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27 pages, 6239 KB  
Article
Pro-Angiogenic and Wound-Healing Potential of Bioactive Polysaccharides Extracted from Moroccan Algae Osmundea pinnatifida
by Zakaria Boujhoud, Malek Eleroui, Amal Feki, Hajer Ben Saad, Marwa Kraiem, Ibtissam Youlyouz Marfak, Sanah Essayagh, Said Hilali, Riadh Badraoui, Hatem Kallel, Jean Marc Pujo, Ibtissem Ben Amara and Abderraouf Hilali
Life 2025, 15(10), 1564; https://doi.org/10.3390/life15101564 (registering DOI) - 7 Oct 2025
Abstract
Various therapeutic approaches have been explored to speed up wound healing, with angiogenesis being a crucial factor in this process and skin repair. This study shows that a polysaccharide extracted from the red alga Osmundea pinnatifida (PSOP) can promote angiogenesis and accelerate healing. [...] Read more.
Various therapeutic approaches have been explored to speed up wound healing, with angiogenesis being a crucial factor in this process and skin repair. This study shows that a polysaccharide extracted from the red alga Osmundea pinnatifida (PSOP) can promote angiogenesis and accelerate healing. The structural properties of PSOP were investigated using various techniques, including scanning electron microscopy, X-ray diffraction, Fourier–transform infrared spectroscopy, ultraviolet–-visible spectroscopy, and high-performance liquid chromatography coupled with a refractive index detector. Additionally, the in vitro antioxidant activity of PSOP was evaluated using the reducing power assay, total antioxidant capacity measurement, and DPPH (2,2-diphenyl-1-picrylhydrazyl) free radical scavenging tests. The PSOP extract exhibited significant pro-angiogenic effects in the avian chorioallantoic membrane model. Furthermore, the efficacy of PSOP-based hydrogels for wound healing was assessed in vivo using an excision wound model in Wistar rats. The results indicated accelerated wound healing, increased collagen deposition, and enhanced tissue regeneration. Computational studies suggest that the observed wound healing and pro-angiogenic effects may be attributed to the affinity of the PSOP units for cyclooxygenase-2 and vascular endothelial growth factor. These findings support the potential use of PSOP as a bioactive agent in wound care. Full article
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12 pages, 247 KB  
Article
Synergic Elevation of Systemic Inflammation by the Coexistence of Periodontitis and Diabetes Mellitus: A Nationwide Analysis of Korean Adults
by Hye-Sun Shin
Biomedicines 2025, 13(10), 2441; https://doi.org/10.3390/biomedicines13102441 (registering DOI) - 7 Oct 2025
Abstract
Background/Objectives: This study aimed to evaluate the additive effect of periodontitis and diabetes mellitus on systemic inflammation, measured by high-sensitivity C-reactive protein (hs-CRP), in a nationally representative Korean population. Methods: Data from 3178 adults (≥19 years) in the 2015 Korean National Health and [...] Read more.
Background/Objectives: This study aimed to evaluate the additive effect of periodontitis and diabetes mellitus on systemic inflammation, measured by high-sensitivity C-reactive protein (hs-CRP), in a nationally representative Korean population. Methods: Data from 3178 adults (≥19 years) in the 2015 Korean National Health and Nutrition Examination Survey were analyzed. Periodontitis was assessed using the Community Periodontal Index (CPI), and diabetes mellitus was defined based on clinical criteria. Participants were classified into four groups according to the presence of periodontitis and diabetes. hs-CRP levels were analyzed by quartiles and ADA/CDC cardiovascular risk categories. ANCOVA and multivariable logistic regression, adjusted for socioeconomic status, oral health and health behaviors, and comorbidities, were used to examine the association between coexisting periodontitis and diabetes and elevated hs-CRP. Results: Mean hs-CRP increased progressively from G1 (1.11 ± 0.49 mg/L) to G4 (2.37 ± 0.38 mg/L). After adjustment, G4 retained the highest concentration (2.31 ± 0.39 mg/L) versus G1 (1.37 ± 0.11 mg/L; p = 0.020). High-risk hs-CRP prevalence (>3.0 mg/L) increased nearly threefold across groups (p < 0.001). Similarly, G4 had increased odds of being in the ADA/CDC high-risk category (>3.0 mg/L) (aOR = 2.73, 95% CI: 1.64–4.54), whereas no significant associations were observed for periodontitis or diabetes alone. Conclusions: The coexistence of periodontitis and diabetes mellitus is significantly associated with elevated systemic inflammation, as measured by hs-CRP, suggesting a synergistic effect beyond the impact of either condition alone. Full article
(This article belongs to the Special Issue Advances in Periodontal Disease and Systemic Disease)
20 pages, 2545 KB  
Article
Impacts of Tween-20, Glycerol, and Trehalose on Hyaluronidase Activity: Insights from Microscale Thermophoresis and Capillary Electrophoresis
by Rouba Nasreddine, Josipa Cecić Vidoš, Alexandra Launay and Reine Nehmé
Molecules 2025, 30(19), 4008; https://doi.org/10.3390/molecules30194008 (registering DOI) - 7 Oct 2025
Abstract
Additives such as surfactants (Tween-20) and cryoprotectants (glycerol and trehalose) are often used in enzymatic assays to improve the quality and long-term stabilization of proteins. However, these additives can affect the enzymatic activity and the enzyme’s affinity for active compounds, such as inhibitors, [...] Read more.
Additives such as surfactants (Tween-20) and cryoprotectants (glycerol and trehalose) are often used in enzymatic assays to improve the quality and long-term stabilization of proteins. However, these additives can affect the enzymatic activity and the enzyme’s affinity for active compounds, such as inhibitors, and must be considered during assay design since a slight shift in enzyme behavior may compromise the reliability of the results. In this study, the effects of Tween-20, glycerol, and trehalose on hyaluronidase (Hyal) were systematically evaluated by assessing their influence both directly—through microscale thermophoresis (MST) signals of the labeled enzyme (Hyal*)—and indirectly, by monitoring the formation of the final product of the degradation of hyaluronic acid, tetrasaccharide (Tet), using capillary electrophoresis (CE/UV). Hyal was labeled for the first time with ATTO-647 NHS ester, a commercial dye compatible with MST. Efficient labeling was achieved in a phosphate-based buffer without loss of catalytic activity. Tween-20 showed no impact on MST signals nor on enzymatic performance when used between 0.005 and 0.05% (v/v). Glycerol also did not interfere with MST measurements; however, it significantly reduced catalytic activity at concentrations above 2% (v/v). Trehalose affected Hyal* fluorescence in a concentration-dependent manner and enhanced catalytic activity even at 0.02% (v/v). Full article
(This article belongs to the Special Issue Peptide and Protein-Based Materials: Technology and Applications)
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32 pages, 19967 KB  
Article
Monitoring the Recovery Process After Major Hydrological Disasters with GIS, Change Detection and Open and Free Multi-Sensor Satellite Imagery: Demonstration in Haiti After Hurricane Matthew
by Wilson Andres Velasquez Hurtado and Deodato Tapete
Water 2025, 17(19), 2902; https://doi.org/10.3390/w17192902 (registering DOI) - 7 Oct 2025
Abstract
Recovery from disasters is the complex process requiring coordinated measures to restore infrastructure, services and quality of life. While remote sensing is a well-established means for damage assessment, so far very few studies have shown how satellite imagery can be used by technical [...] Read more.
Recovery from disasters is the complex process requiring coordinated measures to restore infrastructure, services and quality of life. While remote sensing is a well-established means for damage assessment, so far very few studies have shown how satellite imagery can be used by technical officers of affected countries to provide crucial, up-to-date information to monitor the reconstruction progress and natural restoration. To address this gap, the present study proposes a multi-temporal observatory method relying on GIS, change detection techniques and open and free multi-sensor satellite imagery to generate thematic maps documenting, over time, the impact and recovery from hydrological disasters such as hurricanes, tropical storms and induced flooding. The demonstration is carried out with regard to Hurricane Matthew, which struck Haiti in October 2016 and triggered a humanitarian crisis in the Sud and Grand’Anse regions. Synthetic Aperture Radar (SAR) amplitude change detection techniques were applied to pre-, cross- and post-disaster Sentinel-1 image pairs from August 2016 to September 2020, while optical Sentinel-2 images were used for verification and land cover classification. With regard to inundated areas, the analysis allowed us to determine the needed time for water recession and rural plain areas to be reclaimed for agricultural exploitation. With regard to buildings, the cities of Jérémie and Les Cayes were not only the most impacted areas, but also were those where most reconstruction efforts were made. However, some instances of new settlements located in at-risk zones, and thus being susceptible to future hurricanes, were found. This result suggests that the thematic maps can support policy-makers and regulators in reducing risk and making the reconstruction more resilient. Finally, to evaluate the replicability of the proposed method, an example at a country-scale is discussed with regard to the June 2023 flooding event. Full article
(This article belongs to the Special Issue Applications of GIS and Remote Sensing in Hydrology and Hydrogeology)
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24 pages, 3360 KB  
Article
A Modern Ultrasonic Cleaning Tank Developed for the Jewelry Manufacturing Process and Its Cleaning Efficiency
by Chatchapat Chaiaiad, Pawantree Borthai and Jatuporn Thongsri
Inventions 2025, 10(5), 90; https://doi.org/10.3390/inventions10050090 (registering DOI) - 7 Oct 2025
Abstract
This research details the development and evaluation of a Modern Ultrasonic Cleaning Tank (MUCT) designed to enhance cleaning efficiency in jewelry manufacturing, particularly for silver jewelry, replacing the traditional method, which was less efficient and had higher operating costs. The MUCT offers capabilities [...] Read more.
This research details the development and evaluation of a Modern Ultrasonic Cleaning Tank (MUCT) designed to enhance cleaning efficiency in jewelry manufacturing, particularly for silver jewelry, replacing the traditional method, which was less efficient and had higher operating costs. The MUCT offers capabilities of single- or dual-frequency ultrasonic operation (28 kHz and 40 kHz) and adjustable transducer positioning. An advanced method involving computer simulations, utilizing harmonic response analysis and transient dynamic analysis, was employed to determine the acoustic pressure inside the MUCT, thereby indicating the cavitation intensity required to achieve high cleaning efficiency. Simulation results confirm that this design can distribute acoustic pressure throughout the MUCT, as intended. A prototype MUCT was assembled, and its operation was validated through foil corrosion tests, ultrasonic power concentration (UPC) measurements, and jewelry cleaning tests. The results revealed that the MUCT’s center provided the maximum UPC of 28 W/L and an acoustic pressure of 30.43 MPa, effectively operating at single and dual frequencies, and achieving superior dirt removal. The highest cleaning efficiency of 100% was achieved using dual frequency with a 97% water and 3% dishwashing liquid mixture at 60 °C, exceeding the 23.52% obtained with water at 27 °C without ultrasonic treatment. The MUCT, successfully integrated into the manufacturing process, offers customizable features to meet various cleaning needs, providing flexibility, improved performance, and cost savings. Full article
(This article belongs to the Section Inventions and Innovation in Advanced Manufacturing)
12 pages, 806 KB  
Article
Stability Studies of Clonazepam 2.5 mg/mL Oral Solution and 1 mg/mL Parenteral Solution in Pre-Filled Polypropylene Syringes
by Juan Carlos Ruiz Ramirez, Icram Talsi Hamdani, Laura Bermúdez Gazquez, Alice Charlotte Viney and José M. Alonso Herreros
Pharmaceutics 2025, 17(10), 1302; https://doi.org/10.3390/pharmaceutics17101302 (registering DOI) - 7 Oct 2025
Abstract
Background: Clonazepam is a benzodiazepine drug indicated in all clinical forms of epileptic seizures, various forms of myoclonic seizures, myoclonus and other abnormal movements. At present, it is classified as a hazardous drug requiring special precautions for personnel at reproductive risk, according to [...] Read more.
Background: Clonazepam is a benzodiazepine drug indicated in all clinical forms of epileptic seizures, various forms of myoclonic seizures, myoclonus and other abnormal movements. At present, it is classified as a hazardous drug requiring special precautions for personnel at reproductive risk, according to a technical document produced by the Spanish National Institute for Safety and Health at Work (INSST), in collaboration with the Spanish Society of Hospital Pharmacy (SEFH). The commercial solutions of clonazepam, for oral and parenteral administration, are supplied by laboratories in glass containers. Repacking in pre-filled polypropylene (PP) syringes, made in the pharmacy service, and in aseptic conditions, may facilitate its administration and reduce the risks to the health or safety of nursing personnel. Nevertheless, there is a lack of stability studies of clonazepam in pre-filled PP syringes. Objectives: To evaluate the physicochemical stability of commercial clonazepam 2.5 mg/mL oral solution and 1 mg/mL parenteral solution repackaged in pre-filled PP syringes under various storage conditions. Methods: A rapid, linear, precise and sensitive high-performance liquid chromatography (HPLC) method for chemical stability studies of Clonazepam 1 mg/mL (parenteral use) and 2.5 mg/mL (oral use) in solution was implemented after repackaging in pre-filled PP syringes. The studies were conducted by measuring concentrations of oral and parenteral clonazepam in pre-filled syringes, at various time points, over 30 days in several different storage conditions: oral clonazepam protected from light in refrigerator and at controlled room temperature exposed to ambient light; parenteral clonazepam protected from light in a refrigerator and at controlled room temperature protected or unprotected from light. Visual aspects and pH change as well as crystal formation were checked to determine physical stability. Results: The degradation of the active ingredient in all groups was less than 10% after 30 days. No evidence of crystal formation, pH and visual aspect changes were observed. Conclusions: Clonazepam 1 mg/mL parenteral solution and 2.5 mg/mL oral solution in pre-filled PP syringes are stable for up to 30 days in the tested conditions. The centralized repackaging of clonazepam in pre-filled PP syringes, connected to a closed safety system, in the pharmacy service, reduces drug manipulation by nursing staff decreasing the risk of occupational exposure. Full article
(This article belongs to the Section Physical Pharmacy and Formulation)
19 pages, 586 KB  
Article
Assessment of Environmental and Human Health Risks from Heavy Metal Contamination in Community Garden Soils Affected by an Industrial Fire Hazard in New Brunswick, Canada
by Hassan Ikrema, Innocent Mugudamani and Saheed Adeyinka Oke
Environments 2025, 12(10), 362; https://doi.org/10.3390/environments12100362 (registering DOI) - 7 Oct 2025
Abstract
Urban community gardens are valued for promoting sustainable food production, yet the accumulation of toxic heavy metals in city soils can present both ecological and public health risks. Therefore, this study was aimed at assessing the environmental and health risks of toxic heavy [...] Read more.
Urban community gardens are valued for promoting sustainable food production, yet the accumulation of toxic heavy metals in city soils can present both ecological and public health risks. Therefore, this study was aimed at assessing the environmental and health risks of toxic heavy metals in community gardens soil contaminated by an industrial fire hazard in New Brunswick, Canada. Both top and subsoil soil samples were collected at Carleton community garden. The collected samples were examined for toxic heavy metals using inductively coupled plasma optical emission spectrometry and inductively coupled plasma mass spectrometry. Ecological risks were evaluated through the ecological risk factor and the potential ecological risk index, while human health risks were determined using a standard human health risk assessment approach. The mean concentration of Pb, Zn, Cu, and Sn exceeded permissible limits when compared to the Canadian soil quality guidelines and upper continental crust values. Findings from the ecological risk assessment showed that all metals were associated with low risk, except for nickel, which posed a high ecological risk across both soil layers. PERI results revealed a low overall ecological threat. The human health risk analysis indicated that children could face non-carcinogenic and carcinogenic risks from As exposure, while adults were not at risk from any of the studied metals. These findings identify arsenic as the primary contaminant of concern, with children representing the most vulnerable population, emphasizing the necessity for targeted mitigation strategies and protective measures to reduce their exposure. The results of this study can inform interventions aimed at safeguarding both environmental and public health, while also raising awareness about the presence and risks of toxic heavy metals, ultimately contributing to the protection of human health and the broader ecosystem. Full article
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31 pages, 19755 KB  
Article
Impact of Climate Change and Other Disasters on Coastal Cultural Heritage: An Example from Greece
by Chryssy Potsiou, Sofia Basiouka, Styliani Verykokou, Denis Istrati, Sofia Soile, Marcos Julien Alexopoulos and Charalabos Ioannidis
Land 2025, 14(10), 2007; https://doi.org/10.3390/land14102007 (registering DOI) - 7 Oct 2025
Abstract
Protection of coastal cultural heritage is among the most urgent global priorities, as these sites face increasing threats from climate change, sea level rise, and human activity. This study emphasises the value of innovative geospatial tools and data ecosystems for timely risk assessment. [...] Read more.
Protection of coastal cultural heritage is among the most urgent global priorities, as these sites face increasing threats from climate change, sea level rise, and human activity. This study emphasises the value of innovative geospatial tools and data ecosystems for timely risk assessment. The role of land administration systems, geospatial documentation of coastal cultural heritage sites, and the adoption of innovative techniques that combine various methodologies is crucial for timely action. The coastal management infrastructure in Greece is presented, outlining the key public authorities and national legislation, as well as the land administration and geospatial ecosystems and the various available geospatial ecosystems. We profile the Hellenic Cadastre and the Hellenic Archaeological Cadastre along with open geospatial resources, and introduce TRIQUETRA Decision Support System (DSS), produced through the EU’s Horizon project, and a Digital Twin methodology for hazard identification, quantification, and mitigation. Particular emphasis is given to the role of Digital Twin technology, which acts as a continuously updated virtual replica of coastal cultural heritage sites, integrating heterogeneous geospatial datasets such as cadastral information, photogrammetric 3D models, climate projections, and hazard simulations, allowing for stakeholders to test future scenarios of sea level rise, flooding, and erosion, offering an advanced tool for resilience planning. The approach is validated at the coastal archaeological site of Aegina Kolona, where a UAV-based SfM-MVS survey produced using high-resolution photogrammetric outputs, including a dense point cloud exceeding 60 million points, a 5 cm resolution Digital Surface Model, high-resolution orthomosaics with a ground sampling distance of 1 cm and 2.5 cm, and a textured 3D model using more than 6000 nadir and oblique images. These products provided a geospatial infrastructure for flood risk assessment under extreme rainfall events, following a multi-scale hydrologic–hydraulic modelling framework. Island-scale simulations using a 5 m Digital Elevation Model (DEM) were coupled with site-scale modelling based on the high-resolution UAV-derived DEM, allowing for the nested evaluation of water flow, inundation extents, and velocity patterns. This approach revealed spatially variable flood impacts on individual structures, highlighted the sensitivity of the results to watershed delineation and model resolution, and identified critical intervention windows for temporary protection measures. We conclude that integrating land administration systems, open geospatial data, and Digital Twin technology provides a practical pathway to proactive and efficient management, increasing resilience for coastal heritage against climate change threats. Full article
(This article belongs to the Special Issue Land Modifications and Impacts on Coastal Areas, Second Edition)
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22 pages, 2521 KB  
Article
The Remediation of Arsenic-Contaminated Soil by Pteris vittata L. Facilitates the Recovery of Soil Bacterial Diversity and Network Complexity
by Feng Li, Jinhua Liu, Tao Tian, Bin Deng and Haifeng Xiao
Microorganisms 2025, 13(10), 2316; https://doi.org/10.3390/microorganisms13102316 (registering DOI) - 7 Oct 2025
Abstract
The remediation of contaminated soils is essential for restoring land productivity and soil health. Pteris vittata L., an arsenic hyperaccumulator, has been widely used for phytoremediation, yet its ecological effects on soil systems remain insufficiently understood. In this field study, we evaluated the [...] Read more.
The remediation of contaminated soils is essential for restoring land productivity and soil health. Pteris vittata L., an arsenic hyperaccumulator, has been widely used for phytoremediation, yet its ecological effects on soil systems remain insufficiently understood. In this field study, we evaluated the influence of Pteris vittata L. remediation on soil physico-chemical properties, microbial diversity, and molecular ecological networks. The results showed that long-term arsenic contamination significantly reduced soil total carbon, total nitrogen, and available phosphorus, simplified bacterial network structures, and markedly altered the keystone taxa that maintain microbial interactions. In contrast, soils under Pteris vittata L. remediation exhibited higher nutrient availability, greater bacterial diversity, and more complex microbial networks than contaminated soils, indicating partial recovery of ecosystem functions. These findings demonstrate that Pteris vittata L. remediation can mitigate arsenic-induced soil degradation and provide an important scientific basis for assessing the long-term impacts of arsenic contamination and the role of remediation measures in soil health evolution. Full article
(This article belongs to the Topic Recent Advances in Soil Health Management)
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30 pages, 1312 KB  
Review
Neurofilament Biomarkers in Neurology: From Neuroinflammation to Neurodegeneration, Bridging Established and Novel Analytical Advances with Clinical Practice
by Ariadne Daponte, Christos Koros, Charalampos Skarlis, Daphne Siozios, Michail Rentzos, Sokratis G. Papageorgiou and Maria Anagnostouli
Int. J. Mol. Sci. 2025, 26(19), 9739; https://doi.org/10.3390/ijms26199739 (registering DOI) - 7 Oct 2025
Abstract
Neuroaxonal damage underlies permanent disability in various neurological conditions, both neuroautoimmune and neurodegenerative. It is crucial to accurately quantify and monitor axonal injury using biomarkers to evaluate disease progression and treatment effectiveness and offer prognostic insights. Neurofilaments (NFs), and especially neurofilament light chain [...] Read more.
Neuroaxonal damage underlies permanent disability in various neurological conditions, both neuroautoimmune and neurodegenerative. It is crucial to accurately quantify and monitor axonal injury using biomarkers to evaluate disease progression and treatment effectiveness and offer prognostic insights. Neurofilaments (NFs), and especially neurofilament light chain (NfL), show promise for this purpose, as their levels increase with neuroaxonal damage in both cerebrospinal fluid and blood, independent of specific causal pathways. Recent advances in ultrasensitive immunoassays enable the reliable detection of NFs in blood, transforming them from research tools into clinically applicable measures. In multiple sclerosis (MS), serum NfL correlates with disease activity, treatment response, and long-term disability, and may complement MRI in monitoring subclinical progression. In MS, NfL is primarily emerging as a marker of disease activity and treatment response; in amyotrophic lateral sclerosis (ALS), it has progressed further, being integrated into clinical trials as a pharmacodynamic endpoint and considered by regulatory agencies as a drug development tool. Additionally, NFs are increasingly being investigated in Alzheimer’s disease, frontotemporal dementia, and other neurodegenerative disorders, though their disease specificity is limited. Ongoing challenges include older and novel assay harmonization, normative range interpretation, biological and analytical variability, and integration with other molecular and imaging biomarkers. This critical narrative review synthesizes the existing literature on NFs as diagnostic, prognostic, predictive, and pharmacodynamic biomarkers and discusses their role in therapeutic development and precision medicine in neuroautoimmune and neurodegenerative diseases. Full article
(This article belongs to the Section Molecular Neurobiology)
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14 pages, 1580 KB  
Technical Note
Mitigating Head Position Bias in Perivascular Fluid Imaging: LD-ALPS, a Novel Method for DTI-ALPS Calculation
by Ford Burles, Emily Sallis, Daniel C. Kopala-Sibley and Giuseppe Iaria
NeuroSci 2025, 6(4), 101; https://doi.org/10.3390/neurosci6040101 - 7 Oct 2025
Abstract
Background/Objectives: The glymphatic system is a recently characterized glial-dependent waste clearance pathway in the brain, which makes use of perivascular spaces for cerebrospinal fluid exchange. Diffusion tensor imaging analysis along the perivascular space (DTI-ALPS) offers a non-invasive method for estimating perivascular flow, but [...] Read more.
Background/Objectives: The glymphatic system is a recently characterized glial-dependent waste clearance pathway in the brain, which makes use of perivascular spaces for cerebrospinal fluid exchange. Diffusion tensor imaging analysis along the perivascular space (DTI-ALPS) offers a non-invasive method for estimating perivascular flow, but its biological specificity and susceptibility to methodological variation, particularly head position during MRI acquisition, remain as threats to the validity of this technique. This study aimed to assess the prevalence of current DTI-ALPS practices, evaluate the impact of head orientation on ALPS index calculation, and propose a novel computational approach to improve measurement validity. Methods: We briefly reviewed DTI-ALPS literature to determine the use of head-orientation correction strategies. We then analyzed diffusion MRI data from 172 participants in the Alzheimer’s Disease Neuroimaging Initiative (ADNI) to quantify the influence of head orientation on ALPS indices computed using the conventional Unrotated-ALPS, a vecrec-corrected ALPS, and the new LD-ALPS method proposed within. Results: A majority of studies employed Unrotated-ALPS, which does not correct for head orientation. In our sample, Unrotated-ALPS values were significantly associated with absolute head pitch (r169 = −0.513, p < 0.001), indicating systematic bias. This relationship was eliminated using either vecreg or LD-ALPS. Additionally, LD-ALPS showed more sensitivity to cognitive status as measured by Mini-Mental State Examination scores. Conclusions: Correcting for head orientation is essential in DTI-ALPS studies. The LD-ALPS method, while computationally more demanding, improves the reliability and sensitivity of perivascular fluid estimates, supporting its use in future research on aging and neurodegeneration. Full article
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12 pages, 1003 KB  
Article
Ultrasound-Guided Percutaneous Versus Open A1 Pulley Release for Trigger Finger: A Randomized Controlled Trial
by Süleyman Kaan Öner, Nihat Demirhan Demirkiran, Turan Cihan Dulgeroglu, Sabit Numan Kuyubasi, Suleyman Kozlu and Selçuk Yılmaz
J. Clin. Med. 2025, 14(19), 7064; https://doi.org/10.3390/jcm14197064 - 7 Oct 2025
Abstract
Background/Objectives: Trigger finger is a common cause of hand pain and functional limitation. Although open A1 pulley release remains the standard surgical treatment, ultrasound-guided percutaneous needle release (UGPR) has emerged as a minimally invasive alternative. This study aimed to compare the clinical [...] Read more.
Background/Objectives: Trigger finger is a common cause of hand pain and functional limitation. Although open A1 pulley release remains the standard surgical treatment, ultrasound-guided percutaneous needle release (UGPR) has emerged as a minimally invasive alternative. This study aimed to compare the clinical effectiveness and safety of UGPR with open surgery. Methods: In this prospective, randomized controlled trial, 146 patients with Green stage 2–4 trigger finger were randomly assigned to UGPR (n = 75) or open release (n = 71). Pain (VAS), functional status (QuickDASH), and symptom severity (Nirschl Phase Rating) were assessed preoperatively and at postoperative day 3, 1, 6, and 12 months. Grip strength was measured with a digital pinchmeter, and ultrasonographic evaluation of A1 pulley and flexor tendon thickness was performed preoperatively and at 12 months. Subgroup analyses were conducted to address the imbalance in thumb distribution. Results: Both groups showed significant postoperative improvements in VAS, QuickDASH, and Nirschl scores (p < 0.05 for intragroup comparisons), with no significant differences between groups at 12 months (p > 0.05). At the one-year follow-up, grip strength was significantly greater in the UGPR group (p = 0.008). Ultrasonographic evaluation revealed greater MCP tendon thickness in UGPR, without clinical impact. Subgroup analyses confirmed comparable functional outcomes in thumb-only and non-thumb cases. Four revisions occurred in the UGPR group (incomplete release, recurrent tenosynovitis, flexor tendon rupture, and neurovascular injury), while none were observed in the open group. Conclusions: UGPR and open release provide comparable long-term outcomes in the treatment of trigger finger. UGPR offers the advantages of being minimally invasive and preserving grip strength, although it carries a small risk of incomplete release and procedure-related complications. Patient preference, surgeon expertise, and digit type should guide treatment selection. Full article
(This article belongs to the Special Issue Hand Surgery: Latest Advances and Prospects)
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14 pages, 1263 KB  
Article
Impact of 6 MV-LINAC Radiation on Lymphocyte Phenotypes and Cytokine Profiles
by Papichaya Yudech, Wisawa Phongprapun, Pittaya Dankulchai, Duangporn Polpanich, Abdelhamid Elaissari, Rujira Wanotayan and Kulachart Jangpatarapongsa
Radiation 2025, 5(4), 29; https://doi.org/10.3390/radiation5040029 - 7 Oct 2025
Abstract
Radiotherapy employs high-energy X-rays to precisely target tumor tissues while minimizing damage to the surrounding healthy structures. Although its clinical efficacy is well established, the immunomodulatory effects of ionizing radiation remain complex and context-dependent. This study investigated the biological effects of radiotherapeutic doses [...] Read more.
Radiotherapy employs high-energy X-rays to precisely target tumor tissues while minimizing damage to the surrounding healthy structures. Although its clinical efficacy is well established, the immunomodulatory effects of ionizing radiation remain complex and context-dependent. This study investigated the biological effects of radiotherapeutic doses on immune cells by evaluating lymphocyte viability, phenotypic profiles, and cytokine expression levels. Peripheral blood mononuclear cells (PBMCs) were isolated from six healthy donors and irradiated with 0, 2, or 6 Gy using a 6 MV linear accelerator (LINAC). Dose validation with an ionization chamber demonstrated strong agreement between estimated and measured values (intraclass correlation coefficient = 1, 95% CI). Immune subsets, including T cells (CD3+), helper T cells (CD3+CD4+), cytotoxic T cells (CD3+CD8+), regulatory T cells (CD3+CD4+Foxp3+), and natural killer (CD3-CD56+) cells, along with intracellular cytokines interleukin-12 (IL-12) and interferon-gamma (IFN-γ), were analyzed via flow cytometry at multiple time points. The results showed a significant, dose-dependent decline in overall lymphocyte viability (p < 0.01) compared to control. Cytotoxic T cells were the most radiosensitive, followed by helper and regulatory T cells, while NK cells were the most radioresistant. IL-12 expression initially increased post-irradiation, while IFN-γ levels remained variable. These findings demonstrate that radiation induces distinct alterations in immune phenotypes and cytokine profiles, which may shape the immune response. Immune profiling following irradiation may therefore provide valuable insights for optimizing combination strategies that integrate radiotherapy and immunotherapy in cancer treatment. Full article
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12 pages, 1163 KB  
Article
Sensor Input Type and Location Influence Outdoor Running Terrain Classification via Deep Learning Approaches
by Gabrielle Thibault, Philippe C. Dixon and David J. Pearsall
Sensors 2025, 25(19), 6203; https://doi.org/10.3390/s25196203 - 7 Oct 2025
Abstract
Background/Objective: Understanding the training effect in high-level running is important for performance optimization and injury prevention. This includes awareness of how different running surface types (e.g., hard versus soft) may modify biomechanics. Recent studies have demonstrated that deep learning algorithms, such as convolutional [...] Read more.
Background/Objective: Understanding the training effect in high-level running is important for performance optimization and injury prevention. This includes awareness of how different running surface types (e.g., hard versus soft) may modify biomechanics. Recent studies have demonstrated that deep learning algorithms, such as convolutional neural networks (CNNs), can accurately classify human activity collected via body-worn sensors. To date, no study has assessed optimal signal type, sensor location, and model architecture to classify running surfaces. This study aimed to determine which combination of signal type, sensor location, and CNN architecture would yield the highest accuracy in classifying grass and asphalt surfaces using inertial measurement unit (IMU) sensors. Methods: Running data were collected from forty participants (27.4 years + 7.8 SD, 10.5 ± 7.3 SD years of running) with a full-body IMU system (head, sternum, pelvis, upper legs, lower legs, feet, and arms) on grass and asphalt outdoor surfaces. Performance (accuracy) for signal type (acceleration and angular velocity), sensor configuration (full body, lower body, pelvis, and feet), and CNN model architecture was tested for this specific task. Moreover, the effect of preprocessing steps (separating into running cycles and amplitude normalization) and two different data splitting protocols (leave-n-subject-out and subject-dependent split) was evaluated. Results: In general, acceleration signals improved classification results compared to angular velocity (3.8%). Moreover, the foot sensor configuration had the best performance-to-number of sensor ratio (95.5% accuracy). Finally, separating trials into gait cycles and not normalizing the raw signals improved accuracy by approximately 28%. Conclusion: This analysis sheds light on the important parameters to consider when developing machine learning classifiers in the human activity recognition field. A surface classification tool could provide useful quantitative feedback to athletes and coaches in terms of running technique effort on varied terrain surfaces, improve training personalization, prevent injuries, and improve performance. Full article
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13 pages, 1190 KB  
Article
1H NMR Relaxation Processes in Lung Tissues at Low Magnetic Fields
by Karol Kołodziejski, Farman Ullah, Łukasz Klepacki, Jerzy Gielecki and Danuta Kruk
Molecules 2025, 30(19), 4002; https://doi.org/10.3390/molecules30194002 - 7 Oct 2025
Abstract
Proton spin–lattice and spin–spin NMR relaxation studies were conducted on lung tissue samples from 10 patients. For each case, relaxation properties of tumor tissue were compared with those of the corresponding reference tissue. The spin–lattice relaxation measurements were performed over a wide frequency [...] Read more.
Proton spin–lattice and spin–spin NMR relaxation studies were conducted on lung tissue samples from 10 patients. For each case, relaxation properties of tumor tissue were compared with those of the corresponding reference tissue. The spin–lattice relaxation measurements were performed over a wide frequency range, from 10 kHz to 10 MHz, spanning three orders of magnitude. These were complemented by both spin–lattice and spin–spin relaxation data acquired at 18.7 MHz. Notably, the spin–spin relaxation process exhibited a bi-exponential character. This relaxation behavior was quantitatively analyzed using dedicated models to achieve two main goals: to evaluate the diagnostic potential of low-field NMR relaxometry, and to gain insights into the dynamics of water and macromolecules in tissue, in comparison with aqueous solutions of proteins and polymers. The frequency dependence of the spin–lattice relaxation rates was well described by a power-law function, with an exponent of approximately 0.3 closely matching the theoretical prediction for reptation dynamics in polymer systems, associated with the intermolecular relaxation contribution. The combined analysis of spin–lattice and spin–spin relaxation data revealed specific parameters (such as ratios between the relaxation rates or between the amplitudes of individual relaxation components) that can be considered as potential markers of pathological changes affecting molecular dynamics in tissues. Full article
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