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Search Results (1,899)

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Keywords = AC conductivity

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13 pages, 3051 KB  
Article
Leakage Current Equalization via Thick Semiconducting Coatings Suppresses Pin Corrosion in Disc Insulators
by Cong Zhang, Hongyan Zheng, Zikui Shen, Junbin Su, Yibo Yang, Heng Zhong and Xiaotao Fu
Energies 2025, 18(19), 5246; https://doi.org/10.3390/en18195246 - 2 Oct 2025
Abstract
In coastal hot and humid regions, the steel pin of AC porcelain insulators often suffers from severe electrochemical corrosion due to surface contamination and moisture, leading to insulator string breakage. Contrary to the common belief that AC corrosion is negligible, this study reveals [...] Read more.
In coastal hot and humid regions, the steel pin of AC porcelain insulators often suffers from severe electrochemical corrosion due to surface contamination and moisture, leading to insulator string breakage. Contrary to the common belief that AC corrosion is negligible, this study reveals the significant role of the DC component in leakage currents and the synergy of this DC component with localized high current densities in accelerating corrosion, based on field investigations and experiments. Using a simulation model based on the Suwarno equivalent circuit, it is shown that non-linear contamination causes highly non-sinusoidal leakage currents, with total harmonic distortion up to 40% and a DC component of approximately 22%. To mitigate this, a conductive silicone rubber coating is proposed to block moisture and distribute leakage current evenly, keeping surface current density below the critical threshold of 100 A/m2. Simulations indicate that a 2 mm thick coating with conductivity around 10−4 S/m effectively reduces current density to a safe level. Accelerated corrosion tests confirm that this conductive coating significantly suppresses pitting corrosion caused by high current densities, outperforming traditional insulating coatings. This study presents a practical and effective approach for protecting AC insulators in harsh environments, contributing to improved transmission line reliability in high-temperature and high-humidity regions. Full article
(This article belongs to the Special Issue Advances in High-Voltage Engineering and Insulation Technologies)
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18 pages, 5552 KB  
Article
Development of a Low-Cost Measurement System for Soil Electrical Conductivity and Water Content
by Emmanouil Teletos, Kyriakos Tsiakmakis, Argyrios T. Hatzopoulos and Stefanos Stefanou
AgriEngineering 2025, 7(10), 329; https://doi.org/10.3390/agriengineering7100329 - 1 Oct 2025
Abstract
Soil electrical conductivity (EC) and water content are key indicators of soil health, influencing nutrient availability, salinity stress, and crop productivity. Monitoring these parameters is critical for precision agriculture. However, most existing measurement systems are costly, which restricts their use in practical field [...] Read more.
Soil electrical conductivity (EC) and water content are key indicators of soil health, influencing nutrient availability, salinity stress, and crop productivity. Monitoring these parameters is critical for precision agriculture. However, most existing measurement systems are costly, which restricts their use in practical field conditions. The aim of this study was to develop and validate a low-cost, portable system for simultaneous measurement of soil EC, water content, and temperature, while maintaining accuracy comparable to laboratory-grade instruments. The system was designed with four electrodes arranged in two pairs and employed an AC bipolar pulse method with a constant-current circuit, precision rectifier, and peak detector to minimize electrode polarization. Experiments were carried out in sandy loam soil at water contents of 13%, 18%, and 22% and KNO3 concentrations of 0, 0.1, 0.2, and 0.4 M. Measurements from the developed system were benchmarked against a professional impedance analyzer (E4990A). The findings demonstrated that EC increased with both frequency and water content. At 100 Hz, the mean error compared with the analyzer was 8.95%, rising slightly to 9.98% at 10 kHz. A strong linear relationship was observed between EC and KNO3 concentration at 100 Hz (R2 = 0.9898), and for the same salt concentration (0.1 M KNO3) at 100 Hz, EC increased from ~0.26 mS/cm at 13% water content to ~0.43 mS/cm at 22%. In conclusion, the developed system consistently achieved <10% error while maintaining a cost of ~€55, significantly lower than commercial devices. These results confirm its potential as an affordable and reliable tool for soil salinity and water content monitoring in precision agriculture. Full article
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15 pages, 1044 KB  
Article
Synthesis and Ionic Conductivity of NASICON-Type Li1+XFeXTi2-X(PO4)3(x = 0.1, 0.3, 0.4) Solid Electrolytes Using the Sol-Gel Method
by Seong-Jin Cho and Jeong-Hwan Song
Crystals 2025, 15(10), 856; https://doi.org/10.3390/cryst15100856 - 30 Sep 2025
Abstract
NASICON-type Li1+XFeXTi2-X(PO4)3 (x = 0.1, 0.3, 0.4) solid electrolytes for all-solid-state Li-ion batteries were synthesized using a sol–gel method. This study investigated the impact of substituting Fe3+ (0.645 Å), a trivalent cation, for [...] Read more.
NASICON-type Li1+XFeXTi2-X(PO4)3 (x = 0.1, 0.3, 0.4) solid electrolytes for all-solid-state Li-ion batteries were synthesized using a sol–gel method. This study investigated the impact of substituting Fe3+ (0.645 Å), a trivalent cation, for Ti4+ (0.605 Å) on ionic conductivity. Li1+XFeXTi2-X(PO4)3 samples, subjected to various sintering temperatures, were characterized using TG-DTA, XRD with Rietveld refinement, XPS, FE-SEM, and AC impedance to evaluate composition, crystal structure, fracture-surface morphology, densification, and ionic conductivity. XRD analysis confirmed the formation of single-crystalline NASICON-type Li1+XFeXTi2-X(PO4)3 at all sintering temperatures. However, impurities in the secondary phase emerged owing to the high sintering temperature above 1000 °C and increased Fe content. Sintered density increased with the densification of Li1+XFeXTi2-X(PO4)3, as evidenced by FE-SEM observations of sharper edges of larger quasi-cubic grains at elevated sintering temperatures. At 1000 °C, with Fe content exceeding 0.4, grain coarsening resulted in additional grain boundaries and internal cracks, thereby reducing the sintered density. Li1.3Fe0.3Ti1.7(PO4)3 sintered at 900 °C exhibited the highest density among the other conditions and achieved the maximum total ionic conductivity of 1.51 × 10−4 S/cm at room temperature, with the lowest activation energy for Li-ion transport at 0.37 eV. In contrast, Li1.4Fe0.4Ti1.6(PO4)3 sintered at 1000 °C demonstrated reduced ionic conductivity owing to increased complex impedance associated with secondary phases and grain crack formation. Full article
(This article belongs to the Section Inorganic Crystalline Materials)
15 pages, 278 KB  
Article
Bounds on Causal Effects Based on Expectations in Ordered-Outcome Models
by Ailei Ding and Hanmei Sun
Mathematics 2025, 13(19), 3103; https://doi.org/10.3390/math13193103 - 27 Sep 2025
Abstract
Bounding causal effects under unmeasured confounding is particularly challenging when the outcome variable is ordinal. When the goal is to assess whether an intervention leads to a better outcome, ordinal causal effects offer a more appropriate analytical framework. In contrast, the average causal [...] Read more.
Bounding causal effects under unmeasured confounding is particularly challenging when the outcome variable is ordinal. When the goal is to assess whether an intervention leads to a better outcome, ordinal causal effects offer a more appropriate analytical framework. In contrast, the average causal effect (ACE), defined as the difference in expected outcomes, is more suitable for capturing population-level effects. In this paper, we derive sharp bounds for causal effects with ternary outcomes using an expectation-based framework, under both general conditions and monotonicity assumptions. We conduct numerical simulations to evaluate the width of the bounds under various scenarios. Finally, we demonstrate our method’s practical utility by applying it to the CDC Diabetes Health Indicators Dataset to assess the causal effect of health behaviors on diabetes risk. Full article
(This article belongs to the Special Issue Advances in Statistical AI and Causal Inference)
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29 pages, 125736 KB  
Article
Transmission of Mechanical Vibrations in an Electric Drive Unit with Scalar Control—Comparative Analysis with Evaluation Based on Experimental Studies
by Adam Muc and Agata Bielecka
Energies 2025, 18(19), 5140; https://doi.org/10.3390/en18195140 - 27 Sep 2025
Abstract
Vibration monitoring plays a crucial role in assessing the condition and operational safety of electric drive systems. In many industrial applications, scalar control is widely used due to its simplicity and reliability, yet its influence on vibration transmission within interconnected machines remains insufficiently [...] Read more.
Vibration monitoring plays a crucial role in assessing the condition and operational safety of electric drive systems. In many industrial applications, scalar control is widely used due to its simplicity and reliability, yet its influence on vibration transmission within interconnected machines remains insufficiently explored. This study addresses the problem of understanding how mechanical vibrations are transmitted between a scalar-controlled induction motor coupled with an AC generator. A comparative experimental investigation was conducted using two different configurations of drive units, incorporating either an induction or a synchronous generator. Vibrations were measured at various operating speeds and analysed using different sensor types to ensure repeatability and reliability of the results. The findings have revealed distinct patterns of vibration transmission between the motor and generator, highlighting the importance of drive system configuration and measurement methodology. A novel approach to data presentation is proposed by normalising vibration levels between machines, offering a clearer interpretation of vibration amplification or damping effects. The results contribute to the development of diagnostic techniques and the optimisation of scalar-controlled drive designs. Full article
(This article belongs to the Special Issue Modern Aspects of the Design and Operation of Electric Machines)
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13 pages, 1394 KB  
Article
Coupling Characteristics and Construction Method of Single-AC Multi-DC Hybrid Grid
by Xingning Han, Ying Huang, Guoteng Wang, Hui Cai, Mingxin Yan and Zheng Xu
Energies 2025, 18(19), 5131; https://doi.org/10.3390/en18195131 - 26 Sep 2025
Abstract
In regions with concentrated load centers in China, the AC transmission network is dense, leading to challenges such as difficulties in power flow control and excessive short-circuit currents. The scale effect of AC grids is approaching saturation, making it imperative to develop new [...] Read more.
In regions with concentrated load centers in China, the AC transmission network is dense, leading to challenges such as difficulties in power flow control and excessive short-circuit currents. The scale effect of AC grids is approaching saturation, making it imperative to develop new AC/DC hybrid grid structures. To enhance the controllability, security, and stability of AC/DC hybrid power systems, a single-AC multi-DC hybrid grid structure is proposed in this paper. The operational characteristics of this grid are analyzed in terms of power flow control capability, N-1 overload, short-circuit current, frequency stability, voltage stability, and synchronous stability, and a method for constructing the single-AC multi-DC hybrid grid is presented. Finally, simulation analysis is conducted on a typical single-AC multi-DC case, and the results indicate that this hybrid grid structure can simultaneously satisfy the controllability, security, and stability requirements of AC/DC power systems, making it a highly promising grid configuration. Full article
(This article belongs to the Special Issue Advanced Grid Integration with Power Electronics: 2nd Edition)
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29 pages, 1623 KB  
Review
Electric Field Effects on Microbial Cell Properties: Implications for Detection and Control in Wastewater Systems
by Camelia Ungureanu, Silviu Răileanu, Daniela Simina Ștefan, Iosif Lingvay, Attila Tokos and Mircea Ștefan
Environments 2025, 12(10), 343; https://doi.org/10.3390/environments12100343 - 25 Sep 2025
Abstract
Electric fields (EFs) have emerged as effective, non-chemical tools for modulating microbial populations in complex matrices such as wastewater. This review consolidates current advances on EF-induced alterations in microbial structures and functions, focusing on both vegetative cells and spores. Key parameters affected include [...] Read more.
Electric fields (EFs) have emerged as effective, non-chemical tools for modulating microbial populations in complex matrices such as wastewater. This review consolidates current advances on EF-induced alterations in microbial structures and functions, focusing on both vegetative cells and spores. Key parameters affected include membrane thickness, transmembrane potential, electrical conductivity, and dielectric permittivity, with downstream impacts on ion homeostasis, metabolic activity, and viability. Such bioelectrical modifications underpin EF-based detection methods—particularly impedance spectroscopy and dielectrophoresis—which enable rapid, label-free, in situ microbial monitoring. Beyond detection, EFs can induce sublethal or lethal effects, enabling selective inactivation without chemical input. This review addresses the influence of field type (DC, AC, pulsed), intensity, and exposure duration, alongside limitations such as species-specific variability, heterogeneous environmental conditions, and challenges in achieving uniform field distribution. Emerging research highlights the integration of EF-based platforms with biosensors, machine learning, and real-time analytics for enhanced environmental surveillance. By linking microbiological mechanisms with engineering solutions, EF technologies present significant potential for sustainable water quality management. Their multidisciplinary applicability positions them as promising components of next-generation wastewater monitoring and treatment systems, supporting global efforts toward efficient, adaptive, and environmentally benign microbial control strategies. Full article
(This article belongs to the Special Issue Advanced Technologies for Contaminant Removal from Water)
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12 pages, 342 KB  
Article
Anticoagulant-Related Nephropathy: A Retrospective Analysis of the FDA Adverse Events Reporting System (FAERS) Database
by Predrag Jancic, Claudiu M. Ciuciureanu, Nikola Jovanovic, Stefan Milutinovic and Dragana Stanojevic
J. CardioRenal Med. 2025, 1(1), 3; https://doi.org/10.3390/jcrm1010003 - 25 Sep 2025
Abstract
Background: Anticoagulation is the cornerstone of thromboembolic event prevention. Adversely, anticoagulants (ACs) are linked to a variety of adverse events. We aimed to assess the link between vitamin K antagonists (VKA) and direct anticoagulant (DOACs) use and acute kidney injury (AKI) using [...] Read more.
Background: Anticoagulation is the cornerstone of thromboembolic event prevention. Adversely, anticoagulants (ACs) are linked to a variety of adverse events. We aimed to assess the link between vitamin K antagonists (VKA) and direct anticoagulant (DOACs) use and acute kidney injury (AKI) using the FDA Adverse Events Reporting System (FAERS) Database. Methods: We conducted a disproportionality analysis on the adverse events (AEs) of interest in the FAERS database using the reporting odds ratio (ROR), proportional reporting ratio (PPR) with the Yates correction (x2yates), and the information component (IC). Results: A total of 20,253 cases of AKI associated with use of ACs were analyzed. Edoxaban, dabigatran and warfarin showed greater association with AKI (ROR 2.63; ROR 1.46; ROR). In cases with manifest bleeding, edoxaban, dabigatran, warfarin and rivaroxaban had a stronger statistical association with AKI. Rivaroxaban showed greater association with AKI compared to other ACs when used concomitantly with Aspirin (ROR 2.25). Conclusion: We showed increased odds of reporting AKI with use of edoxaban, dabigatran and warfarin compared to other anticoagulants. In cases with reported bleeding, AKI was more commonly reported with all five analyzed anticoagulants, except for apixaban, highlighting its favorable side-effect profile. Caution and clinical awareness are needed when prescribing ACs to vulnerable populations. Full article
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16 pages, 6965 KB  
Article
Upcycling RDF with Mill Scale and Waste Glass for Eco-Friendly Ferrosilicon Alloy Synthesis via Carbothermic Reduction
by Krishmanust Sunankingphet, Thanaporn Chandransu, Sitichoke Amnuanpol and Somyote Kongkarat
Recycling 2025, 10(5), 182; https://doi.org/10.3390/recycling10050182 - 25 Sep 2025
Abstract
This study investigates the valorization of refuse-derived fuel (RDF), waste glass, and mill scale for sustainable ferrosilicon alloy production, contributing to zero-waste practices. RDF was blended with anthracite at ratios of 100, 90, 80, 70, 60 and 50 wt% (designated R1–R6) and applied [...] Read more.
This study investigates the valorization of refuse-derived fuel (RDF), waste glass, and mill scale for sustainable ferrosilicon alloy production, contributing to zero-waste practices. RDF was blended with anthracite at ratios of 100, 90, 80, 70, 60 and 50 wt% (designated R1–R6) and applied as a reducing agent in the carbothermic reduction of SiO2 and Fe2O3, thereby decreasing reliance on conventional fossil-based reductants. Ferrosilicon synthesis was conducted at 1550 °C using glass–mill scale blends with reducing agents R1–R6, producing samples named blends A–F. XRD analysis confirmed that the metallic products consisted predominantly of the FeSi intermetallic phase, with characteristic (110) and (310) peaks at 2θ ≈ 45.02° and 78°. The metallic products appeared as numerous small, shiny droplets, with yields ranging from 14.85 to 19.47 wt%; blends D–F exhibited the highest yields. In contrast, blends A–C produced metals with higher Si contents (23.34–27.11 wt%) due to enhanced SiO2 reduction and efficient Si incorporation into the Fe matrix. Gas analysis and oxygen removal showed that blend B achieved the highest CO generation and reduction extent. Cl removal during RDF heat treatment indicated minimal potential for dioxin and furan formation. Overall, blends A and C were identified as optimal, providing high Si content, satisfactory metallic yield, and reduced CO/CO2 emissions, demonstrating the effectiveness of RDF-based carbons for environmentally friendly ferrosilicon production. Full article
(This article belongs to the Topic Converting and Recycling of Waste Materials)
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19 pages, 3897 KB  
Article
Enhanced Adsorption of Pb(II) and Cd(II) by Activated Carbon Derived from Peach Stones for Efficient Water Decontamination
by Guilherme Medina Cameu, Leandro Almeida, Ana Paula Oliveira, Andrei Igansi, Débora Pez Jaeschke, Nauro Silveira, Rafael Paes, Daiane Dias, Luiz Antonio de Almeida Pinto and Tito Roberto Sant’Anna Cadaval
Processes 2025, 13(10), 3064; https://doi.org/10.3390/pr13103064 - 25 Sep 2025
Abstract
This work employed peach stones as the precursor material for producing activated carbon (AC-PS). AC-PS was impregnated with H3PO4 and carbonized using a pyrolysis reactor under a reducing atmosphere. The surface area, average pore size, and total pore volume of [...] Read more.
This work employed peach stones as the precursor material for producing activated carbon (AC-PS). AC-PS was impregnated with H3PO4 and carbonized using a pyrolysis reactor under a reducing atmosphere. The surface area, average pore size, and total pore volume of AC-PS were determined using the BET method. Morphological characteristics of AC-PS were observed through scanning electron microscopy (SEM), the surface composition was identified by energy dispersive spectroscopy (EDS), and X-ray diffraction (XRD) analyses were conducted to determine the crystalline structure of carbon. The thermal stability of AC-PS and its interactions with lead and cadmium were analyzed by thermogravimetric analyses (TGA/DTG) and infrared spectra (FTIR), respectively. The Elovich model described the adsorption kinetics of both lead and cadmium, and the Weber and Morris model indicated intraparticle diffusion as the controlling mechanism of the adsorption process. The equilibrium study showed that the Freundlich model was adequate for both ions, with adsorption capacities increasing with temperature, reaching around 150 mg g−1 for lead and 80 mg g−1 for cadmium at 45 °C. Economic analysis indicated costs of $0.25 g−1 and $0.51 g−1 for the removal of lead and cadmium from the contaminated water, respectively. Full article
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14 pages, 254 KB  
Review
Hypoxia and Cognitive Functions in Patients Suffering from Cardiac Diseases: A Narrative Review
by Dominika Grzybowska-Ganszczyk, Zbigniew Nowak, Józef Alfons Opara and Agata Nowak-Lis
J. Clin. Med. 2025, 14(19), 6750; https://doi.org/10.3390/jcm14196750 - 24 Sep 2025
Viewed by 117
Abstract
Background: Cardiovascular diseases (CVD) are major contributors to global morbidity and mortality, and their association with cognitive impairment has gained increasing attention. Recent studies indicate that the prevalence of post-myocardial infarction (MI) cognitive impairment ranges from 22% to 37%, with attention being [...] Read more.
Background: Cardiovascular diseases (CVD) are major contributors to global morbidity and mortality, and their association with cognitive impairment has gained increasing attention. Recent studies indicate that the prevalence of post-myocardial infarction (MI) cognitive impairment ranges from 22% to 37%, with attention being one of the most frequently affected domains. Moreover, novel approaches, such as normobaric hypoxic training in cardiac rehabilitation, show potential in improving both cardiovascular and cognitive outcomes. Aim: This narrative review aims to synthesize current evidence on the role of hypoxia in the development of cognitive dysfunction among patients with cardiac diseases, emphasizing shared mechanisms along the heart–brain axis. Methods: We performed a narrative search of PubMed, Scopus, and Web of Science databases using the keywords “hypoxia”, “cognitive impairment”, “myocardial infarction”, “heart failure”, and “CABG surgery”. We included original studies, reviews, and meta-analyses published between 2000 and up to the present in English. Priority was given to peer-reviewed human studies; animal models were included when providing mechanistic insights. Exclusion criteria included case reports, conference abstracts, and non-peer-reviewed sources. Narrative reviews, while useful for providing a broad synthesis, carry an inherent risk of selective bias. To minimize this limitation, independent screening of sources and discussions among multiple authors were conducted to ensure balanced inclusion of the most relevant and high-quality evidence. Results: Hypoxia contributes to cognitive decline through multiple pathophysiological pathways, including blood–brain barrier disruption, white matter degeneration, oxidative stress, and chronic neuroinflammation. The concept of “cardiogenic dementia”, although not yet formally classified, highlights cardiac-related contributions to cognitive impairment beyond classical vascular dementia. Clinical assessment tools such as the Stroop test, Trail Making Test (TMT), and Montreal Cognitive Assessment (MoCA) are useful in detecting subtle executive dysfunctions. Both pharmacological treatments (ACE inhibitors, ARBs) and innovative rehabilitation methods (including normobaric hypoxic training) may improve outcomes. Conclusions: Cognitive impairment in cardiac patients is common, clinically relevant, and often underdiagnosed. Routine cognitive screening after cardiac events and integration of cognitive rehabilitation into standard cardiology care are recommended. Future studies should incorporate cognitive endpoints into cardiovascular trials. Full article
(This article belongs to the Section Cardiology)
21 pages, 1464 KB  
Systematic Review
Systematic Review of Extracorporeal Membrane Oxygenation in Adult Sickle Cell Disease
by Safa Khalil Ebrahim Al Taitoon and Kannan Sridharan
J. Clin. Med. 2025, 14(19), 6725; https://doi.org/10.3390/jcm14196725 - 24 Sep 2025
Viewed by 104
Abstract
Background: Sickle cell disease (SCD) is a hereditary hemoglobinopathy associated with life-threatening complications such as acute chest syndrome (ACS), which may necessitate extracorporeal membrane oxygenation (ECMO) in refractory cases. Despite growing use, ECMO in SCD remains challenging due to risks of hemolysis, thrombosis, [...] Read more.
Background: Sickle cell disease (SCD) is a hereditary hemoglobinopathy associated with life-threatening complications such as acute chest syndrome (ACS), which may necessitate extracorporeal membrane oxygenation (ECMO) in refractory cases. Despite growing use, ECMO in SCD remains challenging due to risks of hemolysis, thrombosis, and anticoagulation complications. This systematic review consolidates existing evidence on ECMO outcomes in SCD, focusing on indications, complications, and survival. Methods: A systematic search of MEDLINE, Cochrane CENTRAL, and Google Scholar was conducted up to January 2025, identifying case reports/series on ECMO use in SCD. Studies reporting venovenous (VV) or venoarterial (VA) ECMO for acute cardiopulmonary failure were included. Data on demographics, laboratory findings, management, and outcomes were extracted. Quality assessment was performed using the Joanna Briggs Institute checklist. Results: Sixteen case reports (23 patients) were included. Most patients were female (65.2%), with ACS (47.8%) and pulmonary embolism (13.0%) as common ECMO indications. VV-ECMO (69.6% of cases) was primarily used for respiratory failure, with a 69% survival rate, while VA-ECMO (30.4%) had a 29% survival rate, often due to cardiogenic shock or cardiac arrest. Complications included hemorrhage (26.1%), neurological injury (21.7%), and thrombosis (13.0%). Exchange transfusion was frequently employed (43.5%), with post-ECMO echocardiography showing improved right ventricular function in survivors. Conclusions: VV-ECMO demonstrates favorable outcomes in SCD-related respiratory failure, whereas VA-ECMO carries higher mortality risks. Careful patient selection, anticoagulation management, and multidisciplinary coordination are essential. Larger prospective studies are needed to refine ECMO utilization in this high-risk population. Full article
(This article belongs to the Special Issue Acute Hypoxemic Respiratory Failure: Progress, Challenges and Future)
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21 pages, 1724 KB  
Systematic Review
Coronary CT Angiography for Acute Chest Pain in the Emergency Department: A Systematic Review of Clinical Utility
by Kyvan Irannejad, Logan Hubbard, Aditya Narashim, Ruben Mora, Beshoy Iskander, Natdanai Punnanithinont, Keishi Ichikawa, April Kinninger, Suvasini Lakshmanan, Sion Roy, Donald Chang, Matthew Budoff and Srikanth Krishnan
Emerg. Care Med. 2025, 2(3), 46; https://doi.org/10.3390/ecm2030046 - 22 Sep 2025
Viewed by 320
Abstract
Introduction: Chest pain is one of the most common and high-risk presentations in the emergency department (ED), necessitating timely and accurate evaluation to prevent adverse cardiovascular outcomes. Coronary Computed Tomography Angiography (CCTA) has emerged as a promising non-invasive modality with high sensitivity (90–100%) [...] Read more.
Introduction: Chest pain is one of the most common and high-risk presentations in the emergency department (ED), necessitating timely and accurate evaluation to prevent adverse cardiovascular outcomes. Coronary Computed Tomography Angiography (CCTA) has emerged as a promising non-invasive modality with high sensitivity (90–100%) and a negative predictive value (98–100%) for ruling out significant coronary artery disease (CAD), as evidenced by trials such as ROMICAT II and ACRIN-PA. Despite its expanding role in ED triage, further evaluation of its impact on patient-centered outcomes is essential. Methods: A systematic review was conducted in accordance with PRISMA guidelines. Studies published between January 2010 and June 2025 were identified from PubMed, Embase, and the Cochrane Library. Eligible studies included randomized controlled trials and prospective cohort studies assessing CCTA in ED patients with suspected acute coronary syndrome (ACS), compared with alternative diagnostic strategies, and reporting outcomes, including diagnostic accuracy, time to diagnosis, ED discharge rates, hospital admissions, and cost-effectiveness. Results: Twenty-three studies comprising over 60,000 patients were included. CCTA in low- to intermediate-risk patients significantly reduced diagnostic time (up to 54%), increased early ED discharges, and lowered unnecessary admissions. It consistently demonstrated excellent diagnostic performance, with pooled sensitivity ≥90% and near-perfect negative predictive value. Economic evaluations showed reduced costs due to shorter ED stays and less downstream testing. Challenges included radiation exposure, contrast use, and incidental findings. Conclusions: CCTA enhances ED efficiency and safety in ACS evaluation, offering accurate CAD exclusion and resource optimization. Future studies should explore its long-term cost-effectiveness and integration into high-sensitivity troponin protocols. Full article
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14 pages, 4622 KB  
Article
Pressure-Dependent Breakdown Voltage in SF6/Epoxy Resin Insulation Systems: Electric Field Enhancement Mechanisms and Interfacial Synergy
by Lin Liu, Qiaogen Zhang, Xiangyang Peng, Xiaoang Li, Zheng Wang and Shihu Yu
Energies 2025, 18(18), 5014; https://doi.org/10.3390/en18185014 - 21 Sep 2025
Viewed by 157
Abstract
In SF6 gas-insulated equipment, solid dielectrics critically degrade insulation performance by reducing the electric field’s ability to withstand gas gaps. To investigate the critical role played by solid dielectric surfaces during the initial phase of gas–solid interface discharge phenomena, this paper experimentally [...] Read more.
In SF6 gas-insulated equipment, solid dielectrics critically degrade insulation performance by reducing the electric field’s ability to withstand gas gaps. To investigate the critical role played by solid dielectric surfaces during the initial phase of gas–solid interface discharge phenomena, this paper experimentally measures the AC breakdown voltage (Ubd) of both dielectric surface-initiated breakdown (DIBD) and electrode surface-initiated breakdown (EIBD) across eight types of post insulator samples. Tests are conducted in 36 mm SF6 gas gaps under pressures ranging from 0.1 to 0.4 MPa. Combined with electrostatic field simulations, the results reveal that DIBD requires substantially lower Ubd than EIBD under comparable maximum electric field (Emax) conditions. As gas pressure increases, this difference becomes more pronounced. This phenomenon can be explained by three key mechanisms: First, due to the regulatory effect of dielectric materials and shielding electrodes on the electric field distribution, the high-electric-field zone along the gas–solid interface exhibits a longer effective discharge path compared to that in a pure gas gap. This configuration creates more favorable conditions for discharge initiation and subsequent propagation toward the opposite electrode. Second, microscopic irregularities on the dielectric surface induce stronger local electric field enhancement than comparable features on metallic electrodes. Third, in high-electric-field regions adjacent to the dielectric surface, desorption processes significantly enhance electron multiplication during gas discharge, and this enhancement effect becomes more pronounced as gas pressure increases, further lowering the discharge inception threshold. As a result, discharge initiation at dielectric interfaces requires less stringent electric field conditions compared to breakdown in a gas gap, especially at high gas pressure. This conclusion not only accounts for the saturation behavior in the Ubd-p characteristic of SF6 gas–solid interface discharges but also explains why surface contaminants/defects disproportionately degrade interfacial insulation performance relative to their impact on gas gaps. Full article
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13 pages, 774 KB  
Article
Hemodynamic Markers Predict Outcomes a Decade After Acute Coronary Syndrome
by Andrzej Minczykowski, Oskar Wojciech Wiśniewski, Tomasz Krauze, Adam Szczepanik, Agnieszka Banaszak, Przemysław Guzik and Andrzej Wykrętowicz
J. Clin. Med. 2025, 14(18), 6627; https://doi.org/10.3390/jcm14186627 - 19 Sep 2025
Viewed by 252
Abstract
Background: Previous research from our group demonstrated that novel hemodynamic indices can predict 3–5-year mortality risk in myocardial infarction survivors. Building on these findings, we assessed the long-term prognostic value of these markers over a 10-year follow-up period. Methods: We conducted a [...] Read more.
Background: Previous research from our group demonstrated that novel hemodynamic indices can predict 3–5-year mortality risk in myocardial infarction survivors. Building on these findings, we assessed the long-term prognostic value of these markers over a 10-year follow-up period. Methods: We conducted a prospective study involving 569 consecutive acute coronary syndrome (ACS) patients admitted within 12 h of symptom onset, all presenting with >50% coronary artery stenosis. Hemodynamic indices were assessed using echocardiography to measure ejection fraction (EF), global longitudinal peak systolic strain (GLPSS), and ventricular–arterial coupling (VA coupling). Excess aortic pressure (excessPTI) was evaluated via radial tonometry, while local arterial stiffness was assessed by pulse wave velocity (PWV) through carotid ultrasonography. The primary outcome was all-cause mortality over a 10-year follow-up period. Results: Over a median follow-up of 3249 days, 172 patients reached the primary endpoint (death). Deceased individuals were older and exhibited lower EF, impaired VA coupling, higher excessPTI, and a lower PWV/GLPSS index compared to survivors. In multivariate Cox proportional hazards analysis, EF, VA coupling, excessPTI, and PWV/GLPSS index were independently associated with all-cause mortality over a 10-year follow-up period. Conclusions: This study highlights the significant long-term prognostic value of novel hemodynamic indices, including VA coupling, PWV/GLPSS index, and excessPTI, in predicting 10-year all-cause mortality in ACS patients. Full article
(This article belongs to the Section Cardiology)
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