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24 pages, 8771 KB  
Article
Thiamethoxam Sensing Using Gelatin Carbon Dots: Influence of Synthesis and Purification Methods
by Mayara Martins Caetano and Renata Galvão de Lima
Chemosensors 2025, 13(9), 326; https://doi.org/10.3390/chemosensors13090326 - 1 Sep 2025
Abstract
This innovative study introduces an eco-conscious and cost-effective approach to synthesizing gelatin-based carbon dots (CDs) via two distinctive methods: hydrothermal processing in a muffle furnace (CDs-MF) and domestic microwave (CDs-MW). Both strategies harness natural, low-cost materials and prioritize simplicity, sustainability, and environmental friendliness, [...] Read more.
This innovative study introduces an eco-conscious and cost-effective approach to synthesizing gelatin-based carbon dots (CDs) via two distinctive methods: hydrothermal processing in a muffle furnace (CDs-MF) and domestic microwave (CDs-MW). Both strategies harness natural, low-cost materials and prioritize simplicity, sustainability, and environmental friendliness, culminating in effective fluorescent sensing of the pesticide thiamethoxam (TMX). For the hydrothermal route, the investigation explores two purification approaches—ultracentrifugation (CDs-MF-C) and 0.22 µm syringe filtration (CDs-MF-F)—while the microwave-derived CDs (CDs-MW) undergo dialysis alone. This study aims to investigate how synthesis and purification impact the CDs structural, morphological, and photophysical characteristics. The difference in size was obtained from transmission electron microscopy (TEM): 30–40 nm for CDs-MF-C, 12–15 nm for CDs-MF-F, and 3–6 nm for CDs-MW. Fluorescence emission performance reveals that CDs-MF-F performs a fluorescence quantum yield of 27%, CDs-MF-C at 23%, and CDs-MW at a modest 3%. All variants exhibit TMX detection via fluorescence quenching through the inner filter effect (IFE). Analytically, CDs-MF-C stands out with the lowest detection limit (LOD = 0.396 ppm) and quantification limit (LOQ = 1.317 ppm), followed by CDs-MF-F (LOD = 0.475 ppm; LOQ = 1.585 ppm) and CDs-MW (LOD = 0.549 ppm; LOQ = 1.831 ppm). These findings emphasize the unique interplay between the synthesis pathway, purification strategy, and functional performance, demonstrating the critical importance of tuning structural properties for optimizing carbon-dot sensors. Full article
(This article belongs to the Special Issue The Recent Progress and Applications of Optical Chemical Sensors)
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16 pages, 885 KB  
Article
Urinary Bisphenol Mixtures at Population-Exposure Levels Are Associated with Diabetes Prevalence: Evidence from Advanced Mixture Modeling
by Mónica Grande-Alonso, Clara Jabal-Uriel, Soledad Aguado-Henche, Manuel Flores-Sáenz, Irene Méndez-Mesón, Ana Rodríguez Slocker, Laura López González, Rafael Ramírez-Carracedo, Alba Sebastián-Martín and Rafael Moreno-Gómez-Toledano
Diabetology 2025, 6(9), 91; https://doi.org/10.3390/diabetology6090091 (registering DOI) - 1 Sep 2025
Abstract
Background/Objectives: There is a ubiquitous presence of plastics worldwide, and recent data highlight the continuous growth in their production and usage—a trend paralleled by the rise in chronic diseases like diabetes. The multifactorial nature of these diseases suggests that environmental exposure, notably to [...] Read more.
Background/Objectives: There is a ubiquitous presence of plastics worldwide, and recent data highlight the continuous growth in their production and usage—a trend paralleled by the rise in chronic diseases like diabetes. The multifactorial nature of these diseases suggests that environmental exposure, notably to bisphenol A (BPA), could be a contributing factor. This study investigates the potential correlation between emerging BPA substitutes, bisphenol S and F (BPS and BPF), and diabetes in a cohort of the general adult population. Methods: A retrospective cohort study was conducted using data from the U.S. National Health and Nutrition Examination Survey (NHANES) 2013–2014 and 2015–2016 cycles. Basic comparative analyses and Pearson correlation tests were performed, followed by logistic regression models. Advanced statistical approaches, including Weighted Quantile Sum (WQS) regression and quantile g-computation, were subsequently applied to evaluate the combined effects of bisphenol exposures. Results: Findings reveal a positive association between combined bisphenols (BPs) and glycated hemoglobin (HbA1c), with binomial logistic regression demonstrating an odds ratio (OR) of 1.103 (1.002–1.214) between BP levels corrected for creatinine (crucial due to glomerular filtration variations) and diabetes. weighted quantile sum (WQS) and quantile G-computation analyses showed a combined positive effect on diabetes, glucose levels, and HbA1c. Individual effect analysis identifies BPS as a significant monomer warranting attention in future diabetes-related research. Conclusions: Replacing BPA with new molecules like BPS or BPF may pose a greater risk in the context of diabetes. Full article
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17 pages, 13988 KB  
Article
Efficient Removal of Pb(II) Ions from Aqueous Solutions Using an HFO-PVDF Composite Adsorption Membrane
by Shuhang Lu, Qianhui Xu, Mei-Ling Liu, Dong Zou and Guangze Nie
Membranes 2025, 15(9), 264; https://doi.org/10.3390/membranes15090264 - 1 Sep 2025
Abstract
The efficient purification of Pb(II)-containing wastewater is essential for safeguarding public health and maintaining the aquatic environment. In this study, novel hydrous ferric oxide (HFO) nanoparticle-embedded poly(vinylidene fluoride) (PVDF) composite adsorption membranes were developed through a simple blending method for efficient Pb(II) removal. [...] Read more.
The efficient purification of Pb(II)-containing wastewater is essential for safeguarding public health and maintaining the aquatic environment. In this study, novel hydrous ferric oxide (HFO) nanoparticle-embedded poly(vinylidene fluoride) (PVDF) composite adsorption membranes were developed through a simple blending method for efficient Pb(II) removal. This composite membrane (denoted as HFO-PVDF) combines the excellent selectivity of HFO nanoparticles for Pb(II) with the membrane’s advantage of easy scalability. The optimized HFO-PVDF(1.5) membrane achieved adsorption equilibrium within 20 h and exhibited excellent adsorption capacity. Moreover, adsorption capacity markedly enhanced with increasing temperature, confirming the endothermic nature of the process. The developed HFO-PVDF membranes demonstrate significant potential for real-world wastewater treatment applications, exhibiting exceptional selectivity for Pb(II) in complex ionic matrices and could be effectively regenerated via a relatively straightforward process. Furthermore, filtration and dynamic regeneration tests demonstrated that at an initial Pb(II) concentration of 5 mg/L, the membrane operated continuously for 10–13 h before regeneration, treating up to 200 L/m2 of wastewater before breakthrough, highlighting potential for cost-effective industrial wastewater treatment. This study not only demonstrates the high efficiency of the HFO-PVDF membrane for heavy metal ion removal but also provides a theoretical foundation and technical support for its practical application in water treatment. Full article
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16 pages, 433 KB  
Article
Anaerobic Co-Digestion of Brewers’ Spent Grain from Craft Beer and Cattle Manure for Biogas Production
by Héctor Alfredo López-Aguilar, Antonino Pérez-Hernández, Humberto Alejandro Monreal-Romero, Claudia López Meléndez, María del Rosario Peralta-Pérez and Francisco Javier Zavala-Díaz de la Serna
World 2025, 6(3), 118; https://doi.org/10.3390/world6030118 - 1 Sep 2025
Abstract
The brewing industry generates significant organic waste, much of which remains underutilized despite its potential for energy recovery. This study assesses the feasibility of anaerobic co-digestion (AcoD) using brewers’ spent grain (BSG) from the craft beer production process and cattle manure from feedlots. [...] Read more.
The brewing industry generates significant organic waste, much of which remains underutilized despite its potential for energy recovery. This study assesses the feasibility of anaerobic co-digestion (AcoD) using brewers’ spent grain (BSG) from the craft beer production process and cattle manure from feedlots. Thermogravimetric analysis confirmed similar volatile solids content in both substrates, validating BSG as a viable feedstock. AcoD trials were conducted in 20 L biodigesters under dry and ambient conditions over 40 days. Methane yields reached 25 mL CH4 gVS−1 at a 1:1 inoculum–substrate ratio fresh matter basis and 67.33 mL CH4 gVS−1 at 2.5:1, indicating that higher inoculum levels enhance methane production. Kinetic modeling using Modified Gompertz, Logistic, and other microbial growth-based models showed that the Logistic model best represented the methane production trends. The detection of hydrogen sulfide in the biogas emphasizes the need for effective filtration. Overall, this work highlights AcoD as a promising approach for organic waste valorization and renewable energy generation in the craft brewing sector, supporting circular economy practices and contributing to environmental and economic sustainability. Full article
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19 pages, 1981 KB  
Article
Physicochemical Characterisation of Olive Mill Wastewaters Based on Extraction Methods and Filtration Levels
by Inês S. Afonso, Cristina Duarte, Maria João Afonso, António E. Ribeiro, Joana S. Amaral, Patrícia C. Sousa, Rui A. Lima and João E. Ribeiro
Clean Technol. 2025, 7(3), 73; https://doi.org/10.3390/cleantechnol7030073 (registering DOI) - 1 Sep 2025
Abstract
Olive mill wastewaters (OMWW) generated during olive oil extraction represent a significant environmental challenge due to their high organic matter content, acidic pH, phenolic content, and toxicity. Their composition varies widely depending on the extraction method and remains difficult to treat, particularly for [...] Read more.
Olive mill wastewaters (OMWW) generated during olive oil extraction represent a significant environmental challenge due to their high organic matter content, acidic pH, phenolic content, and toxicity. Their composition varies widely depending on the extraction method and remains difficult to treat, particularly for small-scale producers lacking access to complex infrastructure. This study evaluates the combined effect of the extraction system (traditional vs. three-phase continuous) and filtration level (single vs. double) on the physicochemical and biological properties of OMWW. The methodologies employed included the analysis of water content, density, fatty acid composition, acidity, pH, total solids, chemical and biochemical oxygen demand, and biodegradability. The results indicate that traditional systems consistently produced OMWW with higher organic matter and phenolic loads, while filtration moderately reduced antioxidant potential and acidity, especially in traditional systems. The use of simple, low-cost filtration materials proved effective in improving effluent clarity and could serve as a practical pre-treatment option. This approach offers an accessible strategy for small producers aiming to valorise OMWW or reduce environmental impact. However, the study was conducted at the laboratory scale, and the long-term behaviour of filtered OMWW under real operating conditions remains to be evaluated. Full article
(This article belongs to the Topic Advances and Innovations in Waste Management)
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13 pages, 1335 KB  
Article
Effects of Seed Priming with Talaromyces ruber Extracts on Tomato (Solanum lycopersicum) Growth
by Álvaro Iglesias-Ganado, Jorge Poveda, Oscar Santamaría, Sara Rodrigo, María I. Pozo and Jorge Martín-García
Agriculture 2025, 15(17), 1868; https://doi.org/10.3390/agriculture15171868 - 31 Aug 2025
Abstract
Modern agriculture requires effective and sustainable tools to enhance crop performance while minimizing the environmental impact. In this context, the application of fungal-derived bioactive compounds directly onto seeds represents a promising alternative. In this study, tomato seeds (Solanum lycopersicum) were subjected [...] Read more.
Modern agriculture requires effective and sustainable tools to enhance crop performance while minimizing the environmental impact. In this context, the application of fungal-derived bioactive compounds directly onto seeds represents a promising alternative. In this study, tomato seeds (Solanum lycopersicum) were subjected to mycopriming treatment using two fungal extracts obtained from the mycelium and culture filtrate of Talaromyces ruber. Two independent greenhouse trials were conducted to assess germination dynamics, morphometric traits, and physiological parameters (chlorophyll content, flavonol index, and anthocyanin index). Although germination rates were not significantly affected, root development was consistently enhanced by the treatments compared with the control group in both experiments. In contrast, no clear improvement was observed in shoot growth or leaf physiological parameters. Overall, the application of T. ruber extracts via seed priming proved to be a feasible strategy to stimulate early-stage root development in tomatoes, potentially contributing to improved seedling vigor and agronomic performance. These findings support the potential use of fungal extracts as practical tools for improving seedling quality in commercial nursery production. Full article
(This article belongs to the Special Issue Advanced Cultivation Technologies for Horticultural Crops Production)
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11 pages, 488 KB  
Article
Prognostic Impact of Glomerular Filtration Rate Decline on Survival Outcomes in Metastatic Renal Cell Carcinoma Treated with Targeted Therapy
by Oktay Halit Aktepe, Ahmet Melih Arslan, Ozge Yetginoglu, Hatice Altas, Canberk Sencan, Mehmet Sinan Akarca, Hasan Cagri Yildirim, Huseyin Salih Semiz, Ilkay Tugba Unek, Aziz Karaoglu, Mustafa Erman and Suayib Yalcin
Medicina 2025, 61(9), 1574; https://doi.org/10.3390/medicina61091574 - 31 Aug 2025
Abstract
Background and Objectives: The prognostic significance of dynamic changes in glomerular filtration rate (GFR) during targeted therapies in metastatic renal cell carcinoma (mRCC) is not well understood. Thus, we aimed to investigate the prognostic significance of GFR value at 6 months in patients [...] Read more.
Background and Objectives: The prognostic significance of dynamic changes in glomerular filtration rate (GFR) during targeted therapies in metastatic renal cell carcinoma (mRCC) is not well understood. Thus, we aimed to investigate the prognostic significance of GFR value at 6 months in patients with mRCC receiving first-line targeted therapy. Materials and Methods: This retrospective cohort study included 260 mRCC patients at two tertiary centers in Turkey between 2015 and 2025. Patients were stratified into three groups according to GFR at 6 months: ≥60, 30–60, and <30 mL/min/1.73 m2. Kaplan–Meier curves were used to estimate progression-free survival (PFS) and overall survival (OS) in prognostic subgroups. Cox proportional hazard models assessed associations between clinicopathologic variables, including GFR categories, and PFS and OS. Results: The median PFS for the cohort was 11.1 months (95% confidence interval [CI]: 9.3–12.9), and the median OS was 40.0 months (95% CI: 30.3–49.7). In multivariate analysis, GFR < 30 mL/min/1.73 m2 was independently associated with shorter PFS (hazard ratio [HR]: 1.54, 95% CI: 1.01–2.33, p = 0.040) and OS (HR: 3.80, 95% CI: 2.06–7.01, p < 0.001), while GFR 30–60 mL/min/1.73 m2 was linked to reduced OS (HR: 2.07, 95% CI: 1.08–3.98, p = 0.028). Additional independent predictors of worsened PFS were intermediate (p = 0.028) and poor IMDC risk (p < 0.001. For OS, liver metastases (p = 0.017), bone metastases (p = 0.014), brain metastases (p = 0.002), and intermediate (p = 0.014) or poor IMDC risk (p < 0.001) were also significant. Conclusions: In patients with mRCC treated with targeted therapy, the GFR at 6 months is an independent factor in predicting survival outcomes, indicating the clinical significance of serial kidney function monitoring. Full article
(This article belongs to the Section Oncology)
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18 pages, 479 KB  
Review
Nephroprotective Mechanisms of SGLT2i: Beyond the Glucose-Lowering Effect
by Alessio Mazzieri and Livia Maria Rita Marcon
Biomedicines 2025, 13(9), 2123; https://doi.org/10.3390/biomedicines13092123 - 30 Aug 2025
Abstract
Chronic kidney disease (CKD) is a fast-growing cause of death worldwide. Systemic hypertension and diabetes mellitus are the major causes of kidney damage leading to a reduction in glomerular filtration rate and to urinary protein loss. Sodium–glucose cotransporter 2 inhibitors (SGLT2is) are drugs [...] Read more.
Chronic kidney disease (CKD) is a fast-growing cause of death worldwide. Systemic hypertension and diabetes mellitus are the major causes of kidney damage leading to a reduction in glomerular filtration rate and to urinary protein loss. Sodium–glucose cotransporter 2 inhibitors (SGLT2is) are drugs able to address both of these deleterious effects, preventing kidney damage from progressing. Initially born as hypoglycemic agents, SGLT2is subsequently proved to have not only positive metabolic but also pleiotropic effects on the kidney and the cardiovascular system. Indeed, they improve the metabolic profile, reducing uric acid, blood sugar levels, and body weight. Moreover, they exert an anti-inflammatory and antifibrotic effect, reducing endothelial dysfunction and reactive oxygen species (ROS) production. Finally, they reduce renal hyperfiltration and control blood pressure, inducing osmotic diuresis and restoring tubulo-glomerular feedback. All these metabolic, anti-inflammatory, and hemodynamic effects contribute to significantly reducing the risk of cardiorenal events, as widely demonstrated in randomized clinical trials. The pleiotropic actions of SGLT2is together with their good tolerability make them a pillar treatment of CKD regardless of the presence of diabetes mellitus. Further studies will be needed in order to expand the indications to populations previously excluded from clinical trials such as transplant recipients or glomerulonephritis patients. This narrative review aims to summarize current knowledge regarding the nephroprotective mechanisms of SGLT2is which, after initial use as a hypoglycemic agent, have assumed a pivotal role in the actual and future management of patients with CKD. Full article
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11 pages, 225 KB  
Article
Long-Term Outcomes of Living Kidney Donors Left with Multiple Renal Arteries: A Retrospective Cohort Study from a Single Center
by Thomas Kurz, Jacob Schmidt, Isabel Lichy, Irena Goranova, Jonathan Jeutner, Nadine Biernath, Lukas Kurz, Thorsten Schlomm, Robert Peters, Frank Friedersdorff, Henning Plage and Bernhard Ralla
J. Clin. Med. 2025, 14(17), 6121; https://doi.org/10.3390/jcm14176121 - 29 Aug 2025
Viewed by 164
Abstract
Background: The presence of multiple renal arteries (MRAs) is a common anatomical variant in living kidney donors. While MRAs are not considered a contraindication to donation, it remains uncertain whether leaving the donor with a kidney containing MRAs affects long-term outcomes. This study [...] Read more.
Background: The presence of multiple renal arteries (MRAs) is a common anatomical variant in living kidney donors. While MRAs are not considered a contraindication to donation, it remains uncertain whether leaving the donor with a kidney containing MRAs affects long-term outcomes. This study aimed to evaluate renal and clinical outcomes in donors based on the vascular anatomy of the remnant kidney. Methods: We conducted a retrospective cohort study of living kidney donors who underwent nephrectomy at our institution between 2011 and 2016. Donors were categorized according to the vascular anatomy of the remaining kidney: single renal artery (SRA) vs. multiple renal arteries (MRAs). Data on renal function, hypertension, diabetes mellitus, and cardiovascular events were collected at baseline and follow-up. The primary outcome was long-term renal function, which was measured by the estimated glomerular filtration rate (eGFR). Secondary outcomes included clinical comorbidities and postoperative complications. Results: Among 190 donors, 132 had a remaining kidney with a single artery and 58 had MRAs. Over a median follow-up of 89.5 months (SRA) and 74.5 months (MRA), there were no significant differences in eGFR (SRA: 66 mL/min vs. MRA: 65 mL/min, p = 0.60), serum creatinine (p = 0.86), or the incidence of hypertension (31.8% vs. 34.5%, p = 0.35). Rates of diabetes mellitus and cardiovascular events were similarly low and comparable between groups. Conclusions: Living kidney donors left with a remnant kidney containing multiple renal arteries have similar long-term renal function and clinical outcomes as those with a single renal artery. These findings support the feasibility of MRA retention in donor selection and contribute to evidence-based surgical planning and donor counseling. Full article
(This article belongs to the Special Issue Advances in Kidney Transplantation)
20 pages, 4631 KB  
Article
Research on Optimizing the Steel Fiber/CSH Interface Performance Based on Ca/Si Ratio
by Yalin Luan, Yongmei Wu, Runan Wang, Dongbo Cai, Lianzhen Zhang and Pengxiang Luan
Materials 2025, 18(17), 4049; https://doi.org/10.3390/ma18174049 - 29 Aug 2025
Viewed by 142
Abstract
Steel fiber reinforced concrete in marine environments often suffers from stress corrosion coupling. Under mechanical loading, the formation of penetrating cracks in the matrix increases susceptibility to seawater penetration and interfacial degradation. Using molecular dynamics simulations, this study investigated the effects of calcium-to-silicon [...] Read more.
Steel fiber reinforced concrete in marine environments often suffers from stress corrosion coupling. Under mechanical loading, the formation of penetrating cracks in the matrix increases susceptibility to seawater penetration and interfacial degradation. Using molecular dynamics simulations, this study investigated the effects of calcium-to-silicon (Ca/Si) ratios on the interfacial bonding and transport properties of a γ-FeOOH/CSH system. The results show that higher Ca/Si ratios strengthen ionic bonding between CSH and γ-FeOOH, thereby improving interfacial adhesion. Additionally, increased Ca/Si ratios significantly slow the transport of water molecules and ions (Na+, Cl, SO42−) within γ-FeOOH/CSH nanopores. It was observed that Cl and SO42− exhibited pronounced filtration effects at Ca/Si = 2.0. These findings suggest that optimizing the Ca/Si ratio in concrete can simultaneously enhance interfacial strength and reduce permeability. This provides an effective strategy for improving the marine erosion resistance of steel fiber reinforced concrete structures. Full article
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22 pages, 5951 KB  
Article
Experimental Study on the Filtration of Seawater Bentonite Slurry Under the Cutting Influence of Shield Cutterhead
by Deming Wang, Zhipeng Li, Qingsong Zhang, Lianzhen Zhang, Yang Gao, Hongzhen Dong, Yirui Li, Yueyue Wu and Yongqi Dai
Materials 2025, 18(17), 4025; https://doi.org/10.3390/ma18174025 - 28 Aug 2025
Viewed by 258
Abstract
Slurry shields maintain excavation face stability by forming a sealing filter cake through pressurized slurry filtration, though cutterhead rotation inevitably compromises this integrity. This study investigates seawater-based slurry filtration behavior under cutterhead disturbance using model testing, utilizing the effective support force conversion rate [...] Read more.
Slurry shields maintain excavation face stability by forming a sealing filter cake through pressurized slurry filtration, though cutterhead rotation inevitably compromises this integrity. This study investigates seawater-based slurry filtration behavior under cutterhead disturbance using model testing, utilizing the effective support force conversion rate to quantify the filter cake formation efficiency. Quantitative analysis evaluated key slurry constituents—bentonite, carboxymethyl cellulose (CMC), and fine sand (content/particle size)—and operational parameters including cutterhead rotation speed, advance rate, and slurry pressure. Results demonstrate enhanced conversion rate and stability with increased bentonite, CMC, and fine sand content; reduced fine sand particle size; elevated slurry pressure; and decreased cutterhead speed/advance rate. Nonlinear relationships exist between bentonite content and fine sand particle size, on the one hand, and the mean conversion rate and its fluctuation range, on the other. Stratum permeability and slurry pressure exhibit nonlinear effects on fluctuation range but linear relationships with mean value, indicating marginal impacts on support force magnitude and operational stability. Sensitivity analysis confirms bentonite as the dominant influencing factor, followed by cutterhead speed and CMC. Full article
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20 pages, 3847 KB  
Article
Metal–Porphyrin-Based Covalent Organic Framework Composite Membrane for Salts and Dyes Separation
by Fatimah Al-Ghazzawi, Mohammed Mahdi Al-Mossawi and Hadeel K. Allayeith
Compounds 2025, 5(3), 34; https://doi.org/10.3390/compounds5030034 - 28 Aug 2025
Viewed by 323
Abstract
Covalent organic framework (COF) membranes are eminent candidates in filtration and separation applications due to their high porosity, ordered pore size, versatile molecular structure, inherent mechanical properties, and excellent stability. However, large-scale COF membranes suffer from several issues, including stacking and crystal defects, [...] Read more.
Covalent organic framework (COF) membranes are eminent candidates in filtration and separation applications due to their high porosity, ordered pore size, versatile molecular structure, inherent mechanical properties, and excellent stability. However, large-scale COF membranes suffer from several issues, including stacking and crystal defects, which negatively impact their rejection performance. In this study, a continuous thin film of porphyrinic-based COF (i.e., COF-TCPP (Fe)) with various thicknesses was fabricated on a PVDF support layer via a vacuum-assisted interfacial polymerization method. The composite membranes were then characterized, and their filtration and dye/salt separation performance were evaluated using a dead-end filtration cell. The results showed that the rejection efficiencies of Congo red and acid fuchsin for the optimal proposed membrane were 99.5% and 95.8%, respectively. In comparison, the corresponding values for the pristine membrane were 73.3% and 62.8%. The results also showed that with an increase in the COF loading concentration during synthesis, the membrane flux decreased, while the rejection efficiency increased. This study proposes a simple and effective method to mitigate the large-scale issues of COF-based membranes and to enhance the separation performance of existing polymeric membranes. Full article
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14 pages, 1292 KB  
Article
Real-World Use of ARNI Within GDMT in HFrEF Patients with and Without Atrial Fibrillation: A Retrospective Analysis of Cardiac and Renal Functions and Clinical Outcomes
by Niccolò Bonini, Marta Mantovani, Marco Vitolo, Kevin Serafini, Enrico Tartaglia, Francesca Rampini, Francesca Grossule, Benedetta Cherubini, Maria Laura Mastronardi, Paola Trapanese, Jacopo F. Imberti, Davide A. Mei and Giuseppe Boriani
J. Cardiovasc. Dev. Dis. 2025, 12(9), 328; https://doi.org/10.3390/jcdd12090328 - 26 Aug 2025
Viewed by 241
Abstract
The aim of this study was to describe changes in estimated glomerular filtration rate (eGFR), left ventricular ejection fraction (LVEF) and clinical outcomes in a real-world cohort of patients with heart failure with reduced ejection fraction (HFrEF) and atrial fibrillation (AF). A total [...] Read more.
The aim of this study was to describe changes in estimated glomerular filtration rate (eGFR), left ventricular ejection fraction (LVEF) and clinical outcomes in a real-world cohort of patients with heart failure with reduced ejection fraction (HFrEF) and atrial fibrillation (AF). A total of 321 patients (67 [58–74] years old, 19.3% females) were included; 134 (41.7%) had AF. AF patients were less frequently prescribed angiotensin receptor–neprilysin inhibitor (ARNi), with no differences concerning sodium–glucose transport protein 2 inhibitors (SGLT2is) and had lower median baseline eGFR values. At 6- and 12-month follow-ups, renal function declined similarly in both groups, with no difference in the proportion of patients experiencing an eGFR decrease of ≥30% from baseline. Regarding cardiac remodeling, patients without AF showed a higher proportion of individuals with an LVEF improvement of ≥10% from baseline, however with no differences between groups in LVEF final recovery. During a median follow-up of 582 (339–1481) days, AF patients showed a higher risk of composite outcome (aHR, 95% CI: 2.12, 1.16–3.86) and of hospitalization for heart failure (hHF) (2.80, 1.44–5.46), without differences in all-cause death. Delta eGFR changes with at least a 30% decline in eGFR were associated with a higher risk of the primary endpoint. Despite lower baseline renal function, AF patients exhibited similar LVEF improvement and renal decline, which emphasizes the importance of guideline-directed medical therapy. AF was associated with a higher risk of adverse events, primarily driven by hHF. Full article
(This article belongs to the Collection Current Challenges in Heart Failure and Cardiac Transplantation)
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22 pages, 769 KB  
Review
Silent Inflammation, Loud Consequences: Decoding NLR Across Renal, Cardiovascular and Metabolic Disorders
by Caterina Carollo, Alessandra Sorce, Emanuele Cirafici, Maria Elena Ciuppa, Giuseppe Mulè and Gregorio Caimi
Int. J. Mol. Sci. 2025, 26(17), 8256; https://doi.org/10.3390/ijms26178256 - 26 Aug 2025
Viewed by 503
Abstract
The neutrophil-to-lymphocyte ratio (NLR) has emerged as a readily accessible, cost-effective biomarker reflecting systemic inflammation. Chronic low-grade inflammation plays a pivotal role in the pathogenesis and progression of metabolic and cardiovascular disorders including chronic kidney disease (CKD), hypertension, diabetes mellitus, and cardiovascular disease [...] Read more.
The neutrophil-to-lymphocyte ratio (NLR) has emerged as a readily accessible, cost-effective biomarker reflecting systemic inflammation. Chronic low-grade inflammation plays a pivotal role in the pathogenesis and progression of metabolic and cardiovascular disorders including chronic kidney disease (CKD), hypertension, diabetes mellitus, and cardiovascular disease (CVD). This review critically evaluates the current evidence on NLR as a prognostic marker across these interconnected conditions. A comprehensive literature search was conducted focusing on clinical and epidemiological studies investigating the association between NLR and CKD, hypertension, diabetes, and cardiovascular outcomes. Mechanistic insights into inflammation-driven pathophysiology and the predictive utility of NLR in disease progression and adverse events were synthesized. Elevated NLR is consistently associated with increased risk and severity of CKD, correlating with glomerular filtration decline, proteinuria, and mortality. In hypertension, higher NLR levels are linked to non-dipper blood pressure patterns, arterial stiffness, and increased cardiovascular risk. Among diabetic patients, NLR correlates with poor glycemic control and vascular complications. In cardiovascular disease, elevated NLR predicts major adverse cardiovascular events (MACE) and all-cause mortality, reflecting underlying immune dysregulation and endothelial dysfunction. Despite promising findings, direct comparisons with established inflammatory biomarkers remain limited, and heterogeneity exists across populations. NLR represents a simple yet powerful inflammatory biomarker with significant prognostic value in CKD, hypertension, diabetes, and cardiovascular disease. Its integration into clinical risk stratification models could enhance personalized medicine approaches. Future research should focus on longitudinal studies, validation in diverse cohorts, and comparative analyses with other inflammatory markers to fully delineate NLR’s clinical utility. Full article
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16 pages, 2488 KB  
Article
Effect of Waste Micro-Particles on Metalworking Fluid Efficiency and Biodegradation During the Cutting Process
by Stepanka Dvorackova, Martin Bilek, Josef Skrivanek, Dora Kroisová, Anita Białkowska and Mohamed Bakar
Materials 2025, 18(17), 3988; https://doi.org/10.3390/ma18173988 - 26 Aug 2025
Viewed by 460
Abstract
This study investigates contaminants in metalworking fluids (MWFs) from an industrial band saw, focusing on microparticle classification and microbial quantification linked to fluid degradation. Most particles were under 50 µm, primarily aluminum and iron oxides from tool wear; oxygen- and sulfur-containing particles suggested [...] Read more.
This study investigates contaminants in metalworking fluids (MWFs) from an industrial band saw, focusing on microparticle classification and microbial quantification linked to fluid degradation. Most particles were under 50 µm, primarily aluminum and iron oxides from tool wear; oxygen- and sulfur-containing particles suggested corrosion. Microbiological analysis showed high contamination, with culturable microorganisms exceeding 1000 CFU/mL. A pathogenic strain associated with biodeterioration was identified, underscoring the need for microbial control. Filtration and ozonation have been used as decontamination methods to improve the purity and biological stability of the process fluid. Filtration enabled selective removal of metallic microparticles. Among six nanofiber filters, the Berry filter achieved the highest efficiency (70.8%) for particles ≥ 7.3 µm, while other filters were faster but less efficient. Ozonation proved highly effective for microbiological decontamination, reducing viable microorganisms by over 95%, improving visual clarity, and lowering pH from 9 to 8 while remaining within operational limits. Unlike filtration, ozonation significantly reduced microbial load. The combination of both methods is proposed as a sustainable strategy for maintaining process fluid quality under industrial conditions. These findings support integrated decontamination approaches to extend fluid life, reduce fresh MWF consumption and waste, and enhance workplace hygiene and safety in machining operations. Full article
(This article belongs to the Section Smart Materials)
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