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21 pages, 1456 KB  
Article
Comparative Pharmacokinetics and Safety of a Micellar Chrysin–Quercetin–Rutin Formulation: A Randomized Crossover Trial
by Afoke Ibi, Chuck Chang, Yun Chai Kuo, Yiming Zhang, Peony Do, Min Du, Yoon Seok Roh, Roland Gahler, Mary Hardy and Julia Solnier
Antioxidants 2025, 14(11), 1313; https://doi.org/10.3390/antiox14111313 - 31 Oct 2025
Viewed by 104
Abstract
Chrysin is a dietary flavonoid with antioxidant and anti-inflammatory activity, but its clinical potential is limited by poor oral bioavailability. This randomized double-blind three period crossover trial evaluated the pharmacokinetics of a novel micellar chrysin formulation co-encapsulated with quercetin and rutin (LMC) compared [...] Read more.
Chrysin is a dietary flavonoid with antioxidant and anti-inflammatory activity, but its clinical potential is limited by poor oral bioavailability. This randomized double-blind three period crossover trial evaluated the pharmacokinetics of a novel micellar chrysin formulation co-encapsulated with quercetin and rutin (LMC) compared with a non-micellar chrysin formulation (NMC) and unformulated chrysin (UFC). Secondary objectives included in vitro permeability (Caco-2) and a 30-day safety assessment of daily LMC supplementation. Sixteen healthy adults received a single oral dose of each formulation in randomized order separated by a 7-day washout. Plasma chrysin was quantified over 24 h to determine pharmacokinetic parameters. In vitro Caco-2 assays evaluated permeability, and clinical biochemistry of 15 participants were assessed weekly during 30 days of daily LMC use. LMC achieved >2-fold higher systemic exposure than unformulated chrysin (AUC0–24 = 914.8 ± 697.5 ng·h/mL; Cmax = 87.3 ± 59.4 ng/mL; both p < 0.05) and >2.6-fold higher than NMC, supported by >10-fold higher in vitro permeability. Daily LMC supplementation was well tolerated, with only mild, reversible adverse events and no clinically relevant safety changes, despite higher systemic exposure. Small, but significant, reductions in fasting glucose were observed in both sexes. The novel micellar chrysin–quercetin–rutin formulation substantially improved bioavailability and was well tolerated during 30 days of daily use, supporting its potential as an advanced delivery strategy for flavonoids with poor oral absorption and identifying glucose regulation as a physiological effect of interest. Full article
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13 pages, 1353 KB  
Article
Real-World Data on the Efficacy and Safety of Osilodrostat in Patients with Cushing’s Disease in Spain
by Marta Araujo-Castro, Rogelio García-Centeno, Laura González, Felicia A. Hanzu, Aida Orois, Rosa Camara, María Dolores Ollero García, Ana Irigaray Echarri, Paola Gracia Gimeno, Eider Pascual-Corrales, Betina Biagetti, Andrés Cardona, Inmaculada González Molero, Andreu Simo-Servat, Fernando Guerrero Pérez, Rocío Villar-Taibo, Ignacio Bernabéu, Carmen Fajardo-Montañana, Cristina Novo-Rodríguez, Carmen Tenorio Jimenéz, María Calatayud, María Dolores Moure Rodríguez, Fernando Cordido, Ana Castro, Lucía Manzano Valero, Miguel Paja Fano, Jessica Goi, Anna Aulinas, Pablo Abellán, Pedro Iglesias and Alfonso Soto-Morenoadd Show full author list remove Hide full author list
J. Clin. Med. 2025, 14(21), 7575; https://doi.org/10.3390/jcm14217575 - 25 Oct 2025
Viewed by 330
Abstract
Objective: To evaluate the efficacy and safety of osilodrostat in patients with Cushing’s disease (CD). Methods: A retrospective, multicenter, real-world study of patients with CD. The main efficacy endpoint was the proportion of patients who were complete responders (urinary free cortisol [UFC] [...] Read more.
Objective: To evaluate the efficacy and safety of osilodrostat in patients with Cushing’s disease (CD). Methods: A retrospective, multicenter, real-world study of patients with CD. The main efficacy endpoint was the proportion of patients who were complete responders (urinary free cortisol [UFC] < the upper limit of normal and/or with adrenal insufficiency development). Results: Thirty-seven CD patients were enrolled. There were 33 patients who initially received osilodrostat in monotherapy and 4 in combination. However, 3 patients of the monotherapy group were switched to combination therapy. The median duration of osilodrostat treatment was 5 months (range 1–93). All the patients were classified as responders: 33 (89.2%) had complete response and 4 partial response. A positive correlation was detected between the percentage of UFC decrease and the maximum (r = 0.481, p = 0.006) and the maintenance doses (r = 0.440, p = 0.011). The initial doses of osilodrostat were a predictor of complete response (vs. partial) (Odds ratio [OR] 2.82, p = 0.030). The median time to UFC normalization in the group of complete responders was 4 weeks (range 1–20) and UFC normalized before or at month 1 in 67% (n = 20/30) of the patients. Osilodrostat led to a significant decrease in systolic and diastolic blood pressure in parallel with a reduction of antihypertensive medications. Conclusions: Osilodrostat leads to a complete UFC normalization in up to 90% of the patients with CD, in parallel with an improvement in the cardiometabolic profile. A proper titration of osilodrostat is important to achieve a complete response since a positive correlation between the doses and the UFC reduction was observed. Full article
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14 pages, 241 KB  
Article
The Risk of Joint and Neck Injuries in Mixed Martial Arts—Grappling and Submission Techniques in Professional Fights
by Katarzyna Mańka-Malara and Maciej Trzaskowski
J. Clin. Med. 2025, 14(21), 7467; https://doi.org/10.3390/jcm14217467 - 22 Oct 2025
Viewed by 459
Abstract
Background/Objectives: Mixed martial arts (MMA) is a popular combat sport combining techniques from various martial arts. The most common injuries in MMA are head, wrist, and hand trauma. However, there is limited research on injuries specifically related to submission techniques prevalent in [...] Read more.
Background/Objectives: Mixed martial arts (MMA) is a popular combat sport combining techniques from various martial arts. The most common injuries in MMA are head, wrist, and hand trauma. However, there is limited research on injuries specifically related to submission techniques prevalent in this discipline. The use of submission techniques, particularly rear-naked chokes and arm locks, may potentially lead to serious injuries. Methods: Submission techniques from 2488 fights from Ultimate Fighting Championship (UFC) were analyzed. Fights from all numbered events between 2000 and 2021 were analyzed, focusing on techniques that lead to fight termination, such as chokes and armbars. Official fight statistics, with additional video verification, were used. The results were statistically analyzed with comparisons between weight categories and sex. Results: Submissions end 18.7% of all MMA fights. The most common submission technique was rear-naked choke, accounting for 68.6% of all submissions. The arm and hand concentrated submission techniques, including the armbar, accounted for 27.1% of all submissions. Female fights were, on average, one and a half minutes longer than male bouts and had significantly fewer submission attempts. Conclusions: MMA fights frequently end by submission, and many submissions involve techniques that put considerable stress on the joints and cervical region. Fighters and referees need clear protocols to swiftly recognize when a submission is causing excessive risk. Full article
(This article belongs to the Special Issue Sports Injury: Clinical Prevention and Treatment)
11 pages, 374 KB  
Article
Non-Specific Cross Protection of BCG Vaccination in Dairy Calves
by Renata López, Valentina Villarroel, Víctor Neira, Carolina Aguayo, Karina Saadi, Katherinne Orozco, Pedro Abalos and Patricio Retamal
Dairy 2025, 6(5), 60; https://doi.org/10.3390/dairy6050060 - 16 Oct 2025
Viewed by 396
Abstract
Bovine tuberculosis (bTB) is mainly caused by Mycobacterium bovis, which affects cattle, leading to significant economic losses. In Chile, the vaccination with the M. bovis Bacillus Calmette-Guérin (BCG) strain has been implemented in dairy herds with high prevalence of bTB. This study [...] Read more.
Bovine tuberculosis (bTB) is mainly caused by Mycobacterium bovis, which affects cattle, leading to significant economic losses. In Chile, the vaccination with the M. bovis Bacillus Calmette-Guérin (BCG) strain has been implemented in dairy herds with high prevalence of bTB. This study evaluated non-specific protection associated with BCG on the detection of pathogen-associated genes (nsp5, stx1, stx2, invA, IS1081) and mortality related to diarrhea and pneumonia in calves. A total of 186 calves from a commercial dairy farm were enrolled and grouped as vaccinated (n = 96) and non-vaccinated (n = 90). The BCG Russia strain (2–5 × 105 UFC) was inoculated subcutaneously within the first 30 days after birth. Animals were monitored through fecal sampling at 3 and 6 months of age for molecular detection of gene sequences. A logistic regression analysis showed differences in detection rates of the stx1 sequence at 3 months, with a higher risk for the non-vaccinated individuals (OR 2.91, CI 1.42–5.94, p = 0.03) and for those born in the cold season (OR 9.55, CI 2.02–45.11, p = 0.004). A Kaplan–Meier survival analysis showed a significant difference in deaths in vaccinated calves compared with non-vaccinated animals (p = 0.018), suggesting that BCG confers non-specific protection during the first 3 months after birth, in field conditions. Full article
(This article belongs to the Section Dairy Animal Health)
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16 pages, 3803 KB  
Article
Evaluation of Biocompatible and Biodegradable PES/PCL Membranes for Potential Use in Biomedical Devices: From Fouling Resistance to Environmental Safety
by Cezary Wojciechowski, Monika Wasyłeczko, Dorota Lewińska and Andrzej Chwojnowski
Molecules 2025, 30(19), 3887; https://doi.org/10.3390/molecules30193887 - 25 Sep 2025
Viewed by 397
Abstract
The paper presents a method for obtaining partially degradable capillary membranes from a polyethersulfone/polycaprolactone (PES/PCL) mixture. PES/PCL membranes were obtained by the phase inversion technique with dry/wet spinning and then subjected to controlled degradation in an alkaline environment (1 M NaOH) and simulated [...] Read more.
The paper presents a method for obtaining partially degradable capillary membranes from a polyethersulfone/polycaprolactone (PES/PCL) mixture. PES/PCL membranes were obtained by the phase inversion technique with dry/wet spinning and then subjected to controlled degradation in an alkaline environment (1 M NaOH) and simulated body fluid (SBF with pH 7.4) using the flow method. The aim of the work was to select and apply a degradable, non-toxic, simple polymer as a removable component of the membrane structure. The degradable component of the membranes was PCL, the gradual hydrolysis of which was aimed at increasing the porosity and improving the transport properties of the membranes during operation. The membrane properties, such as hydraulic permeability coefficient (UFC), retention coefficient, and structural morphology, were assessed using scanning electron microscopy (SEM) before and after degradation. Analysis of SEM images performed with MeMoExplorerTM software showed an increase in the proportion of large pores (above 300 µm2) and total porosity of the membranes after degradation in NaOH and SBF. Low instability factor (<0.25) for all samples, both before and after degradation, confirms the good repeatability of the membrane structure. An increase in the UFC was observed, while the retention coefficients did not change significantly in the case of membranes after the etching process. The degradation of the PCL component in the membrane was assessed using the weight method. Measurements of the membrane mass loss before and after degradation confirmed the removal of over 50 wt.% of the PCL component in SBF and 70 wt.% in NaOH from the tested membranes, which resulted in an increase in permeability due to increased membrane porosity. The results indicate the possibility of using such structures as functional, partially self-regulating membranes, potentially useful in biomedical and environmental applications. Full article
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25 pages, 15170 KB  
Article
Location of Charging Stations Considering Services and Power Losses: Case Study
by Cristian Giovanni Colombo, Carola Leone, Seyed Mahdi Miraftabzadeh, Nicoletta Matera and Michela Longo
Energies 2025, 18(18), 4923; https://doi.org/10.3390/en18184923 - 16 Sep 2025
Cited by 1 | Viewed by 463
Abstract
The wide adoption of environmentally friendly solutions for transportation, such as Electric Vehicles (EVs), is crucial to reducing greenhouse gases and mitigate the effects of climate change. To meet the growing demand of EVs, enough Charging Stations (CSs) must be deployed. In this [...] Read more.
The wide adoption of environmentally friendly solutions for transportation, such as Electric Vehicles (EVs), is crucial to reducing greenhouse gases and mitigate the effects of climate change. To meet the growing demand of EVs, enough Charging Stations (CSs) must be deployed. In this study, the Ultra-Fast Charging (UFC) technology is investigated, and a method is proposed to locate the minimum indispensable UFC infrastructure to enable a nationwide travel, considering both infrastructure costs and power losses. To address the location problem, first the average electric range of the EVs currently on the market is analyzed to estimate the maximum allowable distance between two consecutive CS. In the assessment of the driving range all the factors which influence the energy consumption are considered. The CSs are then located within the existing Service Areas (SAs) to save infrastructure costs while meeting the maximum distance constraint between charging stations. Then, a cost comparison is performed between the economic impact of power losses and the savings from reduced infrastructure costs. The methodology is applied to the Italian highway network. Results show that installing charging infrastructure within existing SAs is more cost-effective than placing them near Medium Voltage (MV) cabins. Full article
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24 pages, 603 KB  
Review
Dexamethasone Suppression Testing in Patients with Adrenal Incidentalomas with/Without Mild Autonomous Cortisol Secretion: Spectrum of Cortisol Cutoffs and Additional Assays (An Updated Analysis)
by Alexandra-Ioana Trandafir and Mara Carsote
Biomedicines 2025, 13(9), 2169; https://doi.org/10.3390/biomedicines13092169 - 5 Sep 2025
Viewed by 1531
Abstract
Background/Objective: The overnight 1-mg dexamethasone suppression test (DST) represents the conventional/standard tool for endogenous hypercortisolemia screening, typically in relationship with adrenal and pituitary masses. Nevertheless, an associated spectrum of challenges and pitfalls is found in daily practice. This analysis aimed to evaluate: [...] Read more.
Background/Objective: The overnight 1-mg dexamethasone suppression test (DST) represents the conventional/standard tool for endogenous hypercortisolemia screening, typically in relationship with adrenal and pituitary masses. Nevertheless, an associated spectrum of challenges and pitfalls is found in daily practice. This analysis aimed to evaluate: (I.) the diagnosis relevance of 1-mg DST in patients with adrenal incidentalomas (AIs) with/without mild autonomous cortisol secretion (MACS) exploring different cutoffs of the second-day plasma cortisol after dexamethasone administration (cs-DST) with respect to cardio-metabolic outcomes; (II.) the potential utility of adding other biomarkers to DST [plasma morning adrenocorticotropic hormone (ACTH), 24-h urinary free cortisol (UFC), late-night salivary cortisol (LNSC), dehydroepiandrosterone sulfate (DHEAS)]; and (III.) DST variability in time. Methods: This narrative analysis was based on searching full-text, English articles in PubMed (between January 2023 and April 2025) via using different term combinations: “dexamethasone suppression test” (n = 239), “diagnosis test for autonomous cortisol secretion” (n = 22), “diagnosis test for mild autonomous cortisol secretion” (n = 13) and “diagnosis test for Cushing Syndrome” (n = 61). We manually checked the title and abstract and finally included only the studies that provided hormonal testing results in adults with non-functional adenomas (NFAs) ± MACS. We excluded: reviews, meta-analyses, editorials, conference abstracts, case reports, and case series; non-human research; studies that did not provide clear criteria for distinguishing between Cushing syndrome and MACS; primary aldosteronism. Results: The sample-focused analysis (n = 13 studies) involved various designs: cross-sectional (n = 4), prospective (n = 1), retrospective (n = 7), and cohort (n = 1); a total of 4203 patients (female-to-male ratio = 1.45), mean age of 59.92 years. I. Cs-DST cutoffs varied among the studies (n = 6), specifically, 0.87, 0.9, 1.2, and 1.4 µg/dL in relationship with the cardio-metabolic outcomes. After adjusting for age (n = 1), only the prevalence of cardiovascular disease remained significantly higher in >0.9 µg/dL vs. ≤0.9 group (OR = 2.23). Multivariate analysis (n = 1) found cs-DST between 1.2 and 1.79 µg/dL was independently associated with hypertension (OR = 1.55, 95%CI: 1.08–2.23, p = 0.018), diabetes (OR = 1.60, 95%CI: 1.01–2.57, p = 0.045), and their combination (OR = 1.96, 95%CI:1.12–3.41, p = 0.018) after adjusting for age, gender, obesity, and dyslipidemia. A higher cs-DST was associated with a lower estimated glomerular filtration rate (eGFR), independently of traditional cardiovascular risk factors. Post-adrenalectomy eGFR improvement was more pronounced in younger individuals, those with lower eGFR before surgery, and with a longer post-operative follow-up. Cs-DST (n = 1) was strongly associated with AIs size and weakly associated with age, body mass index and eGFR. Cortisol level increased by 9% (95% CI: 6–11%) for each 10 mL/min/1.73 m2 decrease in eGFR. A lower cs-DST was associated with a faster post-adrenalectomy function recovery; the co-diagnosis of diabetes reduced the likelihood of this recovery (OR = 24.55, p = 0.036). II. Additional biomarkers assays (n = 5) showed effectiveness only for lower DHEAS to pinpoint MACS amid AIs (n = 2, cutoffs of <49.31 µg/dL, respectively, <75 µg/dL), and lower ACTH (n = 1, <12.6 pmol/L). III. Longitudinal analysis of DST’s results (n = 3): 22% of NFAS switch to MACS after a median of 35.7 months (n = 1), respectively, 29% (n = 1) after 48.6 ± 12.5 months, 11.8% (n = 1) after 40.4 ± 51.17 months. A multifactorial model of prediction showed the lowest risk of switch (2.4%) in individuals < 50 years with unilateral tumor and cs-DST < 0.45 µg/dL. In the subgroup of subjects without cardio-metabolic comorbidities at presentation, 25.6% developed ≥1 comorbidities during surveillance. Conclusions: The importance of exploring the domain of AIs/NFAs/MACS relates to an increasing detection in aging population, hence, the importance of their optimum hormonal characterization and identifying/forestalling cardio-metabolic consequences. The spectrum of additional biomarkers in MACS (other than DST) remains heterogeneous and still controversial, noting the importance of their cost-effectiveness, and availability in daily practice. Cs-DST serves as an independent predictor of cardio-metabolic outcomes, kidney dysfunction, while adrenalectomy may correct them in both MACS and NFAs, especially in younger population. Moreover, it serves as a predictor of switching the NFA into MACS category during surveillance. Changing the hormonal behavior over time implies awareness, since it increases the overall disease burden. Full article
(This article belongs to the Section Neurobiology and Clinical Neuroscience)
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22 pages, 4059 KB  
Article
Robustness of Steel Moment-Resisting Frames Under Column Loss Scenarios with and without Prior Seismic Damage
by Silvia Costanzo, David Cassiano and Mario D’Aniello
Buildings 2025, 15(14), 2490; https://doi.org/10.3390/buildings15142490 - 16 Jul 2025
Cited by 1 | Viewed by 699
Abstract
This study investigates the robustness of steel moment-resisting frames (MRFs) under column loss scenarios, both in undamaged and post-seismic conditions. In this context, robustness is defined as the ability of a damaged structure to prevent progressive collapse following an earthquake. A parametric investigation [...] Read more.
This study investigates the robustness of steel moment-resisting frames (MRFs) under column loss scenarios, both in undamaged and post-seismic conditions. In this context, robustness is defined as the ability of a damaged structure to prevent progressive collapse following an earthquake. A parametric investigation was conducted on 48 three-dimensional MRF configurations, varying key design and geometric parameters such as the number of storeys, span length, and design load combinations. Nonlinear dynamic analyses were performed using realistic ground motions and column loss scenarios defined by UFC guidelines. The effects of pre-existing seismic damage, façade claddings, and joint typologies were explicitly accounted for using validated component-based modelling approaches. The results indicate that long-span, low-rise frames are more vulnerable to collapse initiation due to higher plastic demands, while higher-rise frames benefit from load redistribution through their increased redundancy. In detail, long-span, low-rise frames experience roughly ten times higher displacement demands than their short-span counterparts, and post-seismic damage has limited influence, yielding rotational demands within 5–10% of the undamaged case. The Reserve Displacement Ductility (RDR) ranges from approximately 6.3 for low-rise, long-span frames to 21.5 for high-rise frames, highlighting the significant role of geometry in post-seismic robustness. The post-seismic damage was found to have a limited influence on the dynamic displacement and rotational demands, suggesting that the robustness of steel MRFs after a moderate earthquake is largely comparable to that of the initially undamaged structure. These findings support the development of more accurate design and retrofit provisions for seismic and multi-hazard scenarios. Full article
(This article belongs to the Special Issue Advanced Research on Seismic Performance of Steel Structures)
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18 pages, 18889 KB  
Article
A Handheld Multispectral Device for Assessing Leaf Nitrogen Concentrations in Maize
by Felipe Hermínio Meireles Nogueira, Adunias dos Santos Teixeira, Sharon Gomes Ribeiro, Luís Clênio Jario Moreira, Odílio Coimbra da Rocha Neto, Fernando Bezerra Lopes and Ricardo Emílio Ferreira Quevedo Nogueira
Sensors 2025, 25(13), 3929; https://doi.org/10.3390/s25133929 - 24 Jun 2025
Cited by 1 | Viewed by 954
Abstract
This study presents the MSPAT (Multispectral Soil Plant Analysis Tool), a device designed for assessing leaf nitrogen concentrations in maize crops under field conditions. The MSPAT includes the AS7265x sensor, which has 18 bands and covers the spectrum from 410 to 940 nm. [...] Read more.
This study presents the MSPAT (Multispectral Soil Plant Analysis Tool), a device designed for assessing leaf nitrogen concentrations in maize crops under field conditions. The MSPAT includes the AS7265x sensor, which has 18 bands and covers the spectrum from 410 to 940 nm. This device was designed to be portable, using the ESP32 microcontroller and incorporating such functionalities as data storage on a MicroSD card, communication with a smartphone via Wi-Fi, and geolocation of acquired data. The MSPAT was evaluated in an experiment conducted at the Federal University of Ceará (UFC), where maize was subjected to different doses of nitrogen fertiliser (0, 60, 90, 120, 150, and 180 kg·ha−1 N). Spectral readings were taken at three phenological stages (V5, V10, and R2) using the MSPAT, an SPAD-502 chlorophyll meter, and a FieldSpec PRO FR3 spectroradiometer. After the optical measurements were taken, the nitrogen concentrations in the leaves were determined in a laboratory by using the Kjeldahl method. The data analysis included the calculation of normalised ratio indices (NRIs) using linear regression and the application of multivariate statistical methods (PLSR and PCR) for predicting leaf nitrogen concentrations (LNCs). The best performance for the MSPAT index (NRI) was obtained using the 900 nm and the 560 nm bands (R2 = 0.64) at stage V10. In the validation analysis, the MSPAT presented an R2 of 0.79, showing performance superior to that of SPAD-502, which achieved an R2 of 0.70. This confirms the greater potential of the MSPAT compared to commercial equipment and makes it possible to obtain results similar to those obtained using the reference spectroradiometer. The PLSR model with data from the FieldSpec 3 provided important validation metrics when using reflectance data with first-derivative transformation (R2 = 0.88, RMSE = 1.94 and MAE = 1.28). When using the MSPAT, PLSR (R2 = 0.75, RMSE = 2.77 and MAE = 2.26) exhibited values of metrics similar to those for PCR (R2 = 0.75, RMSE = 2.78 and MAE = 2.26). This study validates the use of MSPAT as an effective tool for monitoring the nutritional status of maize to optimize the use of nitrogen fertilisers. Full article
(This article belongs to the Special Issue Hyperspectral Sensing: Imaging and Applications)
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32 pages, 5807 KB  
Article
Influence of Nucleating Agents on the Crystallization, Thermal, and Mechanical Properties of Poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (P3HBHHx)
by Anyi Jin, Germán Pérez, Luis J. del Valle and Jordi Puiggalí
Appl. Sci. 2025, 15(11), 6120; https://doi.org/10.3390/app15116120 - 29 May 2025
Viewed by 1361
Abstract
This study investigates the impact of various nucleating agents on the crystallization behavior, thermal stability, and mechanical properties of poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (P3HBHHx) with 6 mol% 3-hydroxyhexanoate (3HHx) units. Nucleating agents, including boron nitride (BN), poly(3-hydroxybutyrate) (PHB), talc, ultrafine cellulose (UFC), and an [...] Read more.
This study investigates the impact of various nucleating agents on the crystallization behavior, thermal stability, and mechanical properties of poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (P3HBHHx) with 6 mol% 3-hydroxyhexanoate (3HHx) units. Nucleating agents, including boron nitride (BN), poly(3-hydroxybutyrate) (PHB), talc, ultrafine cellulose (UFC), and an organic potassium salt (LAK), were incorporated to enhance the crystallization performance. Differential scanning calorimetry (DSC) revealed that BN and PHB significantly increased the crystallization temperature and reduced the crystallization time by half, with BN exhibiting the highest nucleation efficiency. Isothermal kinetics modeled using the Avrami and Lauritzen–Hoffman theories confirmed faster crystallization and reduced nucleation barriers in nucleated samples. Polarized optical microscopy (POM) revealed that the nucleating agents altered the spherulite morphology and increased the growth rates. Under fast cooling, only BN induced crystallization, confirming its superior nucleation activity. Thermogravimetric analysis (TGA) indicated minimal changes in thermal stability, while mechanical testing showed a slight reduction in stiffness without compromising the tensile strength. Overall, BN emerged as the most effective nucleating agent for enhancing the P3HBHHx crystallization kinetics, providing a promising strategy for improving processing efficiency and reducing the cycle times in industrial applications. Full article
(This article belongs to the Section Applied Biosciences and Bioengineering)
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10 pages, 306 KB  
Article
Return to Sport After Shoulder Injuries in Mixed Martial Arts: Implications on Longevity and Performance
by Mohamad Y. Fares, Ryan Stadler, Jack Mao, Diane Ghanem, Peter Boufadel, Mohammad Daher, Tarishi Parmar, Evangeline F. Kobayashi, Adam Z. Khan, Hafiz F. Kassam and Joseph A. Abboud
J. Clin. Med. 2025, 14(11), 3767; https://doi.org/10.3390/jcm14113767 - 28 May 2025
Viewed by 1893
Abstract
Background/Objectives: Mixed martial arts (MMA) is a combat sport which heavily involves upper limb strength, mobility, and stability. Shoulder injuries, given their impact on striking and grappling, may significantly hinder performance and career longevity. However, their specific effects on competitive outcomes remain poorly [...] Read more.
Background/Objectives: Mixed martial arts (MMA) is a combat sport which heavily involves upper limb strength, mobility, and stability. Shoulder injuries, given their impact on striking and grappling, may significantly hinder performance and career longevity. However, their specific effects on competitive outcomes remain poorly defined. This study evaluates return-to-sport rates, fight performance, and long-term success in professional MMA athletes following shoulder injuries. Methods: A retrospective cohort study was conducted using publicly available databases to identify professional MMA fighters from the UFC, Bellator, and Strikeforce who sustained shoulder injuries requiring withdrawal from scheduled bouts. Fighter demographics, injury characteristics, and treatment approaches were recorded. Performance metrics—including winning percentage, takedown (TD), knockdown (KD), and significant strike (SS) rates—were compared before and after injury. Independent t-tests were used, and significance was set at p < 0.05. Results: A total of 27 fighters with 34 documented shoulder injuries were included. The most common injury was a torn labrum (41.2%), with 76.5% requiring surgical intervention. Aggregate winning rates significantly declined from 81.96% pre-injury to 54.7% post-injury (p < 0.001). Aggregate KD rates also dropped significantly (p < 0.001), while TD rates trended downward without reaching statistical significance. SS rates remained stable, suggesting potential compensatory mechanisms. Injury recurrence was observed in 22.2% of cases. Conclusions: Shoulder injuries in MMA are associated with a substantial decline in competitive success, particularly in knockout capability, emphasizing the critical role of shoulder integrity in fight performance. The high recurrence rate suggests the need for optimized rehabilitation protocols and stricter return-to-sport guidelines to enhance fighter longevity. Full article
(This article belongs to the Special Issue Clinical Aspects of Return to Sport After Injuries)
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21 pages, 2133 KB  
Article
A Study of Adrenal Incidentaloma-Related Hormonal Assays After First Integration of the Diagnosis Within Primary Healthcare
by Oana-Claudia Sima, Mihai Costachescu, Ana Valea, Mihaela Stanciu, Ioana Codruta Lebada, Tiberiu Vasile Ioan Nistor, Mihai-Lucian Ciobica, Claudiu Nistor and Mara Carsote
Diseases 2025, 13(6), 169; https://doi.org/10.3390/diseases13060169 - 26 May 2025
Cited by 1 | Viewed by 783
Abstract
Background: Adrenal incidentalomas are detected in various medical and surgical healthcare departments, including primary healthcare. One up to three out of ten individuals confirmed with nonfunctioning adrenal incidentalomas (NFAs) actually present a mild autonomous cortisol secretion (MACS), which is distinct from Cushing’s syndrome. [...] Read more.
Background: Adrenal incidentalomas are detected in various medical and surgical healthcare departments, including primary healthcare. One up to three out of ten individuals confirmed with nonfunctioning adrenal incidentalomas (NFAs) actually present a mild autonomous cortisol secretion (MACS), which is distinct from Cushing’s syndrome. Objective: We aimed to assess the cortisol secretion in newly detected adrenal incidentalomas in patients who were referred by their primary healthcare physician upon accidental detection of an adrenal tumor at abdominal computed tomography (CT) scan that was performed for unrelated (non-endocrine) purposes. Methods: This retrospective study included adults diagnosed with an adrenal incidentaloma via CT during the previous 3 months. Inclusion criteria: age ≥ 40 years (y). A triple stratification of exclusion criteria involved: (1) Clinical aspects and medical records such as active malignancies or malignancies under surveillance protocols, subjects under exogenous glucocorticoid exposure (current or during the previous year), or suggestive endocrine phenotypes for any hormonal ailment; (2) Radiological appearance of suspected/confirmed (primary or secondary) adrenal malignancy, adrenal cysts, or myelolipomas; (3) Endocrine assays consistent with active endocrine tumors. Protocol of assessment included baseline ACTH, morning plasma cortisol (C-B), cortisol at 6 p.m. (C-6 pm), and after 1 mg dexamethasone suppression testing (C-1 mg-DST), 24-h urinary free cortisol (UFC), and a second opinion for all CT scans. MACS were defined based on C-1 mg-DST ≥ 1.8 and <5 µg/dL (non-MACS: C-1 mg-DST < 1.8 µg/dL). Results: The cohort (N = 60, 78.33% female; 60.72 ± 10.62 y) associated high blood pressure (HBP) in 66.67%, respectively, type 2 diabetes (T2D) in 28.37% of the patients. Females were statistically significantly older than males (62.40 ± 10.47 vs. 54.62 ± 9.11 y, p = 0.018), while subjects with unilateral vs. bilateral tumors (affecting 26.67% of the individuals) and those with MACS-positive vs. MACS-negative profile had a similar age. Body mass index (BMI) was similar between patients with unilateral vs. bilateral incidentalomas, regardless of MACS. Patients were divided into five age groups (decades); most of them were found between 60 and 69 years (40%). Left-gland involvement was found in 43.33% of all cases. The mean largest tumor diameter was 26.08 ± 8.78 mm. The highest rate of bilateral tumors was 46.67% in the 50–59 y decade. The rate of unilateral/bilateral and tumor diameters was similar in females vs. males. The MACS-positive rate was similar in females vs. males (23.40% vs. 23.08%). A statistically significant negative correlation (N = 60) was found between BMI and C-B (r = −0.193, p = 0.03) and BMI and UFC (r = −0.185, p = 0.038), and a positive correlation was found between C-B and C-6 pm (r = 0.32, p < 0.001), C-B and UFC (r = 0.226, p = 0.011), and C-6 pm and C-1 mg-DST (r = 0.229, p = 0.010), and the largest tumor diameter and C-1 mg-DST (r = 0.241, p = 0.007). Conclusions: Adrenal incidentalomas belong to a complex scenario of detection in the modern medical era, requiring a multidisciplinary collaboration since the patients might be initially detected in different departments (as seen in the current study) and then referred to primary healthcare for further decision. In these consecutive patients, we found a higher female prevalence, a MACS rate of 23.33%, regardless of uni/bilateral involvement or gender distribution, and a relatively high rate (than expected from general data) of bilateral involvement of 26.67%. The MACS-positive profile adds to the disease burden and might require additional assessments during follow-up and a protocol of surveillance, including a tailored decision of tumor removal. The identification of an adrenal incidentaloma at CT and its hormonal characterization needs to be integrated into the panel of various chronic disorders of one patient. The collaboration between endocrinologists and primary healthcare physicians might improve the overall long-term outcomes. Full article
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55 pages, 6250 KB  
Review
Challenges and Issues Facing Ultrafast-Charging Lithium-Ion Batteries
by Amirreza Aghili Mehrizi, Firoozeh Yeganehdoust, Anil Kumar Madikere Raghunatha Reddy and Karim Zaghib
Batteries 2025, 11(6), 209; https://doi.org/10.3390/batteries11060209 - 26 May 2025
Cited by 3 | Viewed by 5905
Abstract
Ultrafast-charging (UFC) technology for electric vehicles (EVs) and energy storage devices has brought with it an increase in demand for lithium-ion batteries (LIBs). However, although they pose advantages in driving range and charging time, LIBs face several challenges such as mechanical degradation, lithium [...] Read more.
Ultrafast-charging (UFC) technology for electric vehicles (EVs) and energy storage devices has brought with it an increase in demand for lithium-ion batteries (LIBs). However, although they pose advantages in driving range and charging time, LIBs face several challenges such as mechanical degradation, lithium dendrite formation, electrolyte decomposition, and concerns about thermal runaway safety. This review evaluates the key challenges and advances in LIB components (anodes, cathodes, electrolytes, separators, and binders), alongside innovations in charging protocols and safety concerns. Material-level solutions such as nanostructuring, doping, and composite architectures are investigated to improve ion diffusion, conductivity, and electrode stability. Electrolyte modifications, separator enhancements, and binder optimizations are discussed in terms of their roles in reducing high-rate degradation. Furthermore, charging protocols are addressed; adjustments can reduce mechanical and electrochemical stress on LIBs, decreasing capacity fade while providing rapid charging. This review highlights the key technological advancements that are enabling ultrafast charging and that are assisting us in overcoming severe limitations, paving the way for the development of next-generation high-performance LIBs. Full article
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18 pages, 2618 KB  
Article
An Analysis of the Literature Data on the Impact of Steel and Polypropylene Fibers on the Thickness Design of Airfield Concrete Pavements
by Angeliki Armeni and Christina Plati
Eng 2025, 6(5), 103; https://doi.org/10.3390/eng6050103 - 19 May 2025
Viewed by 762
Abstract
The construction of concrete airfield pavements aims to ensure sufficient load-bearing capacity for the safe operation of aircraft. In order to reduce the pavement thickness and the associated costs, materials with improved properties compared to conventional concrete mixtures are generally used. This measure [...] Read more.
The construction of concrete airfield pavements aims to ensure sufficient load-bearing capacity for the safe operation of aircraft. In order to reduce the pavement thickness and the associated costs, materials with improved properties compared to conventional concrete mixtures are generally used. This measure also aims to reduce the use of cement raw materials as part of a more sustainable strategy. On this basis, various fibers can be added to conventional concrete to improve the compressive and flexural strength of the concrete. Against this background, the present study aims to quantify the effect of polypropylene and steel fibers on the thickness of airfield concrete pavements. For this reason, international experience on this topic is first summarized in order to select suitable weighted values of concrete flexural strength for further analysis. Subsequently, an airfield concrete pavement for the edge of an airport runway is designed according to the Unified Facility Criteria (UFC) of the US Department of Defense. Comparisons are made between the pavement thicknesses determined using the above method and conclusions are drawn on the effects of using steel and polypropylene fibers on the design of airfield pavements. The analysis showed that the use of steel fibers can lead to a 25% reduction in concrete layer thickness, while the use of polypropylene fibers reduces the concrete layer thickness by 8–16%. Full article
(This article belongs to the Special Issue Emerging Trends in Inorganic Composites for Structural Enhancement)
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31 pages, 7481 KB  
Article
A Multi-Scheme Comparison Framework for Ultra-Fast Charging Stations with Active Load Management and Energy Storage Under Grid Capacity Constraints
by Qingyu Yin, Lili Li, Jian Zhang, Xiaonan Liu and Boqiang Ren
World Electr. Veh. J. 2025, 16(5), 250; https://doi.org/10.3390/wevj16050250 - 27 Apr 2025
Cited by 1 | Viewed by 951
Abstract
Grid capacity constraints present a prominent challenge in the construction of ultra-fast charging (UFC) stations. Active load management (ALM) and battery energy storage systems (BESSs) are currently two primary countermeasures to address this issue. ALM allows UFC stations to install larger-capacity transformers by [...] Read more.
Grid capacity constraints present a prominent challenge in the construction of ultra-fast charging (UFC) stations. Active load management (ALM) and battery energy storage systems (BESSs) are currently two primary countermeasures to address this issue. ALM allows UFC stations to install larger-capacity transformers by utilizing valley capacity margins to meet the peak charging demand during grid valley periods, while BESSs rely more on energy storage batteries to solve the gap between the transformer capacity and charging demand This paper proposes a four-quadrant classification method and defines four types of schemes for UFC stations to address grid capacity constraints: (1) ALM with a minimal BESS (ALM-Smin), (2) ALM with a maximal BESS (ALM-Smax), (3) passive load management (PLM) with a minimal BESS (PLM-Smin), and (4) PLM with a maximal BESS (PLM-Smax). A generalized comparison framework is established as follows: First, daily charging load profiles are simulated based on preset vehicle demand and predefined charger specifications. Next, transformer capacity, BESS capacity, and daily operational profiles are calculated for each scheme. Finally, a comprehensive economic evaluation is performed using the levelized cost of electricity (LCOE) and internal rate of return (IRR). A case study of a typical public UFC station in Tianjin, China, validates the effectiveness of the proposed schemes and comparison framework. A sensitivity analysis explored how grid interconnection costs and BESS costs influence decision boundaries between schemes. The study concludes by highlighting its contributions, limitations, and future research directions. Full article
(This article belongs to the Special Issue Fast-Charging Station for Electric Vehicles: Challenges and Issues)
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