Search Results (3,987)

Background/Objectives: This study aims to investigate the correlation between vertical facial dimensions, lip morphology, angular facial parameters, and demographic variables (age and sex) in Romanian orthodontic patients, using structured-light 3D facial scanning technology. Methods: This cross-sectional study assessed craniofacial soft tissue parameters in 90 Romanian orthodontic patients (57 females, 33 males; median age 14 years) using the MetiSmile 3D facial scanner. Measurements included vertical facial heights (upper, middle, and lower), total facial height, facial proportion indices, lip lengths, interpupillary distance, bizygomatic width, mouth width, angular parameters (nasofrontal, nasolabial, mentolabial, and facial angles), and distances from the lips to the esthetic (E) line. Spearman’s rank correlation and Mann–Whitney U-tests were applied for statistical analysis. Results: A total of 90 subjects (63.3% female; median age, 14 years [range: 9–27 years]) were evaluated. Age showed strong positive correlations with total facial height (ρ = 0.690), middle (ρ = 0.631), and lower facial height (ρ = 0.615), while upper facial height had a weaker correlation (ρ = 0.334). Upper and lower lip lengths were moderately correlated with each other and with bizygomatic and interpupillary widths. Vertical facial proportion indices reflected distinct associations with their respective facial segments. Sex-based analysis revealed that females had significantly greater middle and total facial heights and nasofrontal angles, while males exhibited larger nasolabial angles. Upper lip protrusion relative to the E-line was significantly more pronounced in females (p = 0.041). No significant sex differences were noted in lip dimensions or transverse widths. Conclusions: The research demonstrates the value of 3D structured-light facial scanning in orthodontics as a non-invasive, radiation-free method for evaluating age- and sex-related morphological patterns. These findings support the integration of facial morphometric analysis into individualized diagnostic and treatment workflows in clinical orthodontics. Full article

Real-time sweat pH monitoring offers a non-invasive window into metabolic status, disease progression, and wound healing. However, current wearable pH sensors struggle to balance high electrochemical sensitivity with mechanical compliance. Here we report a stretchable fiber-integrated pH electrode based on a polyaniline-phytic acid-polyvinyl alcohol (PANI-PA-PVA) hydrogel, which combines mechanical elasticity with enhanced electrochemical performance for continuous sweat sensing. Freeze–thaw crosslinking of the hydrogel forms a porous interpenetrating network, facilitating rapid proton transport and stable coupling with dry-spun elastic gold fibers. This wearable device exhibits an ultra-Nernstian sensitivity of 68.8 mV pH⁻¹, ultra-fast equilibrium (<10 s within the sweat-relevant acidic window), long-term drift of 0.0925 mV h⁻¹, and high mechanical tolerance (gel stretch recovery up to 165%). The sensor maintains consistent pH responses under bending and tensile strains, yielding sweat pH measurements at the skin surface during running that closely match commercial pH meters (sweat pH range measured in test subjects: 4.2–5.0). We further demonstrate real-time wireless readouts by integrating elastic gold and Ag/AgCl fibers into a three-electrode textile structure. This PANI-PA-PVA hydrogel strategy provides a scalable material platform for robust, high-performance wearable ion sensing and skin diagnostics. Full article

Endometriosis is a chronic condition characterized by the presence of endometrial-like tissue outside the uterine cavity. It affects ~10% of reproductive-aged individuals and is associated with dysmenorrhea and infertility. Although imaging modalities have improved diagnosis, laparoscopy is required in many cases, contributing to 4–11 years of diagnostic delay. Non-invasive biomarkers could improve diagnosis and clinical decision-making, yet no candidate has achieved sufficient accuracy for routine use. Galectins, a family of β-galactoside-binding lectins involved in angiogenesis, immune regulation, and fibrosis, have emerged as promising biomarkers. In this study, we measured serum Galectin-1 (Gal-1) concentrations in 80 women with endometriosis and 15 controls using ELISA at four time points. Preoperative Gal-1 levels were significantly higher in endometriosis patients, particularly in Stage III–IV disease. ROC analysis yielded a modest diagnostic performance (AUC 0.692; p = 0.011) with high sensitivity (91.3%) and excellent negative predictive value (96.8%) but low specificity (46.7%) at a study-derived threshold (>14.06 ng/mL). Longitudinally, Gal-1 levels decreased immediately after surgery and rose above baseline by one year, while no significant correlations with preoperative pain severity were observed. These findings suggest that serum Gal-1 alone is insufficient as a diagnostic test but may be useful for multi-marker strategies to improve early diagnosis. Full article

This study explored the feasibility of noninvasive blood glucose (BG) estimation using near-infrared (NIR) spectroscopy with dog blood samples. A sensor module employing three representative wavelengths (770 nm, 850 nm, and 970 nm) was tested on an artificial blood vessel (ABV) and a thin pig skin (TPS) model. BG concentrations were adjusted through dilution and enrichment with injection-grade water and glucose solution, and reference values were obtained from three commercial invasive glucometers. Correlations between NIR spectral responses and glucose variations were quantitatively evaluated using linear, multiple, partial least squares (PLS), logistic regression, regularized linear models, and multilayer perceptron (MLP) analysis. The results revealed distinct negative correlations at 850 nm and 970 nm, identifying these wavelengths as promising candidates for noninvasive glucose sensing. Furthermore, an NIR–glucose database generated from actual dog blood was established, which may serve as a valuable resource for the development of future noninvasive glucose monitoring systems. Full article

Bladder cancer is a prevalent malignancy with high morbidity and mortality, particularly when diagnosed at an advanced stage. Early detection is critical, as it significantly improves prognosis and the patient’s outcomes. Bladder cancer also has a high recurrence rate, necessitating long-term surveillance. While cystoscopy remains the gold standard for diagnosis and monitoring, it is invasive and costly. Urine cytology, though widely used, has high specificity for detecting high-grade urothelial carcinoma but suffers from low sensitivity and limited effectiveness as a stand-alone diagnostic tool. Urinary biomarkers offer a promising, noninvasive alternative for early detection and disease surveillance. This review examines FDA-approved urinary biomarker tests, including NMP 22, UroVysion, and BTA, highlighting their clinical utility and limitations. Additionally, we explore emerging biomarkers such as DNA methylation assays, genomic alterations, and proteomic signatures as well as advanced technologies like next-generation sequencing and machine learning-based platforms. These innovations have the potential to enhance diagnostic accuracy, risk stratification, and recurrent monitoring, ultimately improving early detection and long-term disease management. By evaluating both established and emerging urinary biomarkers, this review aims to provide clinicians and researchers with insights into evolving tools for bladder cancer diagnosis and surveillance. Full article

Background/Objectives: This proof-of-concept study evaluated whether optical coherence tomography angiography (OCTA) can non-invasively capture micro-vascular alterations in non-melanoma skin cancer (NMSC) lesions during and after superficial orthovoltage radiotherapy (RT) using radiomics and vascular features analysis. Methods: Eight patients (13 NMSC lesions) received 36–50 Gy in 6–20 fractions. High-resolution swept-source OCTA volumes (1.1 × 10 × 10 mm³) were acquired from each lesion at three time points: pre-RT, immediately post-RT, and three months post-RT. Additionally, healthy skin baseline was scanned. After artifact suppression and region-of-interest cropping, (i) first-order and texture radiomics and (ii) skeleton-based vascular features were extracted. Selected features after LASSO (least absolute shrinkage and selection operator) were explored with principal-component analysis. An XGBoost model was trained to classify time points with 100 bootstrap out-of-bag validations. Kruskal–Wallis tests with Benjamini–Hochberg correction assessed longitudinal changes in the 20 most influential features. Results: Sixty-one OCTA volumes were analyzable. LASSO retained 47 of 103 features. The first two principal components explained 63% of the variance, revealing a visible drift of lesions from pre- to three-month post-RT clusters. XGBoost achieved a macro-averaged AUC of 0.68 ± 0.07. Six features (3 texture, 2 first order, 1 vascular) changed significantly across time points (adjusted p < 0.05), indicating dose-dependent reductions in signal heterogeneity and micro-vascular complexity as early as treatment completion, which deepened by three months. Conclusions: OCTA-derived radiomic and vascular signatures tracked RT-induced micro-vascular remodeling in NMSC. The approach is entirely non-invasive, label-free, and feasible at the point of care. As an exploratory proof-of-concept, this study helps to refine scanning and analysis protocols and generates knowledge to support future integration of OCTA into adaptive skin-cancer radiotherapy workflows. Full article

Background and Objectives: Catheter-associated urinary tract infections (CAUTIs) caused by extended-spectrum beta-lactamase (ESBL)-producing and carbapenem-resistant Enterobacterales (CRE) significantly contribute to global rates of UTI. This study aimed to compare the prevalence and trends of ESBL-producing Enterobacterales and CRE in patients with CAUTIs and non-CAUTIs. Materials and Methods: A retrospective review of 4262 UTI-positive urine cultures was conducted at King Fahad Hospital of the University, Al Khobar, Saudi Arabia (January 2022–November 2023). Demographic, clinical, and microbiological data were obtained from hospital records. Antimicrobial susceptibility was tested using the Vitek^® System; ESBL and CRE were identified using Ezy MIC™ strips and Xpert^® Carba-R assay, respectively. Results: ESBL-producing Enterobacterales accounted for 11.3% of cases; CRE comprised 1.8%. ESBL was significantly more prevalent in non-catheterized patients and those in emergency care. CRE was significantly associated with catheterized patients and inpatient settings. Escherichia coli and Klebsiella pneumoniae were the predominant ESBL-producing and CRE isolates, respectively. bla-OXA-48 was the most frequently detected carbapenemase gene (66.7%). ESBL was prevalent in younger, non-catheterized females, suggesting increasing community transmission. Conversely, CRE were primarily observed in older, catheterized inpatients, emphasizing the role of invasive devices in resistance spread. Conclusions: These findings highlight the importance of targeted infection control and early catheter removal to mitigate resistance trends. Full article

Individuals often lack field-based tools to monitor exercise effectiveness. New sensing methods may allow for an improved measurement of the individualized response to exercise by monitoring oxygen kinetics directly in muscle tissue. This study aimed to validate a non-invasive wearable sensor capable of measuring muscle oxygen saturation (SmO₂) using continuous-wave near-infrared spectroscopy (CW-NIRS) against a laboratory-validated frequency-domain NIRS (FDNIRS) device. Ten physically fit adults performed an incremental cycling test until voluntary exhaustion. Devices were placed on contralateral rectus femoris muscles. SmO₂ was simultaneously measured continuously for the duration of the protocol. Time series alignment was performed using linear interpolation to enable direct comparison between devices at matched time points. Z-score normalization accounted for inter-individual differences in a group-level analysis. Individual subject validation showed strong correlations between the two devices (r = 0.792, range: 0.69–0.88, p < 0.001) with an RMSD < 5% for most subjects, a mean bias of 0.005 and low proportional bias (−0.199) between all paired measurements. Group-level analysis demonstrated a correlation of r = 0.788. Bland–Altman analysis revealed that 95% of all measurements fell between −8.1% and 7.6% SmO₂. The CW-NIRS device delivered reliable performance compared to the FDNIRS device, offering potential applications for real-time physiological monitoring during exercise and performance assessment. Full article

Underground gas storage (UGS) is critical to national reserves and seasonal peak-shaving, and its safe operation is integral to energy security. In UGS surface process pipelines, heterogeneous bimetal composite pipes—carbon-steel substrates lined with stainless steel—are widely used but susceptible under coupled thermal–pressure–flow loading to geometry-induced instabilities (local buckling, adhesion, and collapse), which can restrict flow, concentrate stress, and precipitate rupture and unplanned shutdowns. Conventional ultrasonic testing and magnetic flux leakage have limited sensitivity to such instabilities, while standard eddy-current testing is impeded by the ferromagnetic substrate’s high permeability and electromagnetic shielding. This study introduces magnetically saturated pulsed eddy-current testing (MS-PECT). A quasi-static bias field drives the substrate toward magnetic saturation, reducing differential permeability and increasing effective penetration; combined with pulsed excitation and differential reception, the approach improves defect responsiveness and the signal-to-noise ratio. A prototype was developed and evaluated through mechanistic modeling, numerical simulation, laboratory pipe trials, and in-service demonstrations. Field deployment on composite pipelines at the Hutubi UGS (Xinjiang, China) enabled rapid identification and spatial localization of liner collapse under non-shutdown or minimally invasive conditions. MS-PECT provides a practical tool for composite-pipeline integrity management, reducing the risk of unplanned outages, enhancing peak-shaving reliability, and supporting resilient UGS operations. Full article

While immune escape and physical invasion are two key pathways in tumor development, traditional methods for analyzing their exosomal markers are often complex and face identification bias. Microfluidic technology offers significant advantages for non-invasive liquid biopsy, particularly in the analysis of tumor progression markers carried by exosomes. Here, we developed an integrated microfluidic system for the sensitive, accurate, totally on-chip exosome isolation and automatic quantification of tumor progression markers PD-L1 and MMP9. This platform leverages microfluidic design principles for efficient sample mixing and monodisperses microbeads for precise analysis, allowing for complete processing within 40 min. The system’s high efficiency and precision are further enhanced by a lightweight YOLOv5-based positional migration strategy that automates fluorescence quantification. Validation using four different cell lines demonstrated distinct exosomal protein signatures with a low detection limit of 12.58 particles/μL. This innovative microfluidic chip provides a sensitive and easy-to-handle tool for exosomal marker analysis, holding great potential for cancer identification and personalized therapy guidance in the era of point-of-care testing (POCT). Full article

Background: Tuberculosis (TB) remains a leading cause of death worldwide, with major diagnostic challenges in low-resource settings. Urine-based lipoarabinomannan (LAM) assays provide a non-invasive option, particularly for people living with HIV who may struggle to produce sputum. Fujifilm has developed a second-generation SILVAMP TB LAM assay (FujiLAM v.2) to improve diagnostic performance. This study aimed to evaluate the diagnostic accuracy of FujiLAM v.2 among Nigerian adults with presumptive TB and directly compare it with the first-generation assay (FujiLAM v.1) using the same set of urine samples. Methods: We conducted a retrospective analysis among Nigerian adults with presumptive TB (n = 178). Stored urine samples collected in Abuja were retested with FujiLAM v.2 and compared with results previously obtained using FujiLAM v.1 on the same specimens. Xpert MTB/RIF and culture served as the reference standard. Sensitivity, specificity, agreement with the reference standard (Cohen’s Kappa), and differences (McNemar’s test) were assessed. Results: FujiLAM v.2 demonstrated sensitivity of 58.3% and specificity of 97.3%, comparable to FujiLAM v.1 (58.3% and 98.0%, respectively). No significant differences were found between test versions across TB or HIV subgroups (p > 0.05). Overall agreement between assays was 97.1% (κ = 0.80). Conclusions: FujiLAM v.2 showed diagnostic performance consistent with the first-generation assay, with similar sensitivity and specificity to the earlier version. These findings support its potential as a rapid, non-sputum-based diagnostic tool to complement TB testing in resource-limited settings. Further studies are needed to assess its implementation within TB diagnostic algorithms, including studies with multiple production lots. Full article

Background/Objectives: Crohn’s disease (CD) requires precise, noninvasive monitoring to guide therapy and support treat-to-target management. Magnetic resonance enterography (MRE), particularly diffusion-weighted imaging (DWI), is the preferred cross-sectional technique for assessing small-bowel inflammation. Indices such as the Magnetic Resonance Index of Activity (MaRIA) and its diffusion-weighted variant (DWI MaRIA) are widely used for grading disease activity. This study evaluated whether unsupervised clustering of MRI-derived features can complement these indices by providing more coherent and biologically grounded stratification of disease activity. Materials and Methods: Fifty patients with histologically confirmed CD underwent 1.5 T MRE. Of 349 bowel segments, 84 were pathological and classified using literature-based thresholds (MaRIA, DWI MaRIA) and unsupervised clustering. Differences between inactive, active, and severe disease were analyzed using multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and t-tests. Mahalanobis distances were calculated to quantify and compare separation between categories. Results: Using MaRIA thresholds, 5, 16, and 63 segments were classified as inactive, active, and severe (Mahalanobis distances 2.60, 4.95, 4.12). Clustering redistributed them into 22, 37, and 25 (9.26, 24.22, 15.27). For DWI MaRIA, 21, 14, and 49 segments were identified under thresholds (3.59, 5.72, 2.85) versus 21, 37, and 26 with clustering (7.40, 16.35, 9.41). Wall thickness dominated cluster-derived separation, supported by diffusion metrics and the apparent diffusion coefficient (ADC). Conclusions: Cluster-derived classification yielded clearer and more biologically consistent separation of disease-activity groups than fixed thresholds, emphasizing its potential to refine boundary definition, enhance MRI-based assessment, and inform future AI-driven diagnostic modeling. Full article

Background: Sepsis is a heterogeneous syndrome in which patients with similar clinical presentations at admission may exhibit markedly different treatment responses and outcomes, suggesting that comparable macroscopic features can conceal profoundly distinct perfusion and hemodynamic states. Aim: This study aimed to characterize the hemodynamic profile of patients with community-acquired sepsis, assess its correlation with macro-hemodynamic indices, compare fluid responders with non-responders, and explore the prognostic value of early identification of a feature consistent with distributive shock. Methods: A prospective observational pilot study was conducted in the Intermediate Medical Care Unit (IMCU) of Ospedale Alto Vicentino (Santorso, Italy), September 2024–May 2025. 115 consecutive adults with community-acquired sepsis underwent NICaS^® bioimpedance assessment at IMCU admission. Sepsis was diagnosed at IMCU admission as suspected/confirmed infection plus an acute increase in total Sequential Organ Failure Assessment (SOFA) ≥ 2 points. Hemodynamic indices were analyzed in relation to the Sequential Organ Failure Assessment (SOFA) score and mean arterial pressure (MAP), fluid responsiveness, and 30-day mortality. Results: Hemodynamics were heterogeneous across patients and within SOFA strata. SOFA showed no correlation with SV, SI, CO, or CI; weak inverse associations for TPR (r = −0.198, p = 0.034) and TPRI (r = −0.241, p = 0.009) were observed. MAP did not correlate with SV, SI, CO, or CI, but correlated positively with TPR (r = 0.461) and TPRI (r = 0.547) and with CPI (ρ = 0.550), all p < 0.001. A distributive profile was present in 21.7% (25/115), increasing with higher SOFA (p = 0.033); only 20% of those with this profile had MAP < 65 mmHg at admission. Fluid non-responders (27.8%) had lower resistance and higher CI (4.1 vs. 3.4 L/min/m²; p = 0.015). The distributive profile was not associated with 30-day mortality (log-rank p = 0.808). Conclusions: In IMCU patients with community-acquired sepsis, macro-indices (SOFA, MAP) correlate poorly with the underlying hemodynamic state. Early noninvasive profiling reveals within-SOFA circulatory heterogeneity and may support operational, individualized resuscitation strategies; these pilot findings are hypothesis-generating and warrant prospective interventional testing. Full article

Experimental analysis of the viscoelastic properties of natural polymers over different testing durations and response time scales yields complementary insights into their static and dynamic mechanical behavior. Within this context, Brillouin spectroscopy has emerged as a contactless, non-invasive and label-free tool for the mechanical characterization of materials. In this review article, we provide a comprehensive overview of recent advances in Brillouin spectroscopy techniques applied to various natural polymers, including proteins, carbohydrates, and polysaccharides. We discuss the principles of Brillouin scattering and their application in investigating the mechanical properties of natural polymers. Additionally, we explore future perspectives and challenges. This review aims to provide researchers and practitioners with a comprehensive understanding of the capabilities and limitations of Brillouin spectroscopy for the mechanical characterization of natural polymers, promoting new advances in this interdisciplinary field. Full article

The family dog is a valid model for studying complex human functions and psychological disorders such as Attention-Deficit/Hyperactivity Disorder (ADHD). Based on prior human research indicating impairments in cognitive flexibility related to ADHD, this study investigates the association between dogs’ ADHD-like traits and reversal learning performance. Since sleep improves learning both in humans and dogs, we also examined its impact in this context. Family dogs (N = 64) completed a two-way choice spatial reversal learning task, followed by a one-hour non-invasive sleep electroencephalography (EEG), and then a second reversal task. We used a validated human analogue questionnaire to assess ADHD. Dogs with higher ADHD scores required more trials to pass the first reversal test, but not after sleep. Electrode application was slower and sleep measurement more likely to fail in dogs with higher ADHD scores. Performance improved more from pre- to post-sleep in high-ADHD dogs if they spent at least 40% of the recording asleep. Our findings align with the human literature showing associations between ADHD and cognitive flexibility in dogs. The main novelty here is the ADHD-related potential benefits of repeated task exposure after sufficient sleep on cognitive flexibility. Cognitive training offers a promising direction to mitigate ADHD-related impairments in dogs. Full article