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After an injury, the limited regenerative capacity of the central nervous system makes the reconnection and functional recovery of the affected nervous tissue almost impossible. To address this problem, biomaterials appear as a promising option for the design of scaffolds that promote and guide this regenerative process. Based on previous seminal works on the ability of regenerated silk fibroin fibers spun through the straining flow spinning (SFS) technique, this study is intended to show that the usage of functionalized SFS fibers allows an enhancement of the guidance ability of the material when compared with the control (nonfunctionalized) fibers. It is shown that the axons of the neurons not only tend to follow the path marked by the fibers, in contrast to the isotropic growth observed on conventional culture plates, but also that this guidance can be further modulated through the biofunctionalization of the material with adhesion peptides. Establishing the guidance ability of these fibers opens the possibility of their use as implants for spinal cord injuries, so that they may represent the core of a therapy that would allow the reconnection of the injured ends of the spinal cord.
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http://dx.doi.org/10.3390/biomimetics8010065 | DOI Listing |
BMJ Open
September 2025
Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
Objectives: Examine patterns in declined referrals to secondary healthcare in New Zealand by sociodemographics, region, health specialty and over time, as an important marker of potential unmet healthcare need (UMN) for specialist care. The primary hypothesis was that UMN varies by sociodemographic groups, region and health specialty and has increased over time.
Design: A repeated cross-sectional analysis using administrative data from the National Patient Flow (NPF) Collection (2018-2022).
J Family Reprod Health
June 2025
Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Objective: This study aimed to evaluate the urodynamic findings in women with voiding dysfunction symptoms at a referral academic center.
Materials And Methods: Patients who underwent urodynamics to evaluate voiding dysfunction symptoms between 2019 and 2022 were retrospectively analyzed. Demographic and clinical data were obtained from the electronic data registration system of the urogynecology clinic.
JAMA
August 2025
Atrium Wake Forest Baptist Health, Winston-Salem, North Carolina.
Importance: Hemorrhoidal disease, pathology of the tissue lining of the anal canal, affects approximately 10 million individuals in the US. Hemorrhoidal disease may impair quality of life due to bleeding, pain, anal irritation, and tissue prolapse.
Observations: Hemorrhoids are classified as internal, external, or mixed (concurrent internal and external hemorrhoidal disease).
Urology
July 2025
Graduate School, Medical School of Chinese People's Liberation Army (PLA), Beijing, China; Department of Urology, The Third Medical Centre, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. Electronic address:
Objective: To develop a clinical prediction model for detrusor underactivity (DU) in patients with benign prostatic hyperplasia (BPH).
Methods: A retrospective review was conducted on 546 individuals with BPH who had undergone urodynamic testing between January 2012 and May 2022. The bladder contractility index (BCI) was assessed using a pressure-flow study (PFS).
Lancet Diabetes Endocrinol
September 2025
Department of Medicine, University of Padova, Padova, Italy.
The mechanisms driving the cardiovascular and renal benefits of therapies targeting intestinal hormones in type 2 diabetes are still not fully understood. We propose that incretin hormones-glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP)-act as a critical link connecting digestion, metabolism, and cardiovascular function, supporting physiological adaptations to nutrient intake. Incretin hormones help regulate blood flow and cardiac activity, enhancing nutrient absorption while protecting the heart and vessels.
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