Rolando Toro’s Biodanza (SRT) is a therapeutic strategy that uses movement, music, and emotions to induce integrative living experiences. The present study aims to explore the efficacy of a three-month SRT intervention on motor, cognitive, and behavioral symptoms in patients with Parkinson’s disease (PD). This study employed a randomized between-group design. Twenty-eight non-demented PD patients were enrolled in this study. Out of these, fourteen patients were assigned to the active treatment group using the Biodanza SRT system and fourteen to the untreated control group. The study group attended 2 h SRT classes once a week, completing twelve lessons in twelve weeks. All patients underwent: (i) a neurological examination to measure the severity of motor symptoms, balance, mobility, and risk of falls, and (ii) a neuropsychological battery to assess cognitive status, apathy, depressive symptomatology, and perceived quality of life (QoL), at study entry (T0) and at twelve weeks (T1, end of dance training). At T1, we observed a significant improvement in motor (i.e., severity of motor symptoms and balance) and cognitive parameters (i.e., working memory and delayed verbal memory) in all treated patients compared with the controls. Furthermore, a significant improvement in the social support dimension was found in all treated patients compared to the controls. A trend toward increased apathy was found in untreated patients at T1. The three-month Biodanza intervention significantly ameliorated the motor parameters of PD patients, with a parallel improvement in cognitive and QoL status. Hence, Biodanza intervention can, in the short term, represent a useful personalized medical intervention for the management of Parkinson’s disease. Full article

The precise identification of railway subgrade defects remains a significant challenge for the railway industry globally. Due to the limitations of individual monitoring techniques, comprehensive information on subgrade defects cannot be obtained. In fact, the presence of subgrade defects can significantly increase the risk of traffic accidents during high-speed train operations, which may affect the safety of train operations and economic development. The monitoring of subgrade health status is used as a pre-disaster planning method that is urgently required to avoid accidents and guide the maintenance strategy. Therefore, a novel “integrated” holistic monitoring approach for subgrade structures is presented based on satellite remote sensing, a comprehensive inspection vehicle, and a ground-based testing technique. Additionally, the monitoring content is more clearly defined during the service life of the subgrade. The method is used to investigate the location, development trend, and the cause of subgrade defects on the Shanghai–Nanjing high-speed railway. Some new viewpoints are put forward: First, the monitoring content for assessing the health status of the subgrade should encompass the foundation settlement, the track geometry status, and the monitoring of deformation and defects within the subgrade. Second, the mileage points K235 and K299 of the subgrade, as well as K236 and K237 of the bridge–subgrade transition sections, are estimated to be locations with potential defects based on the differential InSAR and track quality index. Third, the result of settlement monitoring and ground-penetrating radar analysis illustrates that sections K235 +540 to +680 and K299 +680 to +750 are diagnosed as defect positions triggered by the rapid drop of water level and engineering activity, respectively. Fourth, the “integrated” holistic monitoring technique for subgrade service status might be expected to be a promising method that can be useful in developing maintenance plans and implementing fault recovery for railway infrastructure. Full article

Simulation models are used in various areas of agriculture to better understand the system and assist in decision making. In the beef production sector, a variety of simulation research focusing on various dimensions of the system is available. However, an overview of the available research is lacking. Therefore, a systematic review was conducted to provide an overview of simulation studies of beef production and create an understanding of the simulation approaches used. Scopus, Web of Science, and ProQuest Central research databases were used to search the relevant articles, with the last search conducted in June 2023. Studies that developed or used simulation strategies and used beef cattle as a primary focus of the study were included. The 105 studies included in this review were examined thoroughly to record the authors, year of publication, country of study, type of study, focus area of the study, simulated scenarios, validation methods, and software programs used. There has been growing research interest in simulating beef production systems worldwide, with most studies conducted in North America and Europe. Among these studies, the majority (84.76%, n = 89) are biophysical or bioeconomic study types and use deterministic approaches (n = 42). Additionally, most studies have a whole-farm scope (38.09%, n = 40) and focus on productivity (51.43%, n = 54). Since only less than half of the studies mentioned the validation techniques and software programs used, there is a need to improve the availability of this information to ensure that the models are adopted effectively in decision making. Full article

Fabry disease is an invalidating multisystemic disorder affecting α-Galactosidase, a rate-limiting hydrolase dedicated to lipid catabolism. Non-metabolized substrates, such as Globotriaosylceramide and its derivatives trigger the direct or indirect activation of inflammatory events and endothelial dysfunction. In spite of the efficacy demonstrated by enzyme replacement therapy or pharmacological chaperones in delaying disease progression, few studies have analyzed whether these treatments can improve the pro-inflammatory state of FD patients. Therefore, the aim of this work was to assess cytokines and cardiovascular risk-related proteins detectable in plasma from FD patients, whether treated or not with ERT, to evaluate the reliability of these markers in monitoring disease stage and treatment effects. We identified inflammatory and endothelial dysfunction markers (ADAMTS-13, TNF-α, GDF-15, MIP-1β, VEGFA, MPO, and MIC-1) that cooperate in a common pathway and are increased in FD patients’ plasma samples. As shown by the assessment of these proteins over time, they can help to evaluate the risk of higher severity in FD, as well as ERT effects. Even though the analyzed proteins cannot be considered as proper biomarkers due to their non-specificity to FD, taken together they can provide a signature of reference molecules with prognostic value for early diagnosis, and evaluation of disease progression and treatment efficacy, using blood samples. Full article

To address the effect of a ship’s rolling on the fluidization quality of fluidized beds, in this study, a simulation of a rolling fluidized bed with longitudinal internal members added (R-FBLIM) was carried out and compared with that of a rolling fluidized bed without internal members added (R-FBWIM). The transient motion, as well as the behavioral characteristics of the bubbles within the R-FBLIM, was analyzed; the variation patterns of the number of bubbles, as well as the equivalent diameter of the bubbles, were compared for different apparent gas velocities, oscillation periods, and amplitudes; and the mechanism of the action of the longitudinal internal members was investigated. The results show that the structural design of the longitudinal internal members can effectively improve the gas–solid fluidization quality of the rolling fluidized bed. The horizontal support plate and the cap hole structure can effectively break the air bubbles, the cap hole structure promotes the radial mixing of the gas–solid fluid, and the internal and outer rings of the curved surface plate roll in rows, which inhibit the aggregation behavior of the gas–solid fluid to the two sides of the oscillating planes, respectively, by cooperating with the cap hole structure. Compared with R-FBWIM, the gas–solid phase within R-FBLIM is more spatially distributed, with the number of bubbles increasing by about 2–4 times and the mean diameter decreasing by about 50–60%. The number of bubbles increases with the gas velocity but decreases with the rolling amplitude; the mean diameter decreases with the gas velocity but responds less to the rolling amplitude change. Full article

Over the last few years, given the increase in the incidence and prevalence of both type 2 diabetes mellitus (T2DM) and heart failure (HF), it became crucial to develop guidelines for the optimal preventive and treatment strategies for individuals facing these coexisting conditions. In patients aged over 65, HF hospitalization stands out as the predominant reason for hospital admissions, with their prognosis being associated with the presence or absence of T2DM. Historically, certain classes of glucose-lowering drugs, such as thiazolidinediones (rosiglitazone), raised concerns due to an observed increased risk of myocardial infarction (MI) and cardiovascular (CV)-related mortality. In response to these concerns, regulatory agencies started requiring CV outcome trials for all novel antidiabetic agents [i.e., dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors), glucagon-like peptide-1 receptor agonists (GLP-1 RAs), and sodium-glucose cotransporter-2 inhibitors (SGLT2is)] with the aim to assess the CV safety of these drugs beyond glycemic control. This narrative review aims to address the current knowledge about the impact of glucose-lowering agents used in T2DM on HF prevention, prognosis, and outcome. Full article

In addressing the challenges of quantitative precipitation estimation (QPE) using weather radar, the importance of enhancing the rainfall estimates for applications such as flash flood forecasting and hydropower generation management is recognized. This study employed dual-polarization weather radar data to refine the traditional Z–R relationship, which often needs higher accuracy in areas with complex meteorological phenomena. Utilizing tree-based machine learning algorithms, such as random forest and gradient boosting, this research analyzed polarimetric variables to capture the intricate patterns within the Z–R relationship. The results highlight machine learning’s potential to improve the precision of precipitation estimation, especially under challenging weather conditions. Integrating meteorological insights with advanced machine learning techniques is a remarkable achievement toward a more precise and adaptable precipitation estimation method. Full article

The aims of the present research include (1) optimization of extraction from Vaccinium myrtillus leaf waste via investigation of plant material:medium ratio, extraction medium, and extraction period, employing extractions at room and high temperatures, or using ultrasound and microwaves (M, HAE, UAE, and MAE, respectively), (2) physicochemical characterization, and (3) investigation of extract biological potential. The statistical analysis revealed that optimal levels of parameters for the greatest polyphenolic yield were a proportion of 1:30 g/mL, ethyl alcohol 50% (v/v) during 2 min of microwave irradiation. By LC-MS analysis, 29 phenolic components were detected; HAE showed the highest richness of almost all determined polyphenols, while chlorogenic acid and quercetin 3-O-glucuronide were dominant. All extracts showed a high inhibition of Staphylococcus aureus growth. The effect of different parameters on extracts’ antioxidant capacity depended on the used tests. The extracts also showed a stimulative influence on keratinocyte viability and anti-inflammatory activity (proven in cell-based ELISA and erythrocyte stabilization assays). The extraction procedure significantly affected the extraction yield (MAE ≥ maceration ≥ UAE ≥ HAE), whereas conductivity, density, surface tension, and viscosity varied in a narrow range. The presented research provides evidence on the optimal extraction conditions and technique, chemical composition, and antioxidant, antimicrobial, anti-inflammatory, and keratinocyte viability properties of bilberry extracts for potential applications in pharmacy and cosmetics. Full article

The study aimed to assess the prevalence of COVID-19 and Klebsiella spp. coinfection across continents. Conducted following PRISMA guidelines, a systematic review utilized PubMed, Embase, SCOPUS, ScienceDirect, and Web of Science databases, searching for literature in English published from December 2019 to December 2022, using specific Health Sciences descriptors. A total of 408 records were identified, but only 50 were eligible, and of these, only 33 were included. Thirty-three references were analyzed to evaluate the correlation between COVID-19 and Klebsiella spp. infections. The tabulated data represented a sample group of 8741 coinfected patients. The findings revealed notable disparities in co-infection rates across continents. In Asia, 23% of individuals were infected with Klebsiella pneumoniae, while in Europe, the proportion of co-infected patients stood at 15%. Strikingly, on the African continent, 43% were found to be infected with Klebsiella pneumoniae, highlighting significant regional variations. Overall, the proportion of Klebsiella pneumoniae co-infections among COVID-positive individuals were determined to be 19%. Particularly concerning was the observation that 1 in 6 ICU coinfections was attributed to Klebsiella pneumoniae, indicating its substantial impact on patient outcomes and healthcare burden. The study underscores the alarming prevalence of co-infection between COVID-19 and Klebsiella pneumoniae, potentially exacerbating the clinical severity of patients and posing challenges to treatment strategies. These findings emphasize the importance of vigilant surveillance and targeted interventions to mitigate the adverse effects of bacterial coinfections in the context of the COVID-19 pandemic. Full article

Spike sorting, an indispensable process in the analysis of neural biosignals, aims to segregate individual action potentials from mixed recordings. This study delves into a comprehensive investigation of diverse unsupervised classification algorithms, some of which, to the best of our knowledge, have not previously been used for spike sorting. The methods encompass Principal Component Analysis (PCA), K-means, Self-Organizing Maps (SOMs), and hierarchical clustering. The research draws insights from both macaque monkey and human pancreatic signals, providing a holistic evaluation across species. Our research has focused on the utilization of the aforementioned methods for the sorting of 327 detected spikes within an in vivo signal of a macaque monkey, as well as 386 detected spikes within an in vitro signal of a human pancreas. This classification process was carried out by extracting statistical features from these spikes. We initiated our analysis with K-means, employing both unmodified and normalized versions of the features. To enhance the performance of this algorithm, we also employed Principal Component Analysis (PCA) to reduce the dimensionality of the data, thereby leading to more distinct groupings as identified by the K-means algorithm. Furthermore, two additional techniques, namely hierarchical clustering and Self-Organizing Maps, have also undergone exploration and have demonstrated favorable outcomes for both signal types. Across all scenarios, a consistent observation emerged: the identification of six distinctive groups of spikes, each characterized by distinct shapes, within both signal sets. In this regard, we meticulously present and thoroughly analyze the experimental outcomes yielded by each of the employed algorithms. This comprehensive presentation and discussion encapsulate the nuances, patterns, and insights uncovered by these algorithms across our data. By delving into the specifics of these results, we aim to provide a nuanced understanding of the efficacy and performance of each algorithm in the context of spike sorting. Full article

With the lack of specific signs and symptoms, pancreatic ductal adenocarcinoma (PDAC) is often diagnosed at late metastatic stages, resulting in poor survival outcomes. Among various biomarkers, microRNA-21 (miR-21), a small non-coding RNA, is highly expressed in PDAC. By inhibiting regulatory proteins at the 3′ untranslated regions (UTR), miR-21 holds significant roles in PDAC cell proliferation, epithelial–mesenchymal transition, angiogenesis, as well as cancer invasion, metastasis, and resistance therapy. We conducted a systematic search across major databases for articles on miR-21 and pancreatic cancer mainly published within the last decade, focusing on their diagnostic, prognostic, therapeutic, and biological roles. This rigorous approach ensured a comprehensive review of miR-21’s multifaceted role in pancreatic cancers. In this review, we explore the current understandings and future directions regarding the regulation, diagnostic, prognostic, and therapeutic potential of targeting miR-21 in PDAC. This exhaustive review discusses the involvement of miR-21 in proliferation, epithelial–mesenchymal transition (EMT), apoptosis modulation, angiogenesis, and its role in therapy resistance. Also discussed in the review is the interplay between various molecular pathways that contribute to tumor progression, with specific reference to pancreatic ductal adenocarcinoma. Full article

A finite element model of a 100 m X-BOW polar exploration cruise ship has been developed. The ship’s frequency response analysis was conducted, with the simulated results closely matching the test data. The maximum discrepancy was 22%, equating to a negligible 0.24 mm/s difference in terms of comfort. This indicates that the simulation meets the standards of engineering precision and validates the model’s accuracy. Utilizing a global modal equivalent mass solution approach, in conjunction with the spatial distribution of local modal mass, a method for calculating the equivalent mass of a single local mode in mixed modes has been devised. This method was applied to determine the equivalent mass of the local vibration region of the 100 m X-BOW ship. Tuned mass dampers (TMDs) were then designed based on this equivalent mass. Analysis reveals that the TMDs achieve a 31 dB vibration absorption effect at a frequency of 13.4 Hz with a mass ratio of 0.05. They also provide a control effect at 10 Hz and 18.8 Hz, corresponding to 3 dB and 2 dB reductions, respectively. The control frequency band is broad, flat, and robust, indicating the effectiveness of the TMDs in mitigating vibrations across a wide range of frequencies. Full article

Split quaternions have various applications in mathematics, computer graphics, robotics, physics, and so on. In this paper, two useful, real representations of a split quaternion matrix are proposed. Based on this, we derive their fundamental properties. Then, via the real representation method, we obtain the necessary and sufficient conditions for the existence of solutions to two split quaternion matrix equations. In addition, two experimental examples are provided to show their feasibility. Full article

ApTOLL, a TLR4 modulator aptamer, has demonstrated cerebroprotective effects in a permanent ischemic stroke mouse model, as well as safety and efficacy in early phase clinical trials. We carried out reverse translation research according to STAIR recommendations to further characterize the effects and mechanisms of ApTOLL after transient ischemic stroke in rats and to better inform the design of pivotal clinical trials. Adult male rats subjected to transient middle cerebral artery occlusion were treated either with ApTOLL or the vehicle intravenously at different doses and time-points. ApTOLL was compared with TAK-242 (a TLR4 inhibitor). Female rats were also studied. After neurofunctional evaluation, brains were removed for infarct/edema volume, hemorrhagic transformation, and histologic determinations. Peripheral leukocyte populations were assessed via flow cytometry. ApTOLL showed U-shaped dose-dependent cerebroprotective effects. The maximum effective dose (0.45 mg/kg) was cerebroprotective when given both before reperfusion and up to 12 h after reperfusion and reduced the hemorrhagic risk. Similar effects occurred in female rats. Both research and clinical ApTOLL batches induced slightly superior cerebroprotection when compared with TAK-242. Finally, ApTOLL modulated circulating leukocyte levels, reached the brain ischemic tissue to bind resident and infiltrated cell types, and reduced the neutrophil density. These results show the cerebroprotective effects of ApTOLL in ischemic stroke by reducing the infarct/edema volume, neurofunctional impairment, and hemorrhagic risk, as well as the peripheral and local immune response. They provide information about ApTOLL dose effects and its therapeutic time window and target population, as well as its mode of action, which should be considered in the design of pivotal clinical trials. Full article

Researchers have focused on deriving environmentally benign materials from biomass waste and converting them into value-added materials. In this study, cellulosic crystals derived from sugarcane bagasse (SCB) are augmented with magnetite (M) nanoparticles. Following the co-precipitation route, the composite was prepared, and then the mixture was subjected to a green microwave solvent-less technique. Various mass ratios of SCB:M (1:1, 2:1, 3:1, 5:1, and 1:2) were prepared and efficiently utilized as photocatalysts. To look at the structural and morphological properties of the prepared samples, X-ray diffraction pattern (XRD), scanning electron microscopy (SEM), and elemental analysis were used to describe the composite fibers. SCB:M augmented with H₂O₂ as a Fenton reaction was used to eliminate Reactive blue 19 (RB19) from polluted water and was compared with pristine SCB and M. Additionally, the response surface methodology (RSM) statistically located and assessed the optimized parameters. The optimal operating conditions were recorded at pH 2.0 and 3:1 SCB: M with 40 mg/L and 100 mg/L of hydrogen peroxide. However, the temperature increase inhibits the oxidation reaction. The kinetic modeling fit showed the reaction following the second-order kinetic model with an energy barrier of 98.66 kJ/mol. The results show that such photocatalyst behavior is a promising candidate for treating textile effluent in practical applications. Full article

The combination of an ultra-low-loss optical fiber sensitive to ionizing radiation and an optical time domain reflectometer (OTDR) is investigated to explore the feasibility of a single-ended distributed radiation detector. The peculiarity of the tested fiber resides in its regenerative high radiation-induced attenuation (RIA) response in the infrared spectrum (1310 nm), which returns to a low value once the irradiation has ended, combined to its sensitivity, highly increasing with the dose rate. In this work, only some sections of the fiber line were irradiated with 100 kV X-rays at room temperature, to prove the spatially resolved radiation detection capabilities of the system. The transient RIA response of the fiber was characterized at different pre-irradiation doses. A pre-irradiation treatment was shown to stabilize the optical fiber response, improving its RIA vs. dose rate linearity and repeatability. This improved response, in terms of radiation quantification, comes at the cost of a lower detection threshold. This work lays the bases for a distributed radiation detector, with some capabilities in dose rate evaluation. Full article

Potential celiac disease (PCD) is a clinical condition characterised by the presence of a positive CD-specific serology and a normal intestinal architecture. Asymptomatic PCD patients are generally advised to continue on a gluten-containing diet (GCD), but long-term risks of this approach have never been explored. In the present study, we aimed to investigate nutritional and autoimmune complications possibly developing overtime in a cohort of asymptomatic PCD children on a GCD. We compared children’s parameters of growth, nutritional status, and autoimmunity between the time of diagnosis and on the occasion of their last medical check, after a long-term gluten-containing diet. Altogether, we collected data from 171 PCD children with a mean follow-up time of 3 years (range 0.35–15.3 years). During follow-up, although patients did not reduce their amount of daily gluten intake, their anti-tissue transglutaminase (anti-TG2) antibodies spontaneously and significantly decreased. Most parameters analysed had not changed during follow-up (height centile, ferritin, albumin, cholesterol, calcium, alkaline phosphatase, parathormone, and vitamin D) or even improved significantly (weight and BMI centile, haemoglobin, blood iron, HDL, glycaemia, and HbA1C, p < 0.05), always remaining within the limit of normality. Equally, autoantibodies for other concomitant autoimmune disorders did not increase overtime. Similar results were obtained excluding from analysis patients who had stopped producing anti-TG2 and those with a follow-up time < 3 years. Our pilot study has provided reassuring results regarding the maintenance of a gluten-containing diet in asymptomatic PCD children, even when long-term follow-up was considered. Full article

The natural gas (NG)-powered compressors/engines used in liquified natural gas (LNG) plants are a major source of methane emission. The Allam–Fetvedt cycle (AFC), an oxyfuel, carbon-neutral, high-efficiency power plant, generates pipeline-grade CO₂. This work performed novel process modeling, economic analysis, and greenhouse gas emissions analysis for a heat-integrated, electrified LNG/AFC/air separation unit (ASU) complex (LAA), then compared it to standalone LNG and AFC/ASU plants (baseline) as well as an LNG plant electrified with AFC/ASU without heat integration. The low-grade heat generated from compressors of the LNG plant can enhance the AFC net power output by 7.1%. Utilizing the nitrogens cold energy reduces the compressor power requirement by 1.6%. In the integrated LAA complex, not only are GHG emissions avoided, but the energy efficiencies are also improved for both the LNG plant and the AFC power plant. A cash flow analysis of LAA was performed over a 20-year period with 5%, 7%, and 10% discount rates and three levels of LNG prices. The 45Q CO₂ credit of USD 85/T as stipulated by the recent Inflation Reduction Act (IRA) of 2022 has been incorporated. The results clearly indicate the economic and environmental benefits of the proposed electrification and heat/power integration. Full article

Government support for achieving corporate carbon emission reduction is crucial not only for sustainable business development, but it also holds strategic importance for China to achieve its “dual-carbon” goals. This article empirically explores the impact and underlying mechanisms of government environmental attention (GEA) on corporate carbon emission reduction performance (CEP), using a sample of A-share listed companies with high energy consumption from 2009 to 2020. The results show that GEA can improve corporate CEP. A heterogeneity analysis found that this effect is more pronounced in heavily polluting industries, small and medium-sized enterprises (SMEs), and companies located in the eastern regions of the country. A mechanism analysis suggested that GEA can improve corporate CEP by strengthening internal green technological innovation capabilities and attracting attention from external analysts and media. These research conclusions guide corporate carbon emission reduction practices and offer empirical evidence for the government in formulating regulatory policies for carbon reduction. Full article

The environmental invasion of plastic waste leads to, among other things, a reassessment of natural fibers. Environmental pollution has shown the importance of the degradability, among other properties, of the raw materials used by the textile industry or other industrial fields. Wool seems to be a better raw material than the polymers that generate large quantities of micro- and nano-plastics, polluting the soil, water, and air. However, the usual processing of raw wool involves a number of chemically very polluting treatments. Thus, sustainable procedures for making wool processing environmentally friendly have been considered, leading to the reappraisal of wool as a suitable raw material. Besides their applications for textile products (including smart textiles), new directions for the valorization of this natural material have been developed. According to the recent literature, wool may be successfully used as a thermal and phonic insulator, fertilizer, or component for industrial devices, or in medical applications, etc. In addition, the wool protein α-keratin may be extracted and used for new biomaterials with many practical applications in various fields. This review makes a survey of the recent data in the literature concerning wool production, processing, and applications, emphasizing the environmental aspects and pointing to solutions generating sustainable development. Full article

The study of deep shale gas (>3500 m) has become a new research hotspot in the field of shale gas research in China. In this study, 16 representative deep shale samples were selected from different layers of the Wufeng–Longmaxi Formation in the Z-3 well in the western Chongqing area to conduct low-field nuclear magnetic resonance (NMR) tests, field-emission scanning electron microscopy (FE-SEM) observation, and fractal modeling. By comparing the differences in pore structure and their influencing factors in representative samples from different layers, the particularities of high-quality reservoirs have been revealed. The results show that the Z-3 well shales mainly develop micropores and mesopores, with pore sizes of 1 nm–200 nm. The fractal dimensions of bound fluid pores D₁ (1.6895–2.3821) and fractal dimension of movable fluid pores D₂ (2.9914–2.9996) were obtained from T₂ spectra and linear fitting, and the pores were divided into three sections based on the NMR fractal characteristics. TOC content was one of the major factors affecting the gas content in the study area. The shale samples in the bottom S₁l^1-1 sub-layer with a higher TOC content have larger porosity and permeability, leading to enhanced homogeneity of the pore structure and favorable conditions for shale gas adsorption. A comparative understanding of the particularities of pore structure and influencing factors in high-quality reservoirs with higher gas content will provide the scientific basis for further exploration and exploitation of the Wufeng–Longmaxi Formation deep shale reservoirs in the western Chongqing area. Full article

Background: Dry eye disease (DED), a prevalent condition with a multifactorial etiology, significantly impacts global health by causing discomfort and visual disturbance. This historical cohort study evaluates the efficacy of Intense Pulsed Light (IPL) therapy on meibomian gland dysfunction (MGD)-related evaporative DED. Methods: The study involved 110 patients (220 eyes) who underwent IPL therapy. Ethical approval was secured, and informed consent was obtained from all participants. A Tearcheck^® (ESWvision, Houdan, France) device was used for ocular surface evaluation, measuring tear film stability (NIFBUT, NIABUT), tear film quantity (CTMH, TTMH), and inflammation (OSIE). The study assessed tear film and ocular surface health across multiple IPL sessions. Results: Significant improvements were observed in subjective symptoms (EFT score increased from 29.10 ± 8.87 to 35.91 ± 7.03, p < 0.01), tear film stability (NIFBUT increased from 9.37 ± 6.04 to 10.78 ± 5.83 s, p < 0.01; NIABUT increased from 11.07 ± 4.98 to 12.34 ± 4.66 s, p < 0.01), and tear film surface evaluation (TFSE score decreased from 337.78 ± 414.08 to 206.02 ± 240.44, p < 0.01). Tear film quantity remained unchanged (CTMH and TTMH, p > 0.05). Conclusions: IPL therapy is a promising treatment for DED, improving symptoms and ocular surface health. Further research is warranted to explore long-term efficacy and optimization. Full article