Search Results (14,418)

Background: Short QT syndrome (SQTS) is a rare inheritable channelopathy characterized by a shortened corrected QT interval on an electrocardiogram and a significant risk of atrial and ventricular arrhythmias, potentially leading to sudden cardiac death. Despite advancements in our understanding of SQTS, knowledge gaps persist due to its extreme rarity. This scoping review aims to summarize the available knowledge on its clinical presentations, genetic mutations, and management strategies, while identifying areas for further investigation. Methods: This scoping review was conducted across the PubMed, Scopus, and Cochrane databases and identified relevant case reports, case series, and available studies on SQTS. We focused on articles that reported clinical outcomes, genetic mutations, diagnostic criteria, and management strategies, while excluding studies on the secondary causes of short QT intervals. Results: SQTS is present across a wide age range, from asymptomatic individuals to those experiencing syncope, palpitations, or sudden cardiac arrest. Common genetic mutations include KCNQ1, KCNH2, and KCNJ2. Management strategies vary, with some patients receiving implantable cardioverter defibrillators for secondary prevention and others treated pharmacologically, primarily with hydroquinidine. Our findings highlight the rarity and clinical variability of SQTS, underscoring the need for optimized diagnostic criteria and individualized management strategies. Conclusions: This review emphasizes the need for continued research to better understand the genetic basis of SQTS, optimize diagnostic tools, and improve treatment approaches. Large-scale studies and the integration of genetic and clinical data are critical to addressing the gaps in SQTS management and improving outcomes for patients with this potentially life-threatening arrhythmic disorder. Full article

Teeth are highly durable and useful in forensic identification and studying the impact of environmental factors could aid forensic investigations. Accurate post-mortem interval (PMI) estimation using dental evidence is critical in legal contexts, it requires further exploration. Aims: This study included a scoping review investigating macroscopic and microscopic changes in teeth in various simulated environments (Part 1) and an experimental study assessing changes in teeth and restorations exposed to distilled water, saline water, acidic soil, and alkaline soil (Part 2). Methods: The scoping review analysed publications from five databases using keywords such as ‘Teeth’, ‘Dental’, ‘Water’, ‘Soil’, ‘Acid’, and ‘Forensic.’ The experimental study involved 40 human teeth photographed before and after a 90-day exposure period to record shade variations and macroscopic changes. Results: Part 1: Twenty-six relevant articles from 10 countries (1987–2022) were reviewed, with most focusing on human teeth (77%), unrestored teeth (54%), macroscopic changes (46%), and high-temperature environments (53%). Part 2: Teeth in distilled water (G1) showed no shade variation. In saline water (G2), 60% of teeth decreased in shade. In acidic soil (G3), 40% showed an increased shade, while 50% showed a decreased shade. In alkaline soil (G4), 70% of teeth showed an increased shade. Restorations exhibited minimal changes across environments. Conclusions: Studies on the macroscopic changes because of high temperature on teeth and dental restorative material are popular. Teeth exposed to alkaline and acidic soil showed the most changes in the structure. Full article

Background: Research indicates that surrogate decision-makers often struggle to accurately interpret and reflect the preferences of incapacitated patients they represent. This discrepancy raises important concerns about the reliability of such practice. Artificial intelligence (AI)-based Patient Preference Predictors (PPPs) are emerging tools proposed to guide healthcare decisions for patients who lack decision-making capacity. Objectives: This scoping review aims to provide a thorough analysis of the arguments, both for and against their use, presented in the academic literature. Methods: A search was conducted in PubMed, Web of Science, and Scopus to identify relevant publications. After screening titles and abstracts based on predefined inclusion and exclusion criteria, 16 publications were selected for full-text analysis. Results: The arguments in favor are fewer in number compared to those against. Proponents of AI-PPPs highlight their potential to improve the accuracy of predictions regarding patients’ preferences, reduce the emotional burden on surrogates and family members, and optimize healthcare resource allocation. Conversely, critics point to risks including reinforcing existing biases in medical data, undermining patient autonomy, raising critical concerns about privacy, data security, and explainability, and contributing to the depersonalization of decision-making processes. Conclusions: Further empirical studies are needed to assess the acceptability and feasibility of these tools among key stakeholders, such as patients, surrogates, and clinicians. Moreover, robust interdisciplinary research is needed to explore the legal and medico-legal implications associated with their implementation, ensuring that these tools align with ethical principles and support patient-centered and equitable healthcare practices. Full article

Background: Cervical cancer, primarily driven by persistent high-risk human papillomavirus (HPV) infections, remains a significant global health challenge. Systemic inflammatory markers, such as neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and lymphocyte/monocyte ratio (LMR), may reflect disease progression. This study examines the association between these markers and p16 positivity in cervical intraepithelial neoplasia (CIN) cases. Methods: This retrospective analysis included 395 patients undergoing LEEP conization. Data on HPV status, p16 immunostaining, and hematological parameters were collected. Statistical analyses, including Mann–Whitney U and chi-square tests, assessed relationships between markers and outcomes, with significance set at p < 0.05. Results: Elevated NLR was significantly associated with p16 positivity (p = 0.011) and HPV DNA positivity (p = 0.04). HPV-positive individuals showed higher mean NLR (2.15) compared to HPV-negative individuals (1.61). Receiver operating characteristic (ROC) analysis demonstrated moderate diagnostic accuracy for NLR (AUC = 0.610), highlighting its potential as a biomarker. No significant associations were observed for PLR or LMR with p16 positivity. These findings suggest systemic inflammation, indicated by NLR, contributes to HPV persistence and CIN progression. Conclusions: NLR is a valuable prognostic biomarker for HPV-related cervical disease, correlating with both p16 and HPV DNA positivity. Incorporating hematological and immunohistochemical markers may enhance personalized cervical cancer management. Full article

As the effects of climate change progressively worsen, many scientists are concerned over the expanding geographic range and impact of forest-defoliating insects. Many are currently pointing to this form of disturbance becoming a key focus of remote sensing research in the coming decades; however, the available body of research remains lacking. This study investigated the viability of detecting and quantifying damage caused to a managed Scots pine forest in central Poland by insect defoliation disturbance using high-resolution multispectral satellite imagery. Observed leaf area index (LAI) values were compared to frass observations (insect detritus) to assess the relationship between LAI and defoliating insect activity across a single life cycle of A. posticalis Mats.. Across four managed plots, four vegetative indices (NDVI, GNDVI, EVI, and MSAVI2) were calculated using multispectral satellite imagery from a PlanetScope (PSB.SD instrument) satellite system. Then, 1137 point-sampled digital number (DN) values were extracted from each index, and a correlation analysis compared each to 40 ground-observed LAI data points. LAI was modeled on the basis of NDVI values. Three models were assessed for their performance in predicting LAI. They were fit using a variety of regression techniques and assessed using several goodness-of-fit measures. A relationship between observed LAI and frass observations was found to be statistically significant (p-value = 0.000303). NDVI was found to be the correlated LAI values (rho = 0.612). Model 3, which was based on concepts of the Beer–Lambert law, resulted in the most robust predictions of LAI. All parameters were found to be significant post fitting of the model using a nonlinear least squares method. Despite the success of the Beer’s law model in predicting LAI, detection of A. posticalis damage was not achieved. This was predominately due to issues of resolution and plot condition, among others. The results of this analysis address many interesting facets of remote sensing analysis and challenge the commonly held view of the impeachability of these methods. Full article

Background: The Music-Related Quality of Life (MuRQoL) was launched in 2017 as a valid psychometric measure of Cochlear Implant (CI) users’ music experience and its impact on Quality of Life (QoL). This scoping review aimed to explore the implementation and effectiveness of the instrument since its introduction. Methods: PubMed and Google Scholar databases were searched for publications written in English reporting a translation, validation or application of the MuRQoL. Results: Eleven publications were found, including three validated versions and eight studies that applied the MuRQoL in Italy, Turkey, Spain and the US in research and clinical settings for various purposes. The review showcases the reliability, validity and potential clinical utility of the tool underscoring its growing adoption and integration with other assessment tools. Based on the findings, we make recommendations and provide a roadmap for optimizing the use of MuRQoL globally, including naming and terminology conventions. Anecdotal evidence, such as forthcoming or non-English publications offer further insights into the tool’s future potential. All four current MuRQoL versions are provided as Supplementary Material. Conclusions: The MuRQoL is currently available in four languages and applicable across diverse cultural contexts, populations and settings. It is a versatile, patient-centered tool providing a deep understanding of CI users’ music experiences. As research and validation efforts continue, the instrument has the potential to set a benchmark for assessing the broader impacts of CIs beyond speech perception, emphasizing the significance of music in enriching the lives of individuals with Hearing Loss (HL). Full article

An increasing trend towards the installation of photovoltaic (PV) solar energy generation capacity is driven by several factors including the desire for greater energy independence and, especially, the desire to decarbonize industrial economies. While large ‘solar farms’ can be installed in relatively open areas, urban environments also offer scope for significant energy generation, although the heterogeneous nature of the surface of the urban fabric complicates the task of forming an area-wide view of this potential. In this study, we investigate the potential offered by publicly available airborne LiDAR data, augmented using data from OpenStreetMap (OSM), to estimate rooftop PV generation capacities from individual buildings and regionalized across an entire small city. We focus on the island of Tromsøya in the city of Tromsø, Norway, which is located north (69.6° N) of the Arctic Circle, covers about 13.8 km², and has a population of approximately 42,800. A total of 16,377 buildings were analyzed. Local PV generation potential was estimated between 120 and 180 kWh m⁻² per year for suitable roof areas, with a total estimated generation potential of approximately 200 GWh per year, or approximately 30% of the city’s current total consumption. Regional averages within the city show significant variations in potential energy generation, highlighting the importance of roof orientation and building density, and suggesting that rooftop PV could play a much more substantial role in local energy supply than is commonly assumed at such high latitudes. The analysis method developed here is rapid, relatively simple, and easily adaptable to other locations. Full article

Background/Objectives: Indigenous perspectives, which emphasize non-materialistic dimensions of healing, such as the interconnectedness of the body, mind, and spirit, align with one foundational principle of osteopathic care. Integrating these perspectives into person-centered care may enhance therapeutic effectiveness by accommodating diverse understandings of health and well-being. This perspective paper explores how various epistemological frameworks, including Indigenous non-materialistic approaches, can inform manual therapy techniques and therapeutic alliances to advance person-centered care. Methods: We synthesized the best available evidence with expert insights and interdisciplinary viewpoints to address the gaps in the scientific literature. Our approach integrates conceptual analysis and emerging research to provide a comprehensive discussion for a broad professional audience. Results: We focused on detailing the existing sociocultural and experiential frameworks available to describe patients’ bodily perceptions rather than abstract intellectual constructs. Our findings were divided into two sections. The first examines the incorporation of diverse body representations that extend beyond purely biomechanical interpretations, emphasizing the role of non-materialistic components in therapeutic processes. The second explores recent neuroscientific research on self and consciousness, demonstrating how these insights intersect with Indigenous perspectives to enrich the theoretical and practical applications of osteopathic principles in different clinical contexts. Conclusions: Epistemological flexibility has the potential to refine clinical frameworks and ensure that they reflect the full scope of osteopathic practices beyond musculoskeletal care. By integrating diverse sociocultural perspectives without reinforcing stereotypes or rigid cultural constructs, this approach clarifies the diversity of body representations in osteopathic practices, addresses gaps in academic discourse, and promotes the integration of multiple worldviews as a foundation for truly person-centered care. Full article

In the field of histological analysis, one of the typical issues is the analysis of single cells contained in regions of interest (i.e., ROIs). Today, several commercial, freely available, and open-source software options are accessible for this task. However, the literature lacks recent extensive reviews that summarise the functionalities of the opportunities currently available and provide guidance on selecting the most suitable option for analysing specific cases, for instance, irregular freehand-defined ROIs on brightfield images. In this work, we reviewed and compared 14 software tools tailored for single-cell analysis within a 2D histological freehand-defined image ROI. Precisely, six open-source tools (i.e., CellProfiler, Cytomine, Digital Slide Archive, Icy, ImageJ/Fiji, QuPath), four freely available tools (i.e., Aperio ImageScope, NIS Elements Viewer, Sedeen, SlideViewer), and four commercial tools (i.e., Amira, Arivis, HALO, Imaris) were considered. We focused on three key aspects: (a) the capacity to handle large file formats such as SVS, DICOM, and TIFF, ensuring compatibility with diverse datasets; (b) the flexibility in defining irregular ROIs, whether through automated extraction or manual delineation, encompassing square, circular, polygonal, and freehand shapes to accommodate varied research needs; and (c) the capability to classify single cells within selected ROIs on brightfield images, ranging from fully automated to semi-automated or manual approaches, requiring different levels of user involvement. Thanks to this work, a deeper understanding of the strengths and limitations of different software platforms emerges, facilitating informed decision making for researchers looking for a tool to analyse histological brightfield images. Full article

Nitrous oxide has a wide range of medical applications, such as being used as an analgesic in general anesthesia, dental procedures, childbirth and sedation. Lately, it has also been employed as an inhalant recreational drug to induce brief euphoria. Recent studies indicate a worldwide rise in the incidence of skin frostbites associated with nitrous oxide use. A scoping review was conducted to synthesize and summarize the existing literature published in English regarding frostbite injuries associated with the recreational use of nitrous oxide. The literature search was carried out in July 2024 using databases such as Embase, Web of Science and PubMed^®. From an initial pool of 83 publications, 8 studies were ultimately selected for full-text review as they met our inclusion criteria for analysis. Additionally, we provide a representative clinical case involving a 21-year-old male who experienced frostbite following skin exposure to nitrous oxide. Most publications on nitrous oxide induced frostbites are from recent years, primarily between 2022 and 2024, with the first case documented in 1996. These injuries are mostly observed in young adults, with a female dominance, and are typically localized to the inner thighs. According to the existing literature, the predominant treatment approach is conservative management, with excision and split-thickness skin grafting (STSG) in the second place. This study represents the first literature review summarizing frostbite injuries to the skin from nitrous oxide misuse. There is a need for enhanced preventive measures to raise public awareness and reduce the incidence of frostbite injuries associated with the recreational use of nitrous oxide. Full article

Background/Objectives: During the last decade, there has been an increased interest in phenolic compound-rich natural products as natural therapies for regulating the molecular pathways behind central obesity and associated metabolic disorders. The present scoping review presents the outcomes of clinical and preclinical studies examining the anti-obesity effects of high phenolic extra virgin olive oil (HP-EVOO) and its possible underlying molecular mechanisms. Methods: Studies published between 2014 and 2024 were searched via MEDLINE, Scopus, Cochrane, the Web of Science, Semantic Scholar, Google Scholar, Science.gov, and Clinicaltrials.gov databases. A combination of keywords and Boolean logic was used to search throughout the last decade in all databases, including “hyperglycemia” or “hypertension” or “metabolic syndrome” or “dyslipidemia” or “hyperlipidemia” or “hypoglycemia” or “obesity” or “macrovascular diabetic complications” or “microvascular diabetic complications” or “cardiovascular disease” or “overweight” or “insulin sensitivity” or “insulin resistance” and “extra virgin olive oil” or “high phenolic olive oil” and “human” or “animal model”. Results: The 10-year literature survey identified 21 studies in both animal models and humans, indicating that HP-EVOO improves inflammation, glycemic control, oxidative stress and endothelial function, potentially protecting against metabolic syndrome, hypertension and type 2 diabetes, even compared to EVOO. Moreover, HP-EVOO’s antiplatelet effect and improvement in HDL functionality reduce cardiovascular risk. Conclusions: The evidence presented in this study demonstrates that HP-EVOO represents an effective preventive and therapeutic dietary approach to cardiometabolic diseases. Full article

The cosmetic market is constantly evolving and ever-changing, particularly with the introduction and incorporation of nanotechnology-based processes into cosmetics for the production of unique formulations with both aesthetic and therapeutic benefits. There is no doubt that nanotechnology is an emerging technology for cosmetic formulations. Among the numerous cosmetic items, incorporating nanomaterials has provided a greater scope and is commonly utilized in facial masks, hair products, antiaging creams, sunscreen creams, and lipsticks. In cosmetics, nanosized materials, including lipid crystals, liposomes, lipid NPs, inorganic nanocarriers, polymer nanocarriers, solid lipid nanocarriers (SLNs), nanostructured lipid carriers (NLCs), nanofibers, nanocrystals, and nanoemulsions, have become common ingredients. The implementation of nanotechnology in the formulation of face masks will improve its efficacy. Nanotechnology enhances the penetration of active ingredients used in the preparation of face masks, such as peel-off masks and sheet masks, which results in better effects. The emphasis of this review is mainly on the formulation of cosmetic face masks, in which the impact of nanotechnology has been demonstrated to improve the product performance on the skin. Full article

A novel, eco-friendly, and efficient method for constructing 2,3-disubstituted chromone skeletons from readily available water, o-hydroxyaryl enaminones (o-HPEs), and aryldiazonium salts has been developed under mild reaction conditions. This α,β-C(sp²)–H bond difunctionalization/chromone annulation reaction strategy is achieved by building two C(sp³)–O bonds and a C(sp²)-N bond, which provides a practical pathway for the preparation of 2-hydroxy-3-hydrazono-chromones in moderate to excellent yields, enabling broad substrate scope and good functional group tolerance, as well as gram-scale synthesis. This protocol offers a valuable tool for synthesizing diverse functionalized chromones with potential applications in drug discovery and industrial synthesis. Full article

Background/Objective: Hepatocellular carcinoma (HCC) is an aggressive disease that is known to be resistant to conventional chemotherapy and radiotherapy. While surgical resection and transarterial therapy can improve overall survival, the biological aspects of HCC contribute to the complexity of its management and limit the effectiveness of current treatment options. The purpose of this scoping review is to identify the limitations of the currently available therapies for HCC and explore the emerging role that histotripsy could play in addressing these limitations, with the intent of informing the direction of future research and clinical management. Methods: The PRISMA checklist for scoping reviews was followed to structure this review, and a systematic search was conducted in the following online databases: PubMed/MEDLINE (National Library of Medicine), Embase (Elsevier), and Scopus (Elsevier). Results: The current evidence supports that histotripsy offers several key advantages that address the limitations of the current treatment strategies for HCC. Clinical trials have highlighted the ability of this technology to destroy solid tumors and induce remission with minimal side effects. In addition, current preclinical studies point to the potent immunostimulatory effects of histotripsy, including the induction of abscopal effects. This poses significant promise in treating tumor metastasis as well as improving clinical regimens by combining histotripsy with immunotherapy. Future research should aim to overcome the current limitations of histotripsy and enhance clinical outcomes for patients. This review examines existing treatments for HCC, emphasizing the promising potential of combining histotripsy with immunotherapy to target the metastatic and advanced stages of the disease. Full article

Background/Objectives: Understanding influences on food habits is crucial to developing effective strategies to improve dietary quality. Past research shows that the predictors of food habits may be dependent on individuals’ age and sex. Young women are a population of particular concern, as they have one of the greatest disparities between actual and recommended diet. The purpose of this review is to better understand the current body of research on factors that may influence young women’s eating patterns. Methods: A systematic search on PubMed identified studies on the social, behavioral, and psychological predictors of food choices among females 13–24 years in the United States published between 2017 and 2022. Two researchers independently conducted a content analysis of the 48 final articles. The two researchers then jointly identified overarching themes in the literature, with consultation from a third researcher. Results: While social and psychological factors are frequently examined in the current literature, few studies evaluate behavioral influences on young women’s eating habits. Overall, little research has been conducted on diet quality influences among young women, as <2% of articles contained findings that met the inclusion criteria. Conclusions: This analysis indicates that additional research is needed to ascertain predictors of adolescent and young adult women’s food patterns and dietary choices. Full article