Search Results (16,337)

Aluminum–chromium slag (ACS), a by-product of aluminothermic reduction, which is used to produce metallic chromium and its alloys, contains toxic, carcinogenic hexavalent chromium (Cr(VI)). Therefore, improper ACS utilization may severely harm human health and the environment. This study analyzed the Cr(VI) contents, leaching characteristics, and surface concentrations in ACS and four industrially utilized products derived from it (fused alumina for refractories, ferrochromium, aluminum–chromium bricks, and high-chromium bricks). A risk assessment framework was established to evaluate their human health and environmental risks. Results showed 111 mg/kg Cr(VI) in the ACS, with its leaching concentration (7.8 mg/L) exceeding China’s hazardous waste standard. The Cr(VI) contents in the products were low (from <2 mg/kg to 16 mg/kg), and their maximum leaching concentration was below the detection limit (<0.004 mg/L). Furthermore, the four products were found to have acceptable levels of human health risk (<10⁻⁵ carcinogenic risk and <1 noncarcinogenic hazard quotient) under two risk assessment methods (particle-contact- and surface-contact-based methods). Additionally, the predicted concentration of leached Cr(VI) in groundwater (0.008 mg/L) was below the drinking water standard (0.05 mg/L). Cr(VI) limit standards for the products were then proposed based on the risk assessment (≤31 mg/kg content, ≤0.189 mg/m² surface concentration, and ≤0.259 mg/L leaching concentration). Overall, these results may provide a reference for the safe utilization and risk management of ACS and other solid wastes. Full article

Erebosis is a newly described form of cell death but has been reported only in the gut enterocytes of Drosophila, a group of fast turnover cells. Angiotensin-converting enzyme 2 (ACE2) accumulation in cells is a biomarker for erebotic cells. Brain cell loss is a characteristic of patients with Alzheimer’s disease (AD), the leading neurodegenerative disease. The objectives of this study are to determine whether there is erebosis in the mammalian brain. Here we show that there is more ACE2 staining in the hippocampus of old wild-type (C57BL/6J) male mice, female mice with AD neuropathology (3xTg-AD mice), and human AD sufferers. Some ACE2 positive cells have fragmented or small nuclei, lose NeuN staining and are positive for TUNEL staining, indicators for cell injury/dying. ACE2 positive cells are neurons in the hippocampus and are often positive for phospho-tau in the mice with AD neuropathology. Phospho-tau injected into the hippocampus of wild-type young adult mice increases its ACE2 expression. Some ACE2 staining is extracellular. Our results suggest that erebosis may exist in the mammalian brain and may be increased with aging and AD neuropathology. This form of death may occur in the long-lasting cells like neurons and can be activated by phospho-tau in the brain. Our findings highlight the therapeutic potential of regulating erebosis for attenuating brain aging and AD neuropathology. Full article

Endovascular repair of thoracoabdominal aortic aneurysms (TAAAs) requires multidisciplinary expertise to minimize mortality and disabling complications. Despite satisfactory outcomes with this approach being common knowledge, extensive aortic coverage occurring in fenestrated/branched endovascular aortic repair (F/B-EVAR) carries a non-negligible risk of spinal cord ischemia (SCI). Recently, many authors have proposed different endovascular strategies to mitigate the risk of SCI; however, the real effectiveness of these maneuvers is not universally recognized due to a lack of standardized protocols among individual centers. Several adjuncts have been proposed to obtain staged occlusion of segmental aortic branches to promote spinal cord preconditioning. These strategies include proximal thoracic aortic repair (PTAR), temporary aneurysm sac perfusion (TASP), and minimally invasive staged segmental artery coil embolization (MIS²ACE). The present paper aims to provide an overview of the most advanced staging strategies used in high-volume aortic centers, pointing out that it takes meticulous preoperative planning to face every clinical scenario. Full article

The diameter of basalt fiber influences the reinforcement of basalt fiber asphalt mixtures. However, the performance evaluation and mechanistic analysis of asphalt mixtures reinforced with varying fiber diameters have been insufficiently studied. AC-13 asphalt mixtures were designed and prepared with four different fiber diameters 7 μm, 16 μm, 25 μm, and an equal-mass mixture of these. The reinforcement mechanisms were analyzed using the equal cross-section theory. Results indicate that the incorporation of 7 μm and mixed-diameter basalt fibers significantly enhances the pavement performance of the asphalt mixtures compared to the control group without fibers. Additionally, it is shown by triaxial shear tests that the cohesion of the asphalt mixtures with the aforementioned two diameters of basalt fibers is strengthened by 61.5% and 55.5%, respectively. The dynamic modulus values in the high-frequency range are found to be positively correlated with fiber diameters. Since the fiber mass content and modulus were held constant, a decrease in diameter was observed to lead to an increase in fiber quantity. This is manifested by a multiple-fold increase in the total transformed cross-section (TTC_R) index for 7 μm fiber asphalt mixtures, as described by the equal cross-section theory. It is concluded that the performance improvement of the asphalt mixtures can be further enhanced under the same fiber content and cost conditions by optimizing diameter parameters. Full article

Antarctic krill (Euphausia superba) are an essential source of food for whale, seal, several fish, squid and seabird species in the Southern Ocean. Krill also play a major role in biogeochemical cycling and are the target of a growing commercial fishery. Krill can be detected and quantified with echosounders, particularly in swarms, and monitoring krill abundance and distribution is integral to assessing the status of regional populations and managing fisheries. We used echosounders to investigate the hemispherical distribution and behaviour of krill swarms during the Antarctic Circumpolar Expedition (ACE), a multidisciplinary exercise that included measurements of atmospheric chemistry. Krill swarms were grouped using hierarchical clustering into four principal types: small swarms (on average 2 m high, 25 m long); large swarms (13 m high and 341 m long); deep swarms, which were also densely packed (average depth of 52 m); and shallower swarms, which had lower densities (average depth of 28 m). We found a weak negative relationship between the concentration of atmospheric methane close to the sea surface and the presence of krill. High densities of krill were found in the Amundsen Sea, an area purported to be of increasing importance for krill as the climate changes. Full article

Background/Objectives: Pre-discharge NT-proBNP levels may serve as a helpful tool in the algorithm of assessing the long-term risk of mortality after a hospitalization for symptomatic heart failure (HF). The goals were: (a) to identify a cut-off for NT-proBNP concentrations for predicting the two-year all-cause mortality in our sample of patients, and (b) to identify risk factors associated with NT-proBNP concentrations being higher than this cut-off. Methods: The present prospective study included 96 patients diagnosed with symptomatic HF with left ventricular ejection fraction (LVEF) < 50%, who were followed for up to 2 years post-hospital discharge. Results: Levels of pre-discharge NT-proBNP were found to be predictive of all-cause mortality. We determined that an NT-proBNP cut-off score of 8700 pg/mL may predict with 75.8% sensitivity and 70.1% specificity a 4.6-fold increase in mortality risk over a period of two years in our study sample, 95% CI (2–10.8), p = 0.001. Predictors of NT-proBNP concentrations > 8700 pg/mL included: older age, OR 4.73, 95% CI (1.74–12.85), p = 0.002; lack of angiotensin converting enzyme inhibitor (ACE-I) treatment, OR 0.3, 95% CI (0.12–0.74), p = 0.009; low systolic blood pressure (SBP) at admission, OR 3.4, 95% CI (1.36–8.49), p = 0.009; and low serum hemoglobin at admission, OR 3.2, 95% CI (1.38–7.46), p = 0.007. Conclusions: NT-proBNP may serve as a helpful tool for predicting mortality after an episode of HF decompensation, thus allowing the implementation of appropriate long-term monitoring and treatment. Particular attention should be paid to older patients without ACE-I medication, who had SBP < 120 mmHg at admission, and/or low levels of serum hemoglobin—as these patients are more likely to have pre-discharge NT-proBNP concentrations higher than the cut-off. These findings have implications for the long-term community follow-up of patients with HF. Full article

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

Objectives: Neurocognitive disorders (NCDs) refer to a broad spectrum of conditions characterized by declining cognitive functions, such as memory, attention, language, and executive abilities. It is estimated that up to half of patients affected by NCDs remain undiagnosed or are diagnosed at an advanced stage of the disease. This study aimed to analyze the utility of subclinical organ damage markers, which could be used in primary care for the detection and prevention of NCD. Methods: The study participants (n = 137) completed neuropsychological tests (Addenbrooke’s Cognitive Examination/ACE and Mini-Mental State Examination/MMSE), a sociodemographic survey, an interview on past illnesses, and had their ankle-brachial index (ABI) and pulse wave velocity (PWV) values measured. Results: Based on the MMSE test, 26 participants (19.0%) were diagnosed with mild cognitive impairment (MCI) and 8 participants (5.8%) with NCDs. The study found that lower ABI values were associated with worse cognitive performance, suggesting that the ABI may be a useful tool for identifying individuals at increased risk of NCDs, while PWV cannot be used as a predictor for this group of diseases. Conclusions: Lower ABI values were associated with reduced cognitive performance, whereas PWV showed no significant relationship. The secondary findings suggest that physical activity, regular computer use, and better mental well-being were linked to improved cognitive outcomes. A low ABI value could potentially serve as a predictor of cognitive disorders, and as a diagnostic tool that is easily accessible and quick, it may improve diagnostics and the overall health of primary care patients. Health education regarding modifiable risk factors for dementia is also of crucial importance. Full article

Background: Foetal structural abnormalities can be detected in approximately 3% of all pregnancies and frequently remain without a genetic diagnosis. This study aims to apply an integrated approach with the final goal of providing a molecular diagnosis in the challenging Italian setting of early termination of pregnancy. Methods: In a cohort of 86 foetuses, post-mortem dysmorphological examination, radiological assessments, and molecular autopsy through Whole-Exome Sequencing—WES—analysis were performed. Results: Forty-two foetuses were phenotypically classified as presenting a single major malformation (i.e., central nervous system, skeletal, urogenital, or cardiac anomalies, or fluid accumulation), while 44 foetuses presented multiple malformations and/or dysmorphic features. Overall, WES provided a diagnostic yield of 26.7%; additionally, seven Variants of Uncertain Significance (VUS) potentially liked to the foetal phenotype were identified. The highest detection rate was achieved for foetuses presenting a single major urogenital (50%) or skeletal (42.9%) malformation, followed by foetuses presenting multiple malformations (27.3%). Peculiar results of particular interest were (1) the identification of two splicing variants (within the INPPL1 and RHOA genes), functionally characterised through minigene assay, which contributed to evaluate their pathogenicity, and (2) the identification of a novel de novo missense ZNF292 variant (NM_015021.3:c.6325A>C p.(Ser2109Arg)) in a foetus affected by corpus callosum hypoplasia. The ZNF292 gene is associated with the Intellectual developmental disorder, autosomal dominant 64 and this finding represents the first report of prenatally detected anomalies of the central nervous system in a foetus carrying a ZNF292 variant. Conclusions: This study underlines the diagnostic utility of an integrated approach to achieve a precise genetic diagnosis for structural foetal abnormalities, thus providing families with precise recurrence risk estimations and detailed options about future pregnancies. Additionally, a systematic implementation of this strategy could be crucial to better characterise new variants and discover new genes involved in embryonic and foetal development. Full article

Next-generation cancer immunotherapy increasingly combines tumor-targeting antibodies or antibody–drug conjugates (ADCs) with immune effector cells to enhance therapeutic precision. However, many existing approaches rely on genetic modification or complex manufacturing, limiting their clinical scalability and rapid deployment. To address this issue, we developed an antibody capture protein (ACP)-based surface engineering platform that enables the rapid, reversible, and non-genetic functionalization of NK cells with therapeutic antibodies or ADCs. This approach uses a DMPE-PEG-lipid conjugate to anchor thiolated protein A (ACP) to the NK cell membrane via hydrophobic insertion, thereby stably and selectively binding to the Fc region of IgG molecules. Using this strategy, we developed ACP-modified NK cells (AC-NKs) that can selectively capture therapeutic antibodies (trastuzumab (TZ), trastuzumab-emtansine (T-DM1), and sacituzumab (SZ)) pre-bound to each target antigen on tumor cells and induce antigen-specific cytotoxic responses. The resulting AC-NKs exhibited enhanced tumor recognition and cytotoxicity against HER2-positive and Trop-2-positive cancer cells in vitro. Compared with conventional combination therapies, AC-NKs enhanced immune activation, as demonstrated by effective delivery of cytotoxic agents, enhanced cancer cell engagement, and upregulation of CD107a expression. Notably, the system supports multiple antigen targeting and tunable antibody loading, enabling adaptation to tumor heterogeneity and resistant phenotypes. This platform might also provide a simple, scalable, and safe method for rapidly developing programmable immune cell therapies without genetic modification. Its versatility supports multi-antigen targeting and broad applicability across NK and T cell therapies, offering a promising path toward personalized, off-the-shelf chemoimmunotherapy. Full article

Background: Optical Coherence Tomography (OCT) is a high-resolution imaging technique capable of quantifying Blood Flow at Depth (BD) and the Attenuation Coefficient (AC). However, the clinical relevance of these parameters in burn assessment remains unclear. This study investigated whether OCT-derived metrics can differentiate between superficial and deep pediatric hand burns. Method: This prospective, single-center study analyzed 73 OCT scans from 37 children with thermal hand injuries. A structured algorithm was used to evaluate AC and BD. Results: The mean AC was 1.61 mm⁻¹ (SD ± 0.48), with significantly higher values in deep burns (2.11 mm⁻¹ ± 0.53) compared to superficial burns (1.49 mm⁻¹ ± 0.38; p < 0.001), reflecting increased optical density in more severe burns. BD did not differ significantly between burn depths, although superficial burns more often showed visible capillary networks. Conclusions: This is the first study to assess both AC and BD using OCT in pediatric hand burns. AC demonstrated potential as a diagnostic marker for burn depth, whereas BD had limited utility. Image quality limitations highlight the need for technical improvements to enhance OCT’s clinical application. Full article

Hypervirulent Klebsiella pneumoniae (hvKp) has emerged as a significant public health concern, yet rare sublineages remain poorly characterized. Here, we described a K30-ST198 hvKp sublineage identified in four isolates from two patients, including three sequential strains (K30B1, K30B2, K30B3) recovered over eight months from recurrent liver abscesses and one strain (K30-HUMV1) from a urinary tract infection. All isolates exhibited a yYpermucoviscous phenotype and resistance restricted to ampicillin and amoxicillin. Screening with the eazyplex hvKp assay detected ybt and rmpA in all strains, yielding a virulence score of 1. Biofilm production was strong in K30B1, K30B2, moderate in K30-HUMV1, but weak in K30B3. In the Galleria mellonella infection model, K30B1 showed higher virulence than the other isolates. Whole-genome sequencing identified the ICEKp1 carrying hypervirulence-associated genes (ybt, pagO, rmpAC, iroBCDN) together with additional virulence factors (fim, mrkD, uge, ureA, wabG, wcaJ, mliC), while antibiotic resistance genes were limited to fosA and bla_SHV-77. Protein structures and their functional domains were predicted using AlphaFold v3.0.1 and ColabFold v1.5.5, based on pLDDT scores, providing further insights into gene functionality. This work represents one of the first detailed characterizations of K30-ST198 hvKp, underscoring the need for integrated genomic, phenotypic, and structural approaches in hvKp surveillance. Full article

Background: Sarcoidosis is a systemic granulomatous disease with a highly variable clinical course, and distinguishing it from other diseases and predicting its prognosis can be challenging. In recent years, hematological and biochemical parameters have been investigated as potential biomarkers for assessing inflammation and predicting disease prognosis. This study aimed to evaluate the prognostic value of the lactate dehydrogenase-to-albumin ratio (LAR), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and lymphocyte-to-monocyte ratio (LMR). Methods: This retrospective, single-center study included 369 newly diagnosed patients with sarcoidosis who were admitted between January 2020 and October 2024. Sarcoidosis was diagnosed based on current ERS, ATS, and WASOG guidelines. At the 6-month follow-up, patients’ clinical courses were classified as regression, stable, or progression based on clinical, radiological, and pulmonary function tests. The predictive values of various hematological and biochemical parameters were analyzed using statistical methods, including binary logistic regression analysis and ROC analysis. Results: A total of 369 patients were included in the study. At the 6-month follow-up, 63.4% of patients showed regression, 21.4% had a stable course, and 15.2% showed progression. The progression group had a significantly higher LAR (5.26 [4.21–7.76]) compared to the stable/regression group (4.59 [3.82–5.86]) (p = 0.033). Additionally, baseline FVC% (OR, 0.97; p = 0.036) and the presence of dyspnea (OR, 3.08; p = 0.03) were identified as independent risk factors for disease progression. No significant associations were found between NLR, PLR, LMR, and serum ACE levels and the clinical course. The cutoff value of LAR for predicting disease progression was 4.87 (AUC: 0.605), with a sensitivity of 58.8% and specificity of 59.7%. Conclusions: Our study, which is the first to evaluate the prognostic value of LAR in sarcoidosis, identified this parameter as a significant indicator for the clinical course. The finding of significantly higher LAR levels in patients with disease progression suggests its potential as a prognostic biomarker. These results may help guide treatment and follow-up strategies, although further large-scale prospective studies are needed for validation. Full article

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

Within the modernizing energy infrastructure of today, the integration of renewable energy sources and direct current (DC)-powered technologies calls for the re-examination of traditional alternative current (AC) networks. Low-voltage DC (LVDC) grids offer an attractive way forward in reducing conversion losses and simplifying local power management. However, ensuring reliable operation depends on a thorough understanding of DC distortions—phenomena generated by power converters, source instability, and varying loads. Two complementary traceable measurement chains are presented in this article with the purpose of measuring the steady-state DC component and the amplitude and frequency of the distortions around the DC bus with low uncertainties. One chain is optimized for laboratory environments, with high effectiveness in a controlled setup, and the other one is designed as a flexible and easily transportable solution, ensuring efficient and accurate assessments of DC distortions for field applications. In addition to our hardware solutions fully characterized by the uncertainty budget, we present the measurement method used for assessing DC distortions after evaluating the limitations of conventional AC techniques. Both arrangements are set to measure voltages of up to 1000 V, currents of up to 30 A, and frequency components of up to 150–500 kHz, with an uncertainty varying from 0.01% to less than 1%. This level of accuracy in the measurements will allow us to draw reliable conclusions regarding the dynamic behavior of future LVDC grids. Full article