Search Results (1,116)

Micro-expressions, characterized by brief and subtle facial muscle movements, are essential for conveying nuanced emotions in digital humans, yet existing rendering techniques often produce rigid or emotionally monotonous animations due to the inadequate modeling of temporal dynamics and action unit interdependencies. This paper proposes a graph-driven framework for micro-expression rendering that generates emotionally diverse and lifelike expressions. We employ a 3D-ResNet-18 backbone network to perform joint spatio-temporal feature extraction from facial video sequences, enhancing sensitivity to transient motion cues. Action units (AUs) are modeled as nodes in a symmetric graph, with edge weights derived from empirical co-occurrence probabilities and processed via a graph convolutional network to capture structural dependencies and symmetric interactions. This symmetry is justified by the inherent bilateral nature of human facial anatomy, where AU relationships are based on co-occurrence and facial anatomy analysis (as per the FACS), which are typically undirected and symmetric. Human faces are symmetric, and such relationships align with the design of classic spectral GCNs for undirected graphs, assuming that adjacency matrices are symmetric to model non-directional co-occurrences effectively. Predicted AU activations and timestamps are interpolated into continuous motion curves using B-spline functions and mapped to skeletal controls within a real-time animation pipeline (Unreal Engine). Experiments on the CASME II dataset demonstrate superior performance, achieving an F1-score of 77.93% and an accuracy of 84.80% (k-fold cross-validation, k = 5), outperforming baselines in temporal segmentation. Subjective evaluations confirm that the rendered digital human exhibits improvements in perceptual clarity, naturalness, and realism. This approach bridges micro-expression recognition and high-fidelity facial animation, enabling more expressive virtual interactions through curve extraction from AU values and timestamps. Full article

Background: Multiple sclerosis (MS) is an immune-mediated neuroinflammatory disorder with a multifactorial etiology involving genetic susceptibility, environmental triggers, and vascular contributions. Carotid intima–media thickness (CIMT) is a significant marker of endothelial dysfunction. Endothelial cell-specific molecule-1 (endocan) and hyaluronic acid, key components implicated in endothelial and vascular remodeling, may significantly contribute to the inflammatory and vascular pathologies observed in MS. We aimed to investigate the relationship between CIMT and endothelial biomarkers, such as endocan and hyaluronic acid, in patients with MS. Methods: In this cross-sectional study, 100 patients with relapsing–remitting MS and 56 healthy controls were included. Demographic, clinical, laboratory, and imaging data were documented. CIMT was measured bilaterally using high-resolution B-mode ultrasonography. Serum endocan and hyaluronic acid levels were quantified via enzyme-linked immunosorbent assays. Results: MS patients exhibited significantly higher CIMT and serum endocan levels compared with controls (p < 0.001). CIMT values were significantly elevated in MS patients, with longer disease duration, higher expanded disability status scale scores, and an older diagnosis age (p < 0.05). However, serum endocan and hyaluronic acid levels did not significantly differ between MS subgroups based on disease duration, disability severity, and diagnosis age. Additionally, there was no correlation between CIMT and serum endocan and hyaluronic acid levels in MS patients (p > 0.05). Conclusions: Increased CIMT and serum endocan levels in MS patients may indicate endothelial dysfunction suggesting vascular involvement in MS. The lack of a correlation between CIMT and endocan and hyaluronic acid levels reveals the complexity of vascular and immune interactions in MS, which needs further research. Full article

Background/Objectives: To prevent flap failure, adequate tissue perfusion and effective regenerative processes, undisturbed wound healing are essential, among others. To improve wound healing, various locally and systematically administered pharmacons can be used. This study investigated the effect of PACAP 1-38 (pituitary adenylate cyclase activating polypeptide) and BGP-15 (a nicotinic amidoxime derivative) on the healing of epigastric fasciocutaneous flaps exposed to ischemia–reperfusion (I/R). Methods: Wistar rats were randomly divided into control (no substance), PACAP 1-38, and BGP-15 groups. Groin flaps were prepared bilaterally. The left flap was exposed to 120 min of ischemia prior to suturing it back. We applied wound gels containing substances. Laboratory tests (hematology, erythrocyte deformability, and aggregation) were performed before surgery on the 1st, 3rd, and 7th postoperative days. Lastly, flap skin samples were taken for histological and tensile strength measurements. Results: Impaired erythrocyte deformability and enhanced aggregation were found because of flap I/R. The pharmacons were able to reduce the systemic micro-rheological impairment to varying degrees. The tensile strength increased in the areas of better perfusion. Conclusions: The anti-inflammatory effects of PACAP 1-38 and BPG-15, as well as the impact of PACAP 1-38 on collagen and elastic fiber composition, have been demonstrated. Full article

This study investigates reading performances and eye movements in individuals with eccentric fixation due to age-related macular degeneration (AMD). Overall, 17 individuals with bilateral AMD (7 males; mean age 77.47 ± 5.96 years) and 17 controls (10 males; mean age 72.18 ± 5.98 years) were assessed for reading visual acuity (VA), reading speed (Minnesota low vision reading chart in Slovene, MNREAD-SI), and near contrast sensitivity (Pelli-Robson). Microperimetry (NIDEK MP-3) was used to evaluate preferential retinal locus (PRL) location and fixation stability. Eye movements were recorded with Tobii Pro-glasses 2 and analyzed for reading duration, saccade amplitude, peak velocity, number of saccades, saccade duration, and fixation duration. Individuals with AMD exhibited significantly reduced reading indices (worse reading VA (p < 0.001), slower reading (p < 0.001), and lower near contrast sensitivity (p < 0.001)). Eye movement analysis revealed prolonged reading duration, longer fixation duration, and an increased number of saccades in individuals with AMD per paragraph. The number of saccades per paragraph was significantly correlated with all measured reading indices. These findings provide insights into reading adaptations in AMD. Simultaneously, the proposed approach in analyzing eye movements puts forward eye trackers as a prospective diagnostic tool in ophthalmology. Full article

Background/Objectives: Bruxism is a prevalent parafunctional activity that induces masticatory muscle hypertrophy and physiological mandibular bone alterations. While botulinum toxin type A (BTX-A) injections effectively reduce muscle hyperactivity, objective radiological assessment of their skeletal effects remains limited. This study aimed to quantitatively evaluate the impact of BTX-A on mandibular trabecular bone structure by assessing potential reductions in fractal dimension (FD) in bruxism patients compared to controls. Methods: This retrospective matched-pair study included 42 bruxism patients (39 females, 3 males) receiving 50 U of BTX-A in masseter muscles and 32 age-matched non-bruxism controls (30 females, 2 males). Pre- and 6-month post-treatment panoramic radiographs were analyzed. FD values were calculated from bilateral condylar neck, ramus, and angulus regions. Results: Statistically significant reductions in FD values were observed in the angulus regions post-treatment (Right: 1.3856 to 1.2995; Left: 1.3718 to 1.2529, p < 0.001). Postoperative FD values in the BTX-A group showed no significant differences when compared to the control group (p > 0.05). Conclusions: BTX-A administration leads to measurable, region-specific reductions in mandibular trabecular bone fractal dimension, particularly in the angulus. The postoperative similarity to the control group suggests a potential normalization of bone structure following treatment. These findings highlight the clinical utility of fractal analysis for monitoring osseous adaptations in neuromuscular interventions. Full article

Background: The aim of this study was a qualitative assessment and quantitative assessment, i.e., the assessment of time to stability (TTS) before and after fatigue test, of landing in patients with chronic ankle instability, referred to as “copers”, in comparison to a control group of healthy persons. The indirect aim of the study was to develop a new method to assess more time precise measurement of TTS. Methods: The study involved 60 physically young active individuals aged 18 to 35 years. They were divided into three groups: the study population of 29 copers was divided into: I—14 persons with chronic one side ankle instability, study population II—15 persons with chronic bilateral ankle instability, and the control group included 31 persons without ankle instability. The study involved quantitative assessment of time to stability (TTS) after single-leg landing onto the HUR stabilometric platform from a 30 cm high platform before and after fatigue tests based on a modified Short-Term Fatigue Protocol. To conduct qualitative assessment of landing and to verify time to stability with video imaging, a video analysis was conducted. We used three cameras and two markers: on the malleolus lateralis of the fibula and on the malleolus medialis of the tibia. Each landing was subjectively assessed by a physiotherapist on a four-degree scale. A further biomechanic analysis was conducted only for the trials with a correct landing. The trials were repeated after a fatigue test. Results: There were significant differences before and after the fatigue test in qualitative landing analysis (p < 0.001) only for one jump for the right leg. In groups with unilateral and bilateral ankle instability, there was a higher percentage of landings with a considerable shift or unstable landings. The conducted dynamic test (TTS assessment) did not reveal significant differences between groups or after the fatigue test. Conclusions: Copers develop effective mechanisms of compensation, allowing them to participate in physical activities without symptoms of joint instability. Determining biomechanical differences between athletes who return to their sport and patients who develop chronic instability is important in the context of introducing adequate physiotherapy. Full article

Background: Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by both motor and non-motor symptoms, including autonomic dysfunction. Structural alterations in the vagus nerve (VN) may contribute to PD pathophysiology, though existing data remain inconsistent. Objective: This study aimed to evaluate morphological changes in the VN using high-resolution ultrasound (USVN) and to investigate associations with autonomic symptoms, heart rate variability (HRV), and clinical characteristics in PD patients. Methods: A cross-sectional study was conducted involving 60 PD patients and 60 age- and sex-matched healthy controls. USVN was performed to assess VN cross-sectional area (CSA), echogenicity, and homogeneity bilaterally. Autonomic symptoms were measured using the Composite Autonomic Symptom Scale 31 (COMPASS-31). HRV parameters—SDNN, RMSSD, and pNN50—were obtained via 24 h Holter monitoring. Additional clinical data included Unified Parkinson’s Disease Rating Scale (UPDRS) scores, transcranial sonography findings, and third ventricle width. Results: PD patients showed significantly reduced VN CSA compared to controls (right: 1.90 ± 0.19 mm² vs. 2.07 ± 0.18 mm²; left: 1.74 ± 0.21 mm² vs. 1.87 ± 0.22 mm²; p < 0.001 and p < 0.02). Altered echogenicity and decreased homogeneity were also observed. Right VN CSA correlated with body weight, third ventricle size, and COMPASS-31 scores. Left VN CSA was associated with body size parameters and negatively correlated with RMSSD (p = 0.025, r = −0.21), indicating reduced vagal tone. Conclusions: USVN detects structural VN changes in PD, correlating with autonomic dysfunction. These findings support its potential as a non-invasive biomarker for early autonomic involvement in PD. Full article

Long-term physical training is known to induce brain plasticity, yet how these neural adaptations evolve across different stages of training remains underexplored. This two-year longitudinal study investigated the stage-dependent effects of endurance running on brain structure and resting-state function in healthy college students. Thirty participants were recruited into three groups based on their endurance training level: high-level runners, moderate-level runners, and sedentary controls. All participants underwent baseline and two-year follow-up MRI scans, including T1-weighted structural imaging and resting-state fMRI. The results revealed that the high-level runners exhibited a significant increase in degree centrality (DC) in the left dorsolateral prefrontal cortex (DLPFC). In the moderate-level group, more widespread changes were observed, including increased gray matter volume (GMV) in bilateral prefrontal cortices, medial frontal regions, the right insula, the right putamen, and the right temporo-parieto-occipital junction, along with decreased GMV in the posterior cerebellum. Additionally, DC decreased in the left thalamus and increased in the right temporal lobe and bilateral DLPFC; the fractional amplitude of low-frequency fluctuations (fALFF) in the right precentral gyrus was also elevated. These brain regions are involved in executive control, sensorimotor integration, and motor coordination, which may suggest potential functional implications for cognitive and motor performance; however, such interpretations should be viewed cautiously given the modest sample size and study duration. No significant changes were found in the control group. These findings demonstrate that long-term endurance training induces distinct patterns of brain plasticity at different training stages, with more prominent and widespread changes occurring during earlier phases of training. Full article

Background/Objectives: Chronic kidney disease (CKD) is a prevalent condition with many cases remaining undiagnosed, although early detection is essential. Adipose tissue distribution—particularly perirenal fat thickness (PrFT)—has recently been linked to renal pathophysiology. This study assessed the association between CT-derived parameters of fat distribution and kidney morphology with CKD. Materials and Methods: This retrospective study included 237 patients (117 subjects, 120 controls) who underwent abdominal CT and had serum creatinine data. The dataset was randomly split (70% training, 30% test) to develop and evaluate a logistic regression model. CKD was defined as estimated Glomerular Filtration Rate (eGFR) < 60 mL/min/1.73 m². PrFT was measured as the distance from the posterior renal capsule to the posterior abdominal wall; renal hilum fat was segmented using a −195 to −45 HU range. Additional parameters (measured using automated segmentation tools) included kidney volume (KV), visceral/subcutaneous fat areas, skeletal muscle area and attenuation, and liver attenuation. Bilateral measurements were averaged. Results: KV (OR = 0.249, 95% CI: 0.146–0.422, p < 0.001) and PrFT (2nd tercile: OR = 7.720, 95% CI: 2.860–20.839; 3rd tercile: OR = 16.892, 95% CI: 5.727–49.822; both p < 0.001) were identified as independent predictors of CKD. These variables were used to construct a simplified model, which demonstrated moderate clinical applicability (AUC = 0.894) when evaluated on the test subset. Conclusions: KV and PrFT emerged as independent predictors of CKD, forming the basis of a simplified model with potential for opportunistic clinical application. This approach may facilitate earlier detection of CKD in patients undergoing CT imaging for unrelated clinical reasons. These imaging parameters are not intended to replace serum creatinine or eGFR but may serve as complementary predictors in specific clinical contexts. Full article

Zygotic genome activation (ZGA) represents one of the most vulnerable periods to environmental perturbations. The objective of this study was to investigate the formation of stress granules in mouse embryos in response to temperature reduction during ZGA, preimplantation embryo mortality, and long-term phenotypic outcomes. These outcomes included the evaluation of expression noise in bilateral right/left limbs of offspring as an indicator of developmental instability, behavioral deviation, hippocampal volume, and metabolomics profiling in adult offspring. Exposure to hypothermia during ZGA was associated with an increased number and inter-blastomere variability of stress granules, extended duration of the second embryonic division, and elevated embryonic mortality during the second and third cleavage stages. The embryonic response to hypothermic stress correlated with phenotypic traits indicative of increased pathology risk. Expression noise, serving as an indicator of developmental instability, was reduced in adult offspring derived from two-cell embryos incubated at 35 °C compared to those at 37 °C, while showing no significant difference relative to the control group. These results suggest that embryos surviving hypothermic exposure (35 °C) possess enhanced resilience to the adverse effects commonly associated with embryo transfer procedures. Furthermore, increased hippocampal volume and augmented auditory startle reflex observed in offspring that endured hypothermia during ZGA imply reduced risks of cognitive-related pathologies and reduced risks of pathologies associated with cognitive functions. Full article

Peri-implant disease and gingival recession may be partially attributed to inadequate keratinized tissue. Soft tissue augmentation procedures utilizing non-autologous biomaterials, such as porcine-derived collagen membranes, have been gaining prominence and exogenous crosslinking is being actively investigated to improve the collagen membrane’s stability and potential for keratinized tissue gain. The aim of this preclinical study was to evaluate the performance of a novel, crosslinked porcine collagen membrane (Zderm^TM, Osteogenics Biomedical, Lubbock, TX, USA) relative to an established, commercially available, non-crosslinked counterpart (Mucograft^®, Geistlich Pharma North America Inc., Princeton, NJ, USA) in a canine mandibular model. Bilateral split-thickness mucosal defects were created in adult beagles (n = 17), with each site receiving one membrane. Qualitative and quantitative histomorphometric analyses of groups were performed after 4, 8, and 12 weeks of healing and compared to unoperated, positive controls from the same subject. No significant differences in membrane presence were observed between Zderm^TM and Mucograft^® at 4, 8, and 12 weeks of permitted healing (p > 0.05). Similarly, the average keratinized tissue (KT) length between Zderm^TM and Mucograft^® groups was statistically equivalent across all healing times (p > 0.05). However, qualitative histological evaluation revealed greater rete ridge morphology amongst defects treated with Zderm^TM in comparison to Mucograft^®. Nevertheless, both membranes exhibited excellent biocompatibility and are well-suited for soft tissue augmentation procedures in the oral cavity. Full article

Background/Objectives: The study aimed to investigate how cognitive variables (performance IQ, verbal short-term memory, working memory, and ADHD symptomatology) impact lexical representations in children with high-functioning autism spectrum disorder (HF-ASD). Methods: Participants were two groups (n1 = n2 = 20) of monolingual Greek-speaking children, aged 7 to 12 years, with and without HF-ASD matched in age, gender, and cognitive skills. Results: Overall, the HF-ASD group had more immature lexical representations than the control group, even though the two groups were similar in naming. In both groups, naming was correlated moderately with verbal short-term memory but only age predicted significantly semantic knowledge. In the ASD group, a bilateral predictive relationship was revealed between output motor programming skills and stored phonological knowledge, supporting theoretical assumptions of the psycholinguistic model of speech. Finally, a different pattern of interrelations was observed between cognitive and lexical variables in the two groups. Conclusions: The findings of the current study indicate that ASD children may map and process new vocabulary differently compared to typically developing peers. Full article

Hemifacial spasm (HFS) is a cranial nerve disorder characterized by involuntary contractions of muscles innervated by the facial nerve. Botulinum toxin type A (BoNT-A) is widely used for symptom control. Although local diffusion is well established, the extent and clinical relevance of BoNT-A spread to contralateral muscles remain unclear. This study aimed to investigate the contralateral neuromuscular effects of BoNT-A in patients undergoing long-term treatment with BoNT-A. This retrospective cross-sectional study included 39 patients with HFS (mean age, 58.6 ± 8.5 years). Bilateral compound muscle action potentials (CMAPs) were recorded before and four weeks after the BoNT-A injection. Single-fiber electromyography (SFEMG) jitter and mean consecutive difference (MCD) were evaluated contralaterally using concentric needle electrodes. Patients were categorized as first-time (n = 10) or long-term (n = 29; treatment duration: 1–20 years) BoNT-A recipients. Contralateral CMAP amplitudes decreased by 21.1% post-injection (p < 0.001). MCD increased from 33.2 ± 5.6 to 37.0 ± 5.3 µs (p < 0.001), and jitter rose by 81%, from 7.9 ± 6.2 to 14.3 ± 8.1 µs (p < 0.001). The percentage increase in MCD was significantly higher in long-term versus first-time patients (12.7% vs. 7.5%; p = 0.039), suggesting a cumulative neuromuscular effect. Spontaneous myokymia or fasciculations were clinically observed in four long-term patients. These findings provide electrophysiological evidence that unilateral BoNT-A injections may induce neuromuscular transmission abnormalities in the contralateral facial muscles. This effect appears more pronounced in chronically treated individuals, highlighting the need for awareness of potential bilateral spread when planning long-term therapy. Full article

This study investigates the dynamic performance of mountainous crawler tractors during small-radius slope steering, providing theoretical support for power machinery design in hilly and mountainous regions. Addressing the mechanization demands in complex terrains and existing research gaps, a steering dynamics model is established. The model incorporates an amplitude-varied multi-peak cosine ground pressure distribution, employs position vectors and rotation matrices to characterize 3D pose variations in the tractor’s center of mass, and integrates slope angle, soil parameters, vehicle geometry, center-of-mass shift, bulldozing resistance, and sinkage resistance via d’Alembert’s principle. Numerical simulations using Maple 2024 analyzed variations in longitudinal offset of the instantaneous steering center, bilateral track traction forces, and bulldozing resistance with slope, speed, and acceleration. Variable-gradient steering tests on the “Soil-Machine-Crop” Comprehensive Experimental Platform demonstrated model accuracy, with <8% mean error and <12% maximum relative error between predicted and measured track forces. This research establishes a theoretical foundation for predicting, evaluating, and controlling the steering performance/stability of crawler tractors in complex slope conditions. Full article

Background: Simple renal cysts (SRCs) are the most common incidentally found cystic lesions in the kidney. While their association with hypertension (HT) has been explored in various studies, the findings remain inconclusive. Thus, our meta-analysis aimed to systematically evaluate the relationship between SRCs and HT (PROSPERO ID: CRD42025580609). Methods: We conducted searches in PubMed, Web of Science Core Collection, and Scopus to identify observational studies that examined the association between SRCs and HT. All articles containing animal or pediatric (<18 years old) study populations or having <10 patients in total and/or lacking a control group that did not develop HT were excluded. Two reviewers independently screened the studies and extracted the data, and the quality of each included study was assessed using the Newcastle–Ottawa Scale. Statistical analyses were performed using Review Manager 5.4. Results: In total, 12 studies with 147,310 participants were included in this meta-analysis. Presence of SRCs was associated with a 2.04-fold higher likelihood of having HT (OR 2.04, 95%CI 1.70–2.45, p < 0.0001). Multivariate analysis further revealed that SRCs were independently associated with HT (aOR 1.36, 95%CI 1.24–1.49, p < 0.0001), with multiple SRCs (aOR 1.36, 95%CI 1.26–2.42, p = 0.0008) and bilateral SRCs (aOR 2.26, 95%CI 1.12–4.59, p = 0.02) showing a stronger association. Conclusions: This study provides the first in-depth review on the topic, showing an established link between SRCs and HT even after adjustment for major confounding factors such as age, sex, renal function, and other metabolic factors. Full article