea surface temperature (SST), sea surface salinity (SSS), and ocean currents, thereby modulating air–sea exchange processes and marine ecosystem dynamics. High-resolution satellite datasets, including GHRSSST for SST, SMAP for SSS, GPM IMERG for precipitation, and GLORYS12 for sea surface height, were combined with ROMS simulations configured at a 4-km horizontal resolution with 40 vertical layers to analyze ocean changes from 11 to 18 October 2017. The results show that Typhoon Khanun induced substantial SST cooling, with ROMS simulations indicating a maximum decrease of 1.94 °C and satellite data confirming up to 1.5 °C, primarily on the right side of the storm track due to wind-driven upwelling and vertical mixing. SSS exhibited a complex response: nearshore regions, such as the Beibu Gulf, experienced freshening of up to 0.1 psu driven by intense rainfall, while the right side of the storm track showed a salinity increase of 0.6 psu due to upwelling of saltier deep water. Ocean currents intensified significantly, reaching speeds of 0.5–1 m/s near coastal areas, with pronounced vertical mixing in the upper 70 m driven by Ekman pumping and wave-current interactions. By effectively capturing typhoon-induced oceanic responses, the integration of satellite data and the ROMS model enhances understanding of typhoon–ocean interaction mechanisms, providing a scientific basis for risk assessment and disaster management in typhoon-prone regions. Future research should focus on refining model parameterizations and advancing data assimilation techniques to improve predictions of typhoon–ocean interactions, providing valuable insights for disaster preparedness and environmental management in typhoon-prone regions. Full article

To characterize changes in markers of oxidative stress for the clinical evaluation of patients with long COVID, we assessed oxidative stress and antioxidant activity based on serum samples from patients who visited our clinic between May and November 2024. Seventy-seven patients with long COVID (41 [53%] females and 36 [47%] males; median age, 44 years) were included. Median [interquartile range] serum levels of diacron-reactive oxygen metabolites (d-ROM; CARR Unit), biological antioxidant potential (BAP; μmol/L), and oxidative stress index (OSI) were 533.8 [454.9–627.6], 2385.8 [2169.2–2558.1] and 2.0 [1.7–2.5], respectively. Levels of d-ROMs (579.8 vs. 462.2) and OSI (2.3 vs. 1.8), but not BAP (2403.4 vs. 2352.6), were significantly higher in females than in males. OSI levels positively correlated with age and body mass index, whereas BAP levels negatively correlated with these parameters. d-ROM and OSI levels were significantly associated with inflammatory markers, including C-reactive protein (CRP) and fibrinogen, whereas BAP levels were inversely correlated with CRP and ferritin levels. Notably, serum free thyroxine levels were negatively correlated with d-ROMs and OSI, whereas cortisol levels were positively correlated with d-ROMs. Among long COVID symptoms, patients reporting brain fog exhibited significantly higher OSI levels (2.2 vs. 1.8), particularly among females (d-ROMs: 625.6 vs. 513.0; OSI: 2.4 vs. 2.0). The optimal OSI cut-off values were determined to be 1.32 for distinguishing long COVID from healthy controls and 1.92 for identifying brain fog among patients with long COVID. These findings suggest that oxidative stress markers may serve as indicators for the presence or prediction of psycho-neurological symptoms associated with long COVID in a gender-dependent manner. Full article

This study investigated the vertical structure of an anticyclonic eddy (AE) in the northern South China Sea (SCS) in August 2017 and its response to Typhoon Hato using underwater glider and satellite altimeter data. Additionally, comparative experiments with and without typhoon forcing were conducted using the Regional Ocean Modeling System (ROMS) for supplementary analysis. The observational results reveal that the maximum temperature and salinity differences between the center and edge of the AE did not occur at the sea surface but near the 100 m depth. The typhoon caused a significant temperature decrease above 200 m, with the maximum cooling (~2 °C) occurring near 50 m. Near this depth, salinity initially increased due to upwelling but later decreased due to surface mixing. The most pronounced cooling and salinity changes occurred one day after the typhoon passage, followed by a gradual deepening of the mixed layer over the next four days, with conditions below the mixed layer largely returning to pre-typhoon states. Numerical modeling quantitatively assessed the typhoon’s impacts. Upwelling rapidly intensified during the typhoon’s passage, the typhoon’s wind stress decreased kinetic energy at the AE site, and the input of positive vorticity reduced absolute vorticity, disrupting the surface AE structure. The flow field adjusted faster than temperature and salinity, with surface currents and the AE structure largely recovering within two days after the typhoon’s passage. These findings highlight the multifaceted impacts of typhoons on AEs and provide critical insights for predicting the evolution of mesoscale oceanic structures under extreme weather events. Full article

Background: Functional X-ray imaging of the cervical spine in flexion and extension remains a fundamental, objective method for mobility assessment. However, there remains no consensus on how to perform the measurements or which indicators are most useful in clinical practice. Methods: This study included 288 participants (197 female and 91 male); these included patients without CDD signs or with first-degree cervical spine CDD according to the Kellgren–Lawrence criteria. Cobb angle C2–C7, HDI, ROM, CIF, and CIE were measured. Results: The most significant correlations were observed for HDI, and the strongest correlations were between CIF measurements. The greatest mobility was noted for the centrally located segments of the cervical spine, particularly at the C4–C5 level. Conclusions: HDI appears to be the most reliable parameter for characterizing the mobility of the cervical spine. It is precise and has the highest number of correlations with other measurements, but it is very time-consuming. Cobb angle C2–C7 combines ease of performance with good diagnostic value. Full article

Leaf litter conservation practices in forests can contribute to increasing CO₂ storage in natural soils as organic matter; however, this process depends on the type of vegetation cover. This study, using different approaches, aimed to assess this process starting from the characteristics of three different types of litters and topsoil (0–5 cm depth) originating from chestnut, beech, and pine in various forest locations within the territory of Edolo (Camonica Valley, Central Italian Alps). Both labile (DOM) and recalcitrant (ROM) organic matter fractions were considered. Microbial degradation activity was strongly influenced by DOM (DOM vs. Respiration mg CO₂ g⁻¹ dry matter: r = 0.96), and NMR spectroscopy showed that aromatic C and polymethylene C in long-chain aliphatic structures (e.g., lipids, cutin) became more evident from litters to topsoils due to a concentration effect. Finally, chemometric elaboration of quantitative and qualitative data identified two principal component (PC) profiles, explaining 88% of the total variance, in which litter and the topsoil samples were spatially separated, indicating that significant changes occurred during the decomposition process. An Evolution Index (EI) calculated highlighted greater changes for chestnut (0.90) followed by pine (0.60) and beech (0.48), in agreement with chemical (degradation rates of 14.21%, 49.11%, and 48% for beech, chestnut, and pine litter, respectively) and spectroscopic data. Beech litter appears to be more efficient at conserving organic carbon. These findings underscore the importance of understanding litter characteristics for forest management, suggesting which species are most effective in promoting soil carbon storage. Full article

Artificial insemination (AI) in rabbits depends largely on chilled semen storage, but the physiological responses to chilling and associated biochemical changes in seminal plasma (SP) remain poorly understood, particularly across breeds. This study aimed to compare the semen preservation capacity of Algerian local population (LAP) and New Zealand White (NZW) rabbits and to explore the relationship between SP oxidative stress biomarkers and sperm traits during 72 h of chilled storage at 5 °C. Semen pools (nine/breed) were evaluated at 0, 4, 24, 48, and 72 h for motility, viability, and acrosome status. Oxidative stress markers were also assessed in the SP, including malondialdehyde (MDA), reactive oxygen metabolites (ROMs), superoxide dismutase (SOD), glutathione peroxidase (GPX), and catalase (CAT). LAP sperm showed higher motility (p < 0.001) and viability (p < 0.05), particularly between 4 h and 48 h, and exhibited a lower rate of acrosome reaction (p < 0.001) from 48 h to 72 h. Lower SOD and higher CAT activity in LAP (p < 0.001), correlated with MDA and acrosome status, respectively, may reflect a more balanced antioxidant response. Lipid peroxidation did not appear to be the main factor driving sperm deterioration (p > 0.05). These results demonstrate that LAP rabbits exhibit better resilience to chilled storage compared to NZW and highlight the potential value of CAT and SOD activities as indicators of sperm resilience during chilled storage. Further studies are required to validate and extend these findings, with the aim of improving semen preservation strategies. Full article

Background and Objectives: This study aimed to evaluate the clinical effectiveness and safety of ultrasound-guided pharmacopuncture (UGP) in comparison to non-guided pharmacopuncture (NGP) for the treatment of acute cervical myofascial pain syndrome (C-MPS) in primary care settings. Materials and Methods: This multi-center, prospective observational study included 97 patients diagnosed with acute C-MPS. Participants received a single session of either UGP or NGP at one of seven primary care institutions. Pain intensity was measured using the Numerical Rating Scale (NRS), and cervical function was assessed through active Range of Motion (ROM) tests conducted before and after treatment. We conducted follow-up interviews within 48 h after treatment to monitor adverse events. Results: Both groups showed significant improvements in pain levels and cervical ROM after treatment. The UGP group showed a greater reduction in NRS scores compared to the NGP group (p < 0.001). Notable enhancements in cervical extension and rotation on the affected side were also observed in the UGP group (p < 0.01), whereas changes in flexion and lateral flexion were similar between the two groups. No serious adverse events were reported. Conclusions: UGP has shown superior pain reduction and a greater improvement in specific cervical motions compared to non-guided treatments, indicating enhanced precision and therapeutic efficacy. Furthermore, no serious adverse events were reported, suggesting that UGP is a safe and effective non-surgical intervention for acute C-MPS in real-world primary care settings. Full article

Objectives: New smartphone-based methods for measuring cervical spine range of motion (CS-ROM) and posture are emerging. The purpose of this study was to assess the reliability and validity of three such methods in patients with non-specific chronic neck pain (NSCNP). Methods: The within-day test–retest reliability of CS-ROM and forward head posture (craniovertebral angle-CVA) was examined in 45 patients with NSCNP. CS-ROM was simultaneously measured with an accelerometer sensor (KFORCE Sens^®) and a mobile phone device (iHandy and Compass apps), testing the accuracy of each and the parallel-forms reliability between the two methods. For construct validity, correlations of CS-ROM with demographics, lifestyle, and other cervical and thoracic spine biomechanically based measures were examined in 90 patients with NSCNP. Male–female differences were also explored. Results: Both methods were reliable, with measurements concurring between the two devices in all six movement directions (intraclass correlation coefficient/ICC = 0.90–0.99, standard error of the measurement/SEM = 0.54–3.09°). Male–female differences were only noted for two CS-ROM measures and CVA. Significant associations were documented: (a) between the six CS-ROM measures (R = 0.22–0.54, p < 0.05), (b) participants’ age with five out of six CS-ROM measures (R = 0.23–0.40, p < 0.05) and CVA (R = 0.21, p < 0.05), (c) CVA with two out of six CS-ROM measures (extension R = 0.29, p = 0.005 and left-side flexion R = 0.21, p < 0.05), body mass (R = −0.39, p < 0.001), body mass index (R = −0.52, p < 0.001), and chest wall expansion (R = 0.24–0.29, p < 0.05). Significantly lower forward head posture was noted in subjects with a high level of physical activity relative to those with a low level of physical activity. Conclusions: The reliability of both CS-ROM methods was excellent. Reductions in CS-ROM and increases in CVA were age-dependent in NSCNP. The significant relationship identified between CVA and CWE possibly signifies interconnections between NSCNP and the biomechanical aspect of dysfunctional breathing. Full article

Exercise-induced hypertension (EIH) has increasingly been observed among middle-aged long-distance runners, raising concerns about cardiovascular risk. This study aimed to investigate acute changes in cardiovascular biomarkers associated with vascular inflammation, oxidative stress, antioxidant defense, endothelial function, and myocardial burden in runners with EIH. Thirty-seven middle-aged male runners (aged 40–65 years) were categorized into a normal blood pressure group (NBPG; systolic blood pressure <210 mmHg, n = 23) and an EIH group (EIHG; ≥210 mmHg, n = 14) based on maximal systolic blood pressure during a graded exercise test (GXT). Participants performed a 30 min treadmill run at 80% heart rate reserve, and blood samples were collected before and after exercise. The biomarkers analyzed included high-sensitivity C-reactive protein (hs-CRP), derivatives of reactive oxygen metabolites (d-ROMs), biological antioxidant potential (BAP), nitric oxide (NO), superoxide dismutase (SOD), and N-terminal pro-brain natriuretic peptide (NT-proBNP). The results show that the EIHG exhibited increased NT-proBNP and SOD levels, along with a reduced NO response, indicating elevated myocardial stress and impaired vasodilation. hs-CRP was positively correlated with multiple hemodynamic indices, and SOD levels were associated with maximal systolic pressure and myocardial burden. These findings highlight the need for individualized monitoring and cardiovascular risk management in runners with EIH. Full article

We present a reduced-order battery management system (BMS) for lithium-ion cells in electric and hybrid vehicles that couples a physics-based single-particle model (SPM) derived from the Cahn–Hilliard phase-field formulation with a lumped heat-transfer model. A three-dimensional COMSOL^® 5.0 simulation of a LiFePO₄ particle produced voltage and temperature data across ambient temperatures (253–298 K) and discharge rates (1 C–20.5 C). Principal component analysis (PCA) reduced this dataset to five latent variables, which we then mapped to experimental voltage–temperature profiles of an A123 Systems 26650 2.3 Ah cell using a self-normalizing neural network (SNN). The resulting ROM achieves real-time prediction accuracy comparable to detailed models while retaining essential electrothermal dynamics. Full article

Lumbar interbody fusion (LIF) is a standard treatment for spinal instability, yet postoperative subsidence and adjacent segment degeneration (ASD) remain critical challenges. This study evaluates the biomechanical efficacy of personalized porous fusion cages—featuring Gyroid (G-Cage) and Voronoi (V-Cage) architectures—against classic (C-Cage) and personalized (P-Cage) designs, aiming to enhance stability and mitigate subsidence risks. A finite element model of the L3–L4 segment, derived from CT scans of a healthy male volunteer, was developed to simulate six motion modes (compression, rotation, flexion, extension, and left/right bending). Biomechanical parameters, including range of motion (ROM), cage stress, endplate stress, and displacement, were analyzed. The results demonstrated that the V-Cage exhibited superior performance, reducing ROM by 51% in extension, cage stress by 41.7% in compression, and endplate stress by 63.7% in right bending compared to the C-Cage. The porous designs (G-Cage, V-Cage) exhibited biomimetic stress distribution and minimized micromotion, which was attributed to their trabecular-like architectures. These findings highlight the Voronoi-based porous cage as a biomechanically optimized solution, offering enhanced stability and reduced subsidence risk when compared to classic implants. The study underscores the potential of patient-specific porous designs in advancing LIF outcomes, warranting further clinical validation to translate computational insights into practical applications. Full article

In an integrated gasification combined cycle (IGCC), a gasification process produces a gas stream from a solid fuel, such as coal or biomass. This gas (syngas or synthesis gas) resulting from the gasification process contains carbon monoxide, molecular hydrogen, and carbon dioxide (other gaseous components may also be present depending on the gasified solid fuel and the gasifying agent). Separating hydrogen from this syngas stream has advantages. One of the methods to separate hydrogen from syngas is selective permeation through a palladium-based metal membrane. This separation process is complicated as it depends nonlinearly on various variables. Thus, it is desirable to develop a simplified reduced-order model (ROM) that can rapidly estimate the separation performance under various operational conditions, as a preliminary stage of computer-aided engineering (CAE) in chemical processes and sustainable industrial operations. To fill this gap, we present here a proposed reduced-order model (ROM) procedure for a one-dimensional steady plug-flow reactor (PFR) and use it to investigate the performance of a membrane reactor (MR), for hydrogen separation from syngas that may be produced in an integrated gasification combined cycle (IGCC). In the proposed model, syngas (a feed stream) enters the membrane reactor from one side into a retentate zone, while nitrogen (a sweep stream) enters the membrane reactor from the opposite side into a neighbor permeate zone. The two zones are separated by permeable palladium membrane surfaces that are selectively permeable to hydrogen. After analyzing the hydrogen permeation profile in a base case (300 °C uniform temperature, 40 atm absolute retentate pressure, and 20 atm absolute permeate pressure), the temperature of the module, the retentate-side pressure, and the permeate-side pressure are varied individually and their influence on the permeation performance is investigated. In all the simulation cases, fixed targets of 95% hydrogen recovery and 40% mole-fraction of hydrogen at the permeate exit are demanded. The module length is allowed to change in order to satisfy these targets. Other dependent permeation-performance variables that are investigated include the logarithmic mean pressure-square-root difference, the hydrogen apparent permeance, and the efficiency factor of the hydrogen permeation. The contributions of our study are linked to the fields of membrane applications, hydrogen production, gasification, analytical modeling, and numerical analysis. In addition to the proposed reduced-order model for hydrogen separation, we present various linear and nonlinear regression models derived from the obtained results. This work gives general insights into hydrogen permeation via palladium membranes in a hydrogen membrane reactor (MR). For example, the temperature is the most effective factor to improve the permeation performance. Increasing the absolute retentate pressure from the base value of 40 atm to 120 atm results in a proportional gain in the permeated hydrogen mass flux, with about 0.05 kg/m².h gained per 1 atm increase in the retentate pressure, while decreasing the absolute permeate pressure from the base value of 20 bar to 0.2 bar causes the hydrogen mass flux to increase exponentially from 1.15 kg/m².h. to 5.11 kg/m².h. This study is linked with the United Nations Sustainable Development Goal (SDG) numbers 7, 9, 11, and 13. Full article

Background/Objectives: Total knee arthroplasty (TKA) is a common procedure for knee osteoarthritis. While conventional TKA (C-TKA) remains standard, robot-assisted TKA (RA-TKA) has been introduced to enhance implant positioning and clinical outcomes. However, its comparative benefits remain unclear. This systematic review and meta-analysis compared RA-TKA with C-TKA, examining the influence of robotic system, surgeon experience, and follow-up duration. Methods: A systematic search was conducted across the PubMed, Scopus, Web of Science, and Cochrane Library databases. Randomized controlled trials (RCTs) comparing RA-TKA with C-TKA were included. Outcomes were categorized into clinical, radiographic, and safety endpoints. Subgroup and meta-regression analyses explored factors influencing outcome variability, including robotic system, number of surgeons, and follow-up duration. Results: Twenty-five RCTs (5614 patients) were analyzed. RA-TKA showed modest improvements in clinical outcomes, such as KSS and VAS pain scores, but results varied across subgroups. RA-TKA demonstrated a significantly better flexion range of motion (ROM) in certain countries (e.g., Russia, MD = 10; 95%CI: 5.44, 14.56) and with specific robotic systems (e.g., NAVIO). No significant differences were found in OKS and HSS scores. Radiographic outcomes, including the HKA Angle, varied by robotic system, with NAVIO and YUANHUA showing better alignment than C-TKA. Complication rates were comparable, though RA-TKA had a higher risk of conversion to open surgery (10% vs. 2%). Meta-regression identified robotic system and surgeon experience as key predictors of outcome variability. Conclusions: RA-TKA offers advantages in implant alignment and postoperative pain reduction. However, benefits are inconsistent across settings, and some robotic systems may not provide improvements over C-TKA. Full article