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Tissue engineering and regenerative medicine (TERM) holds great promise for addressing the growing need for innovative therapies to treat disease conditions. To achieve this, TERM relies on various strategies and techniques. The most prominent strategy is the development of a scaffold. Polyvinyl alcohol-chitosan (PVA-CS) scaffold emerged as a promising material in this field due to its biocompatibility, versatility, and ability to support cell growth and tissue regeneration. Preclinical studies showed that the PVA-CS scaffold can be fabricated and tailored to fit the specific needs of different tissues and organs. Additionally, PVA-CS can be combined with other materials and technologies to enhance its regenerative capabilities. Furthermore, PVA-CS represents a promising therapeutic solution for developing new and innovative TERM therapies. Therefore, in this review, we summarized the potential role and functions of PVA-CS in TERM applications.

Background Breastfeeding offers incredible health benefits to both child and mother. It is suggested by World Health Organization that an able mother should practice and maintain exclusive breastfeeding for first six months of her infant’s life. The objective of this study was to determine the prevalence and factors associated with exclusive breastfeeding for first six months of an infant’s life in Bangladesh. Methods Data was extracted from Bangladesh Demographic and Health Survey (BDHS-2014). BDHS-2014 collected data from 17,863 Bangladeshi married women in reproductive age from the entire country using two stages stratified cluster sampling. We included only mothers having at least one child currently aged not less than 6 months. Mothers who did not have child to breastfeed, some incomplete information and missing samples were excluded from the data set and consequently 3541 mothers were considered in the present study. Chi-square test, binary logistic regression models were used in this study. Results The prevalence of exclusive breastfeeding (EBF) for first six months of an infant’s life in Bangladesh was 35.90%. Binary multivariable logistic regression model demonstrated that relatively less educated mothers were more likely to exclusively breastfeed their children than higher educated mothers. (AOR = 2.28, 95% CI: 1.05–4.93; p  < 0.05). Housewife mothers were more likely to be EBF than their counterparts (AOR = 1.20, 95% CI: 1.02–1.42; p  < 0.05). Higher rate of EBF was especially found among mothers who were living in Sylhet division, within 35–49 years old, and had access to mass media, had more than 4 children, had delivered at home and non-caesarean delivery, took breastfeeding counseling, antenatal and postnatal cares. Conclusions Stepwise regression model exhibited that most of the important predictors were modifiable factors for exclusive breastfeeding. Authorities should provide basic education on EBF to educated mothers, and organize more general campaign on EBF.

In the present study, the effects of human physiological activity levels on the fatigue life of a porous magnesium scaffold have been investigated. First, the dynamic immersion and biomechanical testing are carried out on a porous magnesium scaffold to simulate the physiological conditions. Then, a numerical data analysis and computer simulations predict the implant failure values. A 3D CAD bone scaffold model was used to predict the implant fatigue, based on the micro-tomographic images. This study uses a simulation of solid mechanics and fatigue, based on daily physiological activities, which include walking, running, and climbing stairs, with strains reaching 1000–3500 µm/mm. The porous magnesium scaffold with a porosity of 41% was put through immersion tests for 24, 48, and 72 h in a typical simulated body fluid. Longer immersion times resulted in increased fatigue, with cycles of failure (Nf) observed to decrease from 4.508 × 1022 to 2.286 × 1011 (1.9 × 1011 fold decrease) after 72 hours of immersion with a loading rate of 1000 µm/mm. Activities played an essential role in the rate of implant fatigue, such as demonstrated by the 1.1 × 105 fold increase in the Nf of walking versus stair climbing at 7.603 × 1011 versus 6.858 × 105, respectively. The dynamic immersion tests could establish data on activity levels when an implant fails over time. This information could provide a basis for more robust future implant designs.

In designing porous scaffolds, permeability is essential to consider as a function of cell migration and bone tissue regeneration. Good permeability has been achieved by mimicking the complexity of natural cancellous bone. In this study, a porous scaffold was developed according to the morphological indices of cancellous bone (porosity, specific surface area, thickness, and tortuosity). The computational fluid dynamics method analyzes the fluid flow through the scaffold. The permeability values of natural cancellous bone and three types of scaffolds (cubic, octahedron pillar, and Schoen’s gyroid) were compared. The results showed that the permeability of the Negative Schwarz Primitive (NSP) scaffold model was similar to that of natural cancellous bone, which was in the range of 2.0 × 10−11 m2 to 4.0 × 10−10 m2. In addition, it was observed that the tortuosity parameter significantly affected the scaffold’s permeability and shear stress values. The tortuosity value of the NSP scaffold was in the range of 1.5–2.8. Therefore, tortuosity can be manipulated by changing the curvature of the surface scaffold radius to obtain a superior bone tissue engineering construction supporting cell migration and tissue regeneration. This parameter should be considered when making new scaffolds, such as our NSP. Such efforts will produce a scaffold architecturally and functionally close to the natural cancellous bone, as demonstrated in this study.

Background: Osteoarthritis (OA) is a common degenerative joint disease that poses a significant global healthcare challenge due to its complexity and limited treatment options. Advances in metabolomics have provided insights into OA by identifying dysregulated metabolites and their connection to altered signaling pathways. However, a comprehensive understanding of these biomarkers in OA is still required. Objectives: This systematic review aims to identify metabolomics biomarkers associated with dysregulated signaling pathways in OA, using data from various biological samples, including in vitro models, animal studies, and human research. Design: A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data sources and methods: Data were gathered from literature published between August 2017 and May 2024, using databases such as “PubMed,” “Scopus,” “Web of Science,” and “Google Scholar.” Studies were selected based on keywords like “metabolomics,” “osteoarthritis,” “amino acids,” “molecular markers,” “biomarkers,” “diagnostic markers,” “inflammatory cytokines,” “molecular signaling,” and “signal transduction.” The review focused on identifying key metabolites and their roles in OA-related pathways. Limitations include the potential exclusion of studies due to keyword selection and strict inclusion criteria. Results: The meta-analysis identified dysregulated metabolites and associated pathways, highlighting a distinct set of related metabolites consistently altered across the studies analyzed. The dysregulated metabolites, including amino acids, lipids, and carbohydrates, were found to play critical roles in inflammation, oxidative stress, and energy metabolism in OA. Metabolites such as alanine, lysine, and proline were frequently linked to pathways involved in inflammation, cartilage degradation, and apoptosis. Key pathways, including nuclear factor kappa B, mitogen-activated protein kinase, Wnt/β-catenin, and mammalian target of rapamycin, were associated with changes in metabolite levels, particularly in proinflammatory lipids and energy-related compounds. Conclusion: This review reveals a complex interplay between dysregulated metabolites and signaling pathways in OA, offering potential biomarkers and therapeutic targets. Further research is needed to explore the molecular mechanisms driving these changes and their implications for OA treatment. Plain language summary Understanding how altered metabolites and signaling pathways contribute to osteoarthritis: a comprehensive review Aims and purpose of the research Research question: The main question we are exploring is how certain chemicals in the body, called metabolites, are linked to signaling pathways in osteoarthritis (OA). Hypotheses/Expectations: Before starting this review, we expected that specific metabolites would be connected to the processes that cause OA, like inflammation and cartilage tissue breakdown. Objective: Our goal is to identify these metabolites and understand how they interact with signaling pathways in OA. We aim to gather data from various sources, including laboratory experiments, animal studies, and human clinical studies. Background of the research Why this question matters: Osteoarthritis is a common and painful condition that affects the joints, making it hard for people to move and perform everyday tasks. There are not many effective treatments available, which is why it’s important to study this disease in depth. By understanding the metabolic changes that occur in OA, we might find new ways to treat it. Scale of issue: Osteoarthritis affects millions of people around the world. It is a leading cause of disability and significantly impacts the quality of life of those who suffer from it. The high prevalence and limited treatment options make it a major public health issue. Methods and research design Research design: We conducted a systematic review of scientific literature published between August 2017 and May 2024. This means we carefully collected and analyzed all relevant studies available in major databases like PubMed, Scopus, Web of Science, and Google Scholar. We followed strict guidelines (PRISMA) to ensure our review was thorough and unbiased. Key variables: The key variables in our study were different types of metabolites, such as amino acids, lipids, and carbohydrates, and their association with signaling pathways known to be involved in OA, like NFκB, MAPK, Wnt/β-catenin, and mTOR. Participants: Our data came from a var.

The intricate process of tissue regeneration, driven by endogenous mechanisms, represents a sophisticated interplay of biological events from injury detection to functional recovery. This review discusses the multifaceted journey of stem cells in response to physiological and pathological cues. Beginning with detecting tissue damage through biochemical signals, the subsequent acute inflammatory response activates stem cells residing in specialized niches. These cells are then recruited to the injury site via chemotactic gradients of growth factors and cytokines. Once localized, stem cells proliferate and differentiate, influenced by the local microenvironment, which provides essential cues for their fate decisions. Integrating newly formed cells into the tissue matrix, supported by modulation of inflammation, angiogenesis, and extracellular matrix remodelling, is crucial for restoring tissue architecture and function. By exploring these biological details and leveraging advancements in medical technology, this review aims to enhance the understanding of regenerative therapies, offering new avenues for effective tissue repair and recovery.

Stem cell differentiation is guided by contact with the physical microenvironment, influence by both topography and mechanical properties of the matrix. In this study, the combined effect of substratum nano-topography and mechanical stiffness in directing mesenchymal stem cell (MSC) chondrogenesis was investigated. Three polyesters of varying stiffness were thermally imprinted to create nano-grating or pillar patterns of the same dimension. The surface of the nano-patterned substrate was coated with chondroitin sulfate (CS) to provide an even surface chemistry, with cell-adhesive and chondro-inductive properties, across all polymeric substrates. The surface characteristic, mechanical modulus, and degradation of the CS-coated patterned polymeric substrates were analyzed. The cell morphology adopted on the nano-topographic surfaces were accounted by F-actin distribution, and correlated to the cell proliferation and chondrogenic differentiation outcomes. Results show that substratum stiffness and topographical cues affected MSC morphology and aggregation, and influenced the phenotypic development at the earlier stage of chondrogenic differentiation. Hyaline-like cartilage with middle/deep zone cartilage characteristics was generated on softer pillar surface, while on stiffer nano-pillar material MSCs showed potential to generate constituents of hyaline/fibro/hypertrophic cartilage. Fibro/superficial zone-like cartilage could be derived from nano-grating of softer stiffness, while stiffer nano-grating resulted in insignificant chondrogenesis. This study demonstrates the possibility of refining the phenotype of cartilage generated from MSCs by manipulating surface topography and material stiffness.

The current work reports the biocompatibility and mechanical stability of enstatite and forsterite bioceramics prepared by sol–gel combustion method. XRD results conferred that enstatite and forsterite phase formation take place at 1000 °C and 900 °C respectively. TEM micrographs indicated the particle size of enstatite in the micron range while forsterite is in the range of 100–200 nm. The FT-IR spectra of forsterite after biomineralization revealed the presence of phosphate and carbonate groups shows apatite deposition ability of forsterite. The slow degradation and better apatite deposition of forsterite resulted in ten folds greater compressive strength than enstatite. Both the bioceramics have shown a remarkable impact on inhibiting the growth of clinical pathogens at a very low concentration. The good hBMSCs attachment and significant proliferation revealed the cytocompatibility of enstatite and forsterite. These observations suggested that magnesium silicate bioceramics can be explored for load-bearing applications, maxillofacial reconstruction and septic arthritis. Graphical abstract

Background Tuberculosis (TB) is the second leading cause of human death and TB is one of the major public health problems in Bangladesh. The aim of the present study was to assess the Knowledge about TB among non-medical university students in Bangladesh. Methods A cross-sectional survey was performed on 839 non-medical university students. Data were collected from University of Rajshahi from March to August 2013 using a standard semi-structured questionnaire. Chi-square test was utilized to find the factors which are associated with students’ knowledge about TB. Results Among 839 students, male and female were 68.2 % and 31.8 % respectively. Most of the students (94.4 %) were informed about the term TB, among them 50 % got information from electronic media. More than 50 % students believed that TB is a communicable disease, 42.8 % students agreed that bacteria is an agent for TB, most of the subjects (93 %) had the knowledge about the vaccination against TB and 97.6 % students believed that TB is curable. However, students had poor knowledge about latent TB (13.7 %) and DOTs program (28.5 %). χ 2 -test demonstrated that gender, residence, type of family and parents education were associated with students’ knowledge of TB. Conclusion In the present study demonstrated that the level of general knowledge about TB was insufficient among non-medical university students. Consequently, health education program is needed to improve the knowledge among university students regarding TB.

Background: Skeletal muscle laceration injuries remain a clinical challenge owing to limited and often delayed functional recovery. Surgical repair often fails to fully restore injured muscle, causing fibrosis and functional impairments. Mesenchymal stem cells (MSCs) represent a potential therapy due to their regenerative and immunomodulatory properties. However, their short-term regenerative effects in laceration injuries remain under-explored. Objective: We aim to evaluate the short-term effects of allogenic bone marrow-derived MSCs on skeletal muscle regeneration following laceration injury in rats. Methods: Sprague Dawley rats underwent laceration injury to the right gastrocnemius muscle and received local injection of either saline (n = 6) or allogeneic bone marrow-derived MSCs (2 × 106 cells; n = 6) two weeks after injury. Muscle functional recovery was evaluated by measuring tetanic contraction force of the injured relative to the contralateral uninjured leg and compared among MSC-treated, saline-treated, untreated injured (n = 6), and intact control groups (n = 6) on days 7 and 14 post-treatment. Histological assessment of the treated muscle groups using Hematoxylin and Eosin and Masson’s Trichrome staining was conducted on day 7 post-treatment. Results: On day 7 post-treatment, MSC-treated muscle showed higher normalised force (96.8 ± 15.0%) than saline-treated (76.7 ± 4.6%) (p = 0.0393), but not untreated, muscle (83.1 ± 14.7%) (p = 0.2259). By day 14, the MSC-treated group exhibited significantly greater recovery of muscle force (110.8 ± 6.46%) than both the saline-treated (78.4 ± 6.47%) (p < 0.0001) and untreated groups (88.1 ± 3.41%) (p = 0.0001). Force recovery in the MSC-treated muscle was comparable to that in intact muscle (102.6 ± 10.4%) at both time points (p = 0.230). Supplementary histological analysis showed mild inflammatory cell infiltration, well-formed myoblasts, and a lower fibrosis index in MSC-treated muscle (29.30 ± 0.29%) compared with saline-treated muscle (31.77 ± 0.43%) (p < 0.0001) on day 7 post-treatment. Conclusions: Allogeneic bone marrow-derived MSC therapy is associated with enhanced repair of lacerated skeletal muscle over a short recovery period; however, larger studies with broader assessments are needed to confirm its potential clinical applicability.