Search Results (11,548)

Background/Objectives: Intermittent parathyroid hormone (PTH) administration increases bone quantity. Existing animal studies have revealed improvements in tissue healing around implants after PTH administration. It is still unclear whether PTH has a beneficial short-term effect on the early healing of bone and soft tissue around implants in individuals with osteoporosis. The current study aims to examine whether short-term intermittent PTH administration accelerates and improves early tissue healing around implants in ovariectomized rats. Methods: Ovariectomized rats received implants at the healed sites of extracted maxillary first molar sockets 12 weeks after the ovariectomy surgery. A daily dose of PTH was subcutaneously administered in the test group, whereas saline was administered for the control group. Long bones and maxillae were harvested 1 week after PTH administration. The following criteria were assessed: quantity and quality of long bones and peri-implant bone, bone healing around the implants, and soft tissue healing. Results: PTH significantly increased the bone parameters of long bones. Moreover, the bone volume around the implant increased significantly compared to controls. Improved bone quality was indicated through PTH administration by increased numbers of osteoblasts and osteoclasts, as well as decreased quantities of sclerostin + osteocytes. Furthermore, PTH administration significantly improved soft tissue healing, promoted collagen production and angiogenesis, and increased the numbers of macrophages in the connective tissue around the implants. Conclusions: Short-term intermittent PTH administration significantly accelerates soft tissue healing, which could lead to enhanced early osseous healing and bone formation around implants. Thus, Intermittent PTH administration might be considered as an available treatment modality for dental implants in osteoporosis patients. Full article

As drone technologies advance, there is an increasing need for structural components that are lightweight, durable, and easily replaceable. Additive manufacturing (AM) with PLA offers a cost-effective solution to improve mechanical performance, especially when enhanced with embedded metal inserts. However, the long-term durability of PLA–metal joints under environmental aging conditions remains underexplored. This study evaluates the mechanical integrity of 3D-printed PLA drone arms produced with reduced infill density with embedded brass inserts. To replicate realistic service conditions, the samples underwent natural aging and five artificial aging protocols involving thermal cycling, humidity, UV/IR exposure, and freeze–thaw cycles. Mechanical performance was assessed through pull-out and tensile strength testing, supported by FTIR spectroscopy, colorimetric, wettability analysis, and finite element modeling. Notably, to our knowledge, wettability analysis has not previously been applied to this type of material, and metal–plastic contact zones have not been tested under such comprehensive aging protocols. Results showed a 70% reduction in pull-out strength under harsh conditions, though the joints remained functional. Numerical modeling confirmed that stress concentration begins on the inner side of the arm. With optimal print settings, the arm can support a 2.31 kg payload (20% confidence), while the metal inserts withstand up to 17.9 kg. Full article

This case study presents the long-term management of a 14-year-old male diagnosed with 18q deletion syndrome, also known as de Grouchy Syndrome, highlighting the challenges of treating rare chromosomal disorders in rural Romania. Background and Clinical Significance: 18q deletion syndrome, also known as de Grouchy syndrome, is a chromosomal disorder caused by the deletion of a part of the long arm of chromosome 18. This syndrome is seen in one out of 10,000 live births. The main features of the syndrome are short stature, hearing loss, hypotonia, mental retardation, endocrine disorders, and autoimmunity. Case Presentation: The patient’s condition was initially suspected at birth due to abnormal features and was later confirmed through genetic testing, revealing a 46,XY,del(18) karyotype. Key clinical features include craniofacial dysmorphism, delayed growth, congenital cardiac anomalies, developmental delay, severe neurological impairment, and multiple comorbidities such as endocrine dysfunction, dental anomalies, and orthopedic deformities. Despite early interventions such as cardiac surgery, the patient’s management has been challenged by limited access to specialized care. Conclusions: The case underscores the importance of timely genetic testing, early multidisciplinary care, and the role of family support in managing complex disorders. This report also addresses the gaps in healthcare accessibility in rural settings and emphasizes the need for improved infrastructure and genetic services. By comparing this case with the existing literature, the study explores the variability in clinical presentations of 18q deletion syndrome and advocates for more precise genetic testing to better understand its phenotypic spectrum. The patient’s ongoing challenges with medical and socio-economic factors emphasize the critical need for coordinated care and family support in managing rare genetic conditions. Full article

Tissue preservation plays an essential role in biomedical research and histopathological applications. Traditional methods, despite their efficiency, are associated with compromised long-term tissue integrity and probable ecotoxicities. This study explores the application of silver nanoparticles (AgNPs), known for their antimicrobial properties, as a potential tissue preservative. In this work, AgNPs were synthesized via a chemical reduction method. Heart, liver, and kidney tissues were obtained from BALB/c mice and preserved using 10% neutral buffered formalin (NBF) and AgNPs solution for 72 h. Preservation efficiency was assessed by quantifying and measuring DNA and RNA integrity, evaluating protein stability, and conducting histopathological examinations. This study aimed to compare the performance of AgNPs against 10% NBF across these parameters to determine their suitability as an alternative fixative. Our results showed that AgNPs solution maintained consistent DNA, RNA, and protein concentrations/quality across all tissues over 72 h, whereas formalin treatment led to degradation over time. Conversely, 10% NBF demonstrated better preservation of tissue morphology. These results highlighted the differential strengths of each fixative, with AgNPs excelling in molecular preservation and NBF in structural integrity. Overall, AgNPs exhibited superior qualitative and quantitative preservation of nucleic acids and intracellular proteins, indicating their potential as an alternative to formalin for molecular testing. Despite their demonstrated efficacy in biomolecular preservation, further studies are needed to optimize tissue morphology preservation. Full article

This study investigates membrane fouling control in a submerged anaerobic ceramic membrane bioreactor (AnCMBR) treating high-strength food wastewater (chemical oxygen demand (COD): 10–30 g/L). A hybrid strategy combining mechanical cleaning via a moving rubber blade (MRB) (termed anaerobic ceramic blade MBR (AnCBMBR)) with intermittent salt-assisted backwash (SAB) was tested to manage transmembrane pressure (TMP) and sustain treatment performance. During more than 300 days of field operation, MRB alone maintained stable TMP below 0.15 kg_f/cm² without backwashing, achieving more than 90% COD removal at a very short hydraulic retention time (HRT) of 1–2 days. Introducing intermittent SAB further stabilized operations and enhanced total phosphorus (T-P) removal by facilitating struvite formation through the interaction of MgCl₂ and phosphorus in the reactor. The AnCBMBR system demonstrated reliable, long-term fouling control and treatment efficiency, even under high organic loads, proving its viability for small-scale facilities managing concentrated food wastewater. This study advances practical strategies for sustainable anaerobic MBR operation under challenging industrial conditions. Full article

Introduction: While influenza-associated encephalopathy (IAE) in children remains a serious concern, recent evidence suggests a shift in its epidemiology, with a possible decline in incidence and severity over time. Methods: This retrospective review includes patients aged 0–18 admitted to a tertiary hospital in Northern Italy between November 2023 and February 2025. Inclusion criteria were a positive influenza test, influenza-like symptoms, and neurological involvement. Findings are interpreted alongside current literature. Results: Twenty-five unvaccinated children met criteria for IAE (11 in 2023/24; 14 in 2024/25). Neurological comorbidities were present in 40%. All patients had pathological EEGs. Lumbar puncture was performed in 40%, with abnormalities in 33%. Brain imaging was conducted in 56% of cases, revealing findings in 15%. All received oseltamivir; 60% were also treated with dexamethasone. Severe complications occurred in 16%, while 12% had persistent symptoms or required therapy at discharge. After adjusting for seasonal peak timing, no significant inter-seasonal difference was observed. Discussion: Although IAE continues to present serious risks, recent trends suggest a changing burden. The lack of vaccination among cases underscores the need for prevention. Study limitations include its single-center design and the absence of long-term follow-up. Broader prospective studies are needed. Full article

There is no doubt that additive manufacturing (AM) with mortars presents an opportunity within the framework of a circular economy that should not be overlooked. The concepts of reduce, reuse, and recycle are fully aligned with this technology. One of the less explored possibilities is the utilisation of mining tailings as aggregates in printing mortars. This idea not only incorporates the concept of recycling but also contributes to a reduction in the production of potentially hazardous waste that would otherwise require storage in dams, thereby decreasing long-term environmental risks and improving the management of mineral resources. We employed a mortar composed of 12.5% material derived from mining tailings to highlight aspects of AM that are typically not subject to analysis, such as the necessity of considering contact interfaces between layers in structural design, the stackability of layers during the construction process, and the behaviour under fire and seismic events, which must be taken into account during the operational phase. Without aiming for exhaustiveness, we conducted a series of tests and computational modelling to show the significance of these factors, with the intention of drawing the attention of different stakeholders—including construction companies, regulatory authorities, standardisation agencies, insurers, and end-users. Full article

This study presents a predictive model for the surface deterioration of construction materials exposed to climatic conditions. The model is applied to Santa Pudia calcarenite, the primary construction material used in the heritage buildings of Granada, Spain. Input data on material recession was obtained by using photogrammetric observations. Deterioration was measured in three heritage buildings located in different climatic zones. The methodology proposed enables the deterioration rate of building materials under specific climate conditions to be estimated by exclusively using photogrammetric data. The method was also validated in laboratory tests. The results can be applied to structural analysis and the long-term assessment of cultural heritage vulnerability in the context of future climate change. Notably, the findings indicate that in the case of Santa Pudia calcarenite, global warming slows down the deterioration process. Full article

Background: Liver transplantation has become the standard of care for patients with end-stage liver disease. Despite advances in surgical techniques, immunosuppression, and perioperative care, disparities in access and outcomes persist across demographic and socioeconomic lines. Objective: To assess trends and disparities in liver transplant admissions in the United States from 2016 to 2021, examining demographic patterns, in-hospital mortality, hospital charges, length of stay, and socioeconomic factors. Methods: Using the National Inpatient Sample (NIS) from 2016 to 2021, we identified liver transplant admissions using ICD-10 PCS codes 0FY00Z1 and 0FY00Z2. Demographic characteristics (age, sex, race, insurance status, and income quartile), clinical outcomes, and resource utilization metrics were analyzed. One-way ANOVA and Hensel’s test were used to assess variance and distribution homogeneity, with a significance threshold of p < 0.05. Results: A total of 9677 liver transplant admissions were analyzed. The mean recipient age remained stable (51–52 years), with males comprising ~62% of transplants. White patients constituted the largest group of recipients (~66–68%), followed by Hispanic (~14–17%) and Black patients (~7–10%). The proportion of transplants relative to liver failure admissions remained stable across racial groups, indicating no widening racial gap during the study period. In-hospital mortality post-transplant remained low (2.37–3.52%) and did not differ significantly by race (p = 0.23), sex (p = 0.24), or income quartile (p = 0.13). Similarly, Charlson Comorbidity Index > 5 did not predict inpatient mortality (p = 0.154). Hospital charges ranged from $578,000 to $766,000, with an average stay of ~21 days. Conclusions: Liver transplantation outcomes, including in-hospital mortality, appear consistent across demographic and socioeconomic groups once patients are admitted for transplant. However, broader disparities in access persist, necessitating further research into pre-transplant barriers and long-term outcomes. These findings support the need for equitable healthcare strategies aimed at optimizing transplant candidacy and survival across all populations. Full article

Frequency regulation (FR) constitutes a fundamental aspect of power system stability, particularly in the context of the growing integration of intermittent renewable energy sources (RES) and electric vehicles (EVs). The load frequency control (LFC) mechanism, essential for achieving FR, is increasingly reliant on communication infrastructures that are inherently vulnerable to cyber threats. Cyberattacks targeting these communication links can severely compromise coordination among smart grid components, resulting in erroneous control actions that jeopardize the security and stability of the power system. In light of these concerns, this study proposes a cyber-physical LFC framework incorporating a fuzzy linear active disturbance rejection controller (F-LADRC), wherein the controller parameters are systematically optimized using the quasi-opposition-based reptile search algorithm (QORSA). Furthermore, the proposed approach integrates a comprehensive cyberattack detection and prevention scheme, employing Haar wavelet transforms for anomaly detection and long short-term memory (LSTM) networks for predictive mitigation. The effectiveness of the proposed methodology is validated through simulations conducted on a restructured power system integrating RES and EVs, as well as a modified IEEE 39-bus test system. The simulation outcomes substantiate the capability of the proposed framework to deliver robust and resilient frequency regulation, maintaining system frequency and tie-line power fluctuations within nominal operational thresholds, even under adverse cyberattack scenarios. Full article

One of the hallmarks of cancer cells is their failure to respond to the cellular mechanism of apoptosis. The B-cell lymphoma 2 (BCL-2) family of proteins regulate apoptosis. Their ability to do so can be measured using several methods that in turn anticipate the fate of the cancer cell in response to apoptosis-inducing treatment. These assays ultimately identify the readiness of the cancer cell to undergo apoptosis, which is referred to as the mitochondrial priming state. These metrics, however, have been challenging to implement in the clinic. Methods: Here, we describe a unique method that relies on a panel of novel conformation-specific antibodies (termed PRIMAB) that can directly measure the mitochondrial priming state. These reagents are highly specific for complexes of their corresponding pro-survival protein interactions with the pro-apoptotic protein BIM. These BIM-containing heterodimeric complexes have long been established as hallmarks of primed cancer cells. Results: Using clinically amenable assay formats, PRIMABs were shown to detect the presence of these anti-apoptotic–pro-apoptotic complexes and their disruption by BH3-mimetic drugs. Moreover, PRIMABs were able to detect a shift in priming status following BH3-mimetic treatment, a factor associated with resistance to these drugs. In a panel of AML patient samples, we report a wide range of priming levels for each PRIMAB complex, demonstrating the potential for heterogeneity in responses. We also show that PRIMABs could be predictive of outcomes for AML patients following cytarabine-based treatment. Conclusions: PRIMABs provide novel and useful tools for cancer research and for clinical implementation as reagents providing predictive tests for treatment response. Full article

Based on the long-term daily historical rainfall data, this study analyzes the seasonal differences in extreme rainfall in the monsoon region with frequent extreme rainfall in China over the past 40 years. From the detailed analysis of extreme rainfall indicators, the spatial and temporal variation in extreme rainfall indicators in the monsoon region of China from 1980 to 2020 is explored. Through Mann–Kendall test and multi-index spatial and temporal analysis, the spatial and temporal evolution law and seasonal differentiation characteristics of extreme precipitation events are revealed. The results show the following: (1) The precipitation change presents a dipole pattern of southeast–northeast enhancement, northwest–central attenuation. (2) The precipitation intensity showed the spatial heterogeneity of latitude differentiation of “strong in summer and weak in winter, strong in south and weak in north”, and generally attenuated in winter after reaching the peak in summer. (3) There were significant dry and wet differences between continuous drought days (CDDs) and wet days (CWDs), reflecting the characteristics of “dry in winter and wet in summer”, and the seasonal differentiation of cumulative precipitation (PRCPTOT) was significant. (4) The extreme precipitation threshold is strengthened in winter, and the frequency shows the characteristics of “high in winter and spring, low in summer and autumn”. Studies have shown that extreme precipitation in the monsoon region of China has seasonal redistribution characteristics, which may aggravate the challenge of water resources management. It is necessary to further analyze its driving factors in combination with a dynamic climate mechanism. Full article

Adhesively bonded fibre-reinforced polymer (FRP) anchors have emerged as a progressive alternative to traditional steel anchors in concrete structures, owing to their superior corrosion resistance, high tensile strength, and light weight. Despite their increasing use, a robust mechanics-based bond model capable of accurately predicting the load transfer behaviour has not yet been developed. This study presents a fracture mechanics-based analytical bond model for post-installed adhesive FRP anchors embedded in concrete. The model formulation is derived from fundamental equilibrium and compatibility principles, incorporating a bilinear bond–slip law that captures both elastic and softening behaviours. A new expression for the effective bond length is also proposed. Validation of the model against a comprehensive database of direct pull-out tests reported in the literature shows excellent agreement between predicted and experimental pull-out forces (R² = 0.980; CoV = 0.058). Future research should aim to extend the proposed model to account for confinement effects, long-term durability, the impact of adhesive type, and cyclic loading conditions. Full article

Constructing stable and flexible neuronal networks with multi-neurite wiring is essential for the in vitro modeling of brain function, connectivity, and neuroplasticity. However, most existing neuroengineering platforms rely on static microfabrication techniques, which limit the ability to dynamically control circuit architecture during cultivation. In this study, we developed a modifiable agarose gel-based platform that enables real-time microstructure fabrication using an infrared (IR) laser system under live-cell conditions. This approach allows for the stepwise construction of directional neurite paths, including sequential microchannel formation, cell chamber fabrication, and controlled neurite–neurite crossings. To support long-term neuronal health and network integrity in agarose microstructures, we incorporated direct glial co-culture into the system. A comparative analysis showed that co-culture significantly enhanced neuronal adhesion, neurite outgrowth, and survival over several weeks. The feeder layer configuration provided localized trophic support while maintaining a clear separation between glial and neuronal populations. Dynamic wiring experiments further confirmed the platform’s precision and compatibility. Neurites extended through newly fabricated channels and crossed pre-existing neurites without morphological damage, even when laser fabrication occurred after initial outgrowth. Time-lapse imaging showed a temporary growth cone stalling at crossing points, followed by successful elongation in all tested samples. Furthermore, the direct laser irradiation of extending neurites during microstructure modification did not visibly impair neurite elongation, suggesting minimal morphological damage under the applied conditions. However, potential effects on molecular signaling and electrophysiological function remain to be evaluated in future studies. Together, these findings establish a powerful, flexible system for constructive neuroengineering. The platform supports long-term culture, real-time modification, and multidirectional wiring, offering new opportunities for studying neural development, synaptic integration, and regeneration in vitro. Full article

Background: Chronic ischemic stroke presents a significant challenge in neurology, with limited therapeutic options available for long-term recovery. During cerebral infarction, anti-inflammatory phenotype microglia/macrophages produce anti-inflammatory cytokines and neurotrophic factors that facilitate the process of brain repair. However, obtaining sufficient anti-inflammatory microglia/macrophages from the human central nervous system is challenging. Bone marrow-derived inducible microglia-like cells (BM-iMGs) with an anti-inflammatory microglial phenotype were explored to induce neuroprotective properties. Here, we transplanted BM-iMGs into the brain of middle cerebral artery occlusion (MCAO) model male mice to explore their potential for treating chronic ischemic stroke. Methods: Bone marrow-derived mononuclear cells (BM-MNCs) were isolated from green fluorescent protein mice and incubated with granulocyte–macrophage colony-stimulating factor (GM-CSF) and IL−4 to induce BM-iMGs with an anti-inflammatory phenotype. BM-iMGs were transplanted into the brains of mice on day 14 after MCAO, and behavioral tests, histology, cerebral blood flow, and gene expression were evaluated. Results: An intracranial injection of BM-iMGs promoted neurobehavioral recovery, reduced neuronal cell loss, suppressed neuroinflammatory astrocytic and microglial responses in the brain, and increased cortical surface cerebral blood flow in MCAO mice. Furthermore, neuroprotective genes were upregulated, whereas proinflammatory genes were downregulated. Conclusions: The intracranial injection of BM-iMG cells shows significant potential as a novel therapy for chronic ischemic stroke. Full article