Search Results (3,464)

This study examined the application of rhyolite filler in agroecological farming systems in the Fourth Colony of Italian Immigration (Quarta Colônia de Imigração Italiana), Rio Grande do Sul, Brazil. The aim was to explore sustainable alternatives to synthetic fertilizers in line with organic agriculture principles. The region’s designation as the Quarta Colônia UNESCO Global Geopark reinforces the relevance of this initiative. The research involved petrographic characterization, incubation experiments, and chemical analyses of rhyolite samples. Incubation tests with pigeon pea and elephant grass assessed combinations of rock filler and poultry litter. The results showed that rhyolite filler supported plant growth, especially with poultry litter, which supplies nitrogen and microorganisms that accelerate mineral weathering. Petrographic observations indicated that elephant grass promoted stronger mineral alteration, likely due to its dense fibrous roots and substrate interaction. Chemical analyses confirmed the rhyolite’s quartz content and trace elements remain within safety limits defined by Brazilian legislation on soil remineralizers. The K₂O content and the base sum (CaO, MgO, and K₂O) also complied with minimum legal requirements. Beyond mineralogical and chemical aspects, the study emphasized the economic feasibility of using locally sourced rock fillers, offering lower costs than synthetic fertilizers and supporting sustainable, resilient agroecological systems. Full article

Severe snowstorms pose multiple threats to high-speed rail systems, including sudden drops in track friction coefficients, icing of overhead contact lines, and reduced visibility. These conditions can trigger dynamic risks such as train speed restrictions, cascading delays, and operational disruptions. Addressing the limitations of traditional scheduling methods in spatio-temporal modeling during blizzards, real-time multi-objective trade-offs, and high-dimensional constraint solving efficiency, this paper proposes a collaborative optimization approach integrating temporal forecasting with deep reinforcement learning. A dual-module LSTM-PPO model is constructed using LSTM (Long Short-Term Memory) and PPO (Proximal Policy Optimization) algorithms, coupled with a composite reward function. This design collaboratively optimizes punctuality and scheduling stability, enabling efficient schedule adjustments. To validate the proposed method’s effectiveness, a simulation environment based on the Lanzhou-Xinjiang High-Speed Railway line was constructed. Experiments employing a three-stage blizzard evolution mechanism demonstrated that this approach effectively achieves a dynamic equilibrium among safety, punctuality, and scheduling stability during severe snowstorms. This provides crucial decision support for intelligent scheduling of high-speed rail systems under extreme weather conditions. Full article

Modern research laboratories are constantly evolving to meet the growing demands for precision, quality, and flexibility in scientific work. The modernization of existing experimental test benches plays a crucial role in improving efficiency, optimizing processes, and ensuring operational safety. This requires updates to their design, experimental methods, data collection, and results recording—all of which provide the foundation for developing new research concepts. An increasing number of innovations are now guided by the principle of minimizing environmental impact. In line with this approach, an innovative modernization of a tube furnace research station was carried out, based on the concepts of sustainable development and the zero-waste philosophy. To enable thermogravimetric analyses of coffee waste, a previously incomplete tube furnace was refurbished using recycled components. The primary objective was to expand the research capabilities of the existing workstation. As part of the modernization, three indicators of reuse efficiency were calculated: the quantitative indicator W_re-use, the mass indicator $W_{re\text{-}use}^{mass}$, and the cost indicator $W_{re\text{-}use}^{value}$. A quantitative index of 78% and a mass index of approximately 76% were achieved, while the economic value of the recovered components accounted for 11% of the total value of the revitalized research station. This strategy significantly reduced waste generation, carbon dioxide emissions, and the consumption of primary raw materials. Full article

(1) Background: With the increasing incidence of cancer, the need for handling cytotoxic drugs has also grown. However, manipulating these drugs exposes healthcare professionals to significant risks, including occupational exposure to hazardous chemicals. Therefore, it is important to adopt protective measures, including personal protective equipment (PPE) and correct ergonomic practices, to ensure safe drug preparation and minimize health risks for the operators. However, while chemical exposure and PPE have been extensively addressed in the literature, the combined impact of ergonomic practices and protective measures remains insufficiently emphasized, representing a critical gap this review aims to address. Accordingly, the objective of this literature review was to analyze the ergonomic and individual protection practices during the handling of cytostatic drugs and all the implications that bad ergonomic practices and/or poor individual protection have on the operator’s health; (2) Methods: In order to perform this integrative review, a structured literature search was conducted using online databases (Web of Science^®, Google Scholar^®, and PubMed^®) from January 2005 to June 2025. (3) Results: A total of 19 articles were analyzed, with 17 focusing on PPE and 17 on ergonomics. The findings emphasize that PPE, such as gloves, masks, gowns, sleeves and safety glasses, plays a critical role in the safe handling of cytotoxic drugs, particularly when combined with other safety measures. Additionally, maintaining correct ergonomic posture is important in preventing musculoskeletal disorders; (4) Conclusions: This review emphasizes the significance of integrating appropriate PPE use with sound ergonomic procedures. Although PPE is still the secondary line of defense against occupational exposure, ergonomic issues must also be addressed to avoid chronic musculoskeletal problems. Continuous training, rigorous attention to safety procedures, and ergonomic enhancements should be prioritized by healthcare facilities as a key element of occupational safety programs to reduce the short-term and long-term health hazards for personnel handling dangerous drugs. Full article

The impact freezing of supercooled water droplets poses a significant threat to the safety of aircraft and power transmission equipment. In recent years, extensive research has been conducted using numerical methods to investigate this phenomenon. However, existing models often incorrectly predict premature freezing near the droplet–air contact line during the early stage of impact, thereby unreasonably suppressing the spreading process in these regions. To address this limitation, this study proposes a velocity-gate-based activation control strategy for the Darcy momentum source, enabling its dynamic adjustment during simulation. The methodology integrates the Volume of Fluid (VOF) model, the solidification model, and the dynamic contact angle (DCA) model with the proposed dynamic Darcy source, while accounting for the influence of supercooling on physical properties. The numerical simulations are performed using COMSOL Multiphysics 6.3 and validated against experimental spreading factor data. The results demonstrate that the proposed methodology effectively eliminates nonphysical freezing during the initial spreading stage, and the predicted spreading factors agree well with experiments, with a maximum relative deviation of up to 11.7% across all simulated cases. The proposed approach improves consistency with real-world behavior and enhances the reliability of existing numerical tools for aircraft icing prediction and anti-icing design. Full article

Background: Catheter ablation is an established first-line treatment for supraventricular tachycardia (SVT). Traditionally, these procedures have been performed under fluoroscopic guidance. The objective of this study was to demonstrate the feasibility and safety of a completely fluoroless approach, as well as to evaluate clinical outcomes. Methods: This retrospective, single-center analysis included two patient cohorts, comprising a total of 400 patients: 200 in the main (fluoroless) group and 200 in the control (fluoroscopy) group. In the main group, ablation was performed using a 3D mapping system and intracardiac echocardiography (ICE) without the use of fluoroscopy and lead aprons. In the control group, procedures were conducted under fluoroscopic guidance. The primary outcomes were feasibility and safety. Secondary outcomes included acute procedural success, defined as non-inducibility of tachycardia, and chronic success, measured as arrhythmia recurrence-free survival during a 6-month follow-up period. Results: Completely fluoroless ablation was successfully performed in all patients in the main group (100%). Procedures were shorter in the fluoroless group (59.0 ± 25.8 min vs. 72.7 ± 34.0 min, p < 0.001), with no difference in acute success rates (100% vs. 100%). No serious complications occurred in the main group, compared to one event in the control group (0 vs. 1.0, p = 0.313). Arrhythmia recurrence rates during follow-up were similar between groups (HR: 0.877, 95% CI: 0.367–2.097, p = 0.769). Conclusions: A completely fluoroless, “apron-less” approach to SVT ablation is feasible, with complication and success rates comparable to the traditional fluoroscopy-guided approach. Full article

Background/Objectives: Advanced hepatocellular carcinoma (HCC) presents limited treatment options; however, immunotherapy demonstrates encouraging outcomes and acceptable adverse reactions in advanced HCC. This study evaluates the efficacy and safety of combining serplulimab, the bevacizumab biosimilar HLX04, and hepatic arterial infusion chemotherapy (HAIC) as a first-line therapy. Methods: This prospective, observational, single-center phase II trial enrolled untreated HCC patients with Barcelona Clinic Liver Cancer (BCLC) stage C. All patients received serplulimab (4.5 mg/kg) and HLX04 (15.0 mg/kg) every 3 weeks, followed by the HAIC-FOLFOX regimen. The primary endpoint was the objective response rate (ORR). Secondary endpoints included the disease control rate (DCR), progression-free survival (PFS), and safety. Results: A total of 32 patients were enrolled. The best outcomes showed an ORR of 53.1%, including 17 partial responses (PR, 53.1%) and 12 stable diseases (SD, 37.5%), resulting in a DCR of 90.6%. Subgroup analysis showed a higher ORR in patients with a single lesion and those receiving ≥3 treatment cycles, with an ORR of 60.7% in the latter group. Additionally, five patients underwent successful hepatectomy after ≥3 treatment cycles, with postoperative pathology confirming extensive tumor necrosis. Kaplan–Meier analysis estimated PFS rates of 89.9% (95% CI: 79.5–100.0%) at 6 months and 70.8% (95% CI: 54.2–92.4%) at 12 months. No deaths related to adverse events (AEs) occurred; four (12.5%) patients experienced grade IV AEs and twelve (37.5%) patients experienced grade III AEs. Conclusions: Serplulimab, HLX04, and HAIC combined as a first-line treatment for advanced HCC have demonstrated promising efficacy, particularly in patients completing ≥3 cycles, with an acceptable safety profile. Further investigation in larger trials is required. Full article

Surgical site infections (SSIs) remain a significant complication in spine surgery, especially in instrumented procedures with long operative times. Although guidelines recommend cefazolin as the first-line agent due to its efficacy against Staphylococcus aureus, predictable pharmacokinetics, and safety, its real-world practice is highly variable, with inappropriate and prolonged regimens reported across Europe. Vancomycin is often used as the first choice of therapy empirically and without screening, exposing patients to risks such as delayed infusion, nephrotoxicity, and the emergence of vancomycin-resistant enterococci (VRE).This review assesses the present function of vancomycin in relation to cefazolin for spinal prophylaxis and examines wider trends in the misuse of surgical antibiotic prophylaxis, which were identified through PubMed and Scopus searches. Evidence from randomized and prospective studies consistently supports cefazolin as the preferred prophylactic agent in clean spinal surgery. Observational data suggest that adjunctive or topical vancomycin may reduce infection rates in selected high-risk or revision cases, though the results are inconsistent and frequently limited by retrospective designs and heterogeneous outcome reporting. Importantly, the most rigorous randomized controlled trial found no benefit of intrawound vancomycin over the placebo. A small number of available investigations in vancomycin use with major design limitations have resulted in no significant VRE emergency. Unexpectedly, widespread use of vancomycin was followed by a notable transition toward Gram-negative and opportunistic organisms. In summary, vancomycin may only be considered in patients with documented MRSA colonization, β-lactam allergy, or selected revision procedures, but its widespread empirical use as a first-choice therapy is not supported. Full article

Background: Using natural substances for cancer therapy has attracted considerable interest due to their safety and reduced systemic toxicity. Nigella sativa (NS) oil, a traditional natural oil rich in bioactive compounds, possesses significant therapeutic potential. Brucine (BR), an alkaloid, exhibits potent cytotoxicity against various cancer cell lines; however, its poor selectivity and high systemic toxicity limit its clinical application. Objective: To overcome these challenges, this study aimed to enhance drug delivery and improve therapeutic efficacy. Method: A PEGylated nanoemulsion (NE) incorporating NS and BR was developed and characterized for particle size, size distribution, zeta potential, viscosity, and drug content. The in vitro release of BR was evaluated both with and without serum incubation. A quantitative amount of serum protein associated with the surface of the NE was estimated, and a hemolytic safety assay was carried out. Finally, an in vitro cytotoxicity study was conducted, and the in vivo anti-tumor effect of the developed PEGylated BR-loaded NE was evaluated and compared with its naked counterpart. Result: The developed PEGylated BR-loaded NE possessed favorable characteristics as a nanocarrier for parenteral administration, with a particle size of 188.5 nm, a zeta potential of −1.61, a viscosity of 3.4 cP, and 99% drug content uniformity. It released up to 60.4% of BR over 12 h, while only 18.4 µg/µmol of the total lipids were adsorbed on the surface of the formulation, compared with 54.5 µg/µmol for the naked counterpart. The PEGylated NE was safe, inducing less than 5% of hemolysis, and displayed substantial inhibition of MDA cell growth. Conclusions: The PEGylated NE achieved a significant reduction in tumor volume, suggesting that PEGylated NE may serve as a promising platform for enhancing anti-tumor activity. Full article

The complex environment along railway lines, characterized by low imaging quality, strong background interference, and densely distributed small objects, causes existing detection models to suffer from low accuracy in practical applications. To tackle these challenges, this study aims to develop a robust and lightweight insulator detection model specifically optimized for these challenging railway scenarios. To this end, we release a dedicated comprehensive dataset named complexRailway that covers typical railway scenarios to address the limitations of existing insulator datasets, such as the lack of small-scale objects in high-interference backgrounds. On this basis, we present CutP5-LargeKernelAttention-SIoU (C5LS), an improved YOLOv8 variant with three key improvements: (1) optimized YOLOv8’s detection head by removing the P5 branch to improve feature extraction for small- and medium-sized targets while reducing computational redundancy, (2) integrating a lightweight Large Separable Kernel Attention (LSKA) module to expand the receptive field and improve contextual modeling, (3) and replacing CIoU with SIoU loss to refine localization accuracy and accelerate convergence. Experimental results demonstrate that it reaches 94.7% in mAP@0.5 and 65.5% in mAP@0.5–0.95, outperforming the baseline model by 1.9% and 3.5%, respectively. With an inference speed of 104 FPS and a model size of 13.9 MB, the model balances high precision and lightweight deployment. By providing stable and accurate insulator detection, C5LS not only offers reliable spatial positioning basis for subsequent defect identification but also builds an efficient and feasible intelligent monitoring solution for these failure-prone insulators, thereby effectively enhancing the operational safety and maintenance efficiency of the railway power system. Full article

Objective: This study aimed to compare the effectiveness and safety of vonoprazan–amoxicillin (VA) dual therapy with modified bismuth-containing quadruple therapy (esomeprazole, bismuth, amoxicillin, and clarithromycin; EBAC) in treatment-naïve patients infected with Helicobacter pylori (H. pylori). Methods: In this single-center, open-label, randomized controlled trial conducted from July to December 2024, a total of 504 H. pylori-positive patients were randomly allocated to receive either VA (vonoprazan 20 mg and amoxicillin 1000 mg, twice daily for 14 days) or EBAC (esomeprazole 20 mg bid, bismuth potassium citrate 220 mg bid, amoxicillin 1000 mg bid, clarithromycin 500 mg bid, twice daily for 14 days). The primary endpoint was the H. pylori eradication rate, and the secondary endpoint was safety. Results: In the intention-to-treat (ITT) analysis, the eradication rates were 79.4% (200/252) in the VA group and 85.7% (216/252) in the EBAC group (p = 0.060). Per-protocol (PP) analysis showed comparable eradication rates between the two groups (92.1% [197/214] vs. 93.0% [213/229], p = 0.712), confirming the non-inferiority of VA compared to EBAC. The incidence of adverse events was significantly fewer in the VA group (27.2% vs. 42.7%, p < 0.001). Logistic regression identified medication adherence (≥80%) as the only independent predictor of successful eradication (OR 17.557, p < 0.001). Conclusions: VA dual therapy achieved comparable H. pylori eradication rates to EBAC, while offering better safety and a more convenient regimen, supporting it as a preferred first-line treatment for H. pylori infection. Full article

The global shift towards cleaner energy sources is driving the adoption of hydrogen as an environmentally friendly alternative to fossil fuels. Among the forms currently available, Liquid Hydrogen (LH₂) offers high energy density and efficient storage, making it suitable for large-scale transport by rail. However, the flammability of hydrogen poses serious safety concerns, especially when transported through confined spaces such as railway tunnels. In case of an accidental LH₂ release from a freight train, the rapid accumulation and potential ignition of hydrogen could cause catastrophic consequences, especially if freight and passenger trains are present simultaneously in the same tunnel tube. In this study, a three-dimensional computational fluid dynamics model was developed to simulate the dispersion and explosion of LH₂ following an accidental leak from a freight train’s cryo-container in a single-tube double-track railway tunnel, when a passenger train queues behind it on the same track. The overpressure results were analyzed using probit functions to estimate the fatality probabilities for the passenger train’s occupants. The analysis suggests that a significant number of fatalities could be expected among the passengers. However, shorter users’ evacuation times from the passenger train’s wagons and/or longer distances between the two types of trains might reduce the number of potential fatalities. The findings, by providing additional insight into the risks associated with LH₂ transport in railway tunnels, indicate the need for risk mitigation measures and/or traffic management strategies. Full article

As the core component of electrified railway power supply systems, the fatigue performance and reliability of catenary support structures are directly related to the operational safety of high-speed railways. To address the problem of structural fatigue damage caused by increasing train speed and high-frequency operation, this study develops a refined finite element model including a support structure, suspension system and support column, and the dynamic response characteristics and fatigue life evolution law under train operation conditions are systematically analyzed. The results show that under the conditions of 250 km/h speed and 100 times daily traffic, the fatigue lives of the limit locator and positioning support are 43.56 years and 34.48 years, respectively, whereas the transverse cantilever connection and inclined cantilever have infinite life characteristics. When the train speed increases to 400 km/h, the annual fatigue damage of the positioning bearing increases from 0.029 to 0.065, and the service life is shortened by 55.7% to 15.27 years, which proves that high-speed working conditions significantly aggravate the deterioration of fatigue in the structure. The reliability analysis based on Monte Carlo simulation reveals that when the speed is 400 km/h and the daily traffic is 130 times, the structural reliability shows an exponential declining trend with increasing service life. If the daily traffic frequency exceeds 130, the 15-year reliability decreases to 92.5%, the 20-year reliability suddenly decreases to 82.4%, and there is a significant inflection point of failure in the 15–20 years of service. Considering the coupling effect of environmental factors (wind load, temperature and freezing), the actual failure risk may be higher than the theoretical value. On the basis of these findings, engineering suggestions are proposed: for high-speed lines with a daily traffic frequency of more than 130 times, shortening the overhaul cycle of the catenary support structure to 7–10 years and strengthening the periodic inspection and maintenance of positioning support and limit locators are recommended. The research results provide a theoretical basis for the safety assessment and maintenance decision making of high-speed railway catenary systems. Full article

Background/Objectives: Head and neck cancer (HNC) is the sixth most common cancer worldwide, with a high mortality, particularly from head and neck squamous cell carcinoma (HNSCC). Although some therapeutic strategies are available, they might cause severe side effects. For example, surgery may result in disfigurement and functional loss, severely impacting the patient’s quality of life. Thus, minimally invasive and more effective alternatives are needed. Gold nanoparticle (AuNP)-mediated photothermal therapy (PTT) is a promising approach for HNC, which relies on AuNP photothermal efficiency and tumor localization. This study aimed to synthesize and characterize AuNPs, evaluate their safety without laser activation, and assess their efficacy with laser activation. Methods and Results: Their physicochemical and photostability over three months and sterility were confirmed. In vitro safety was tested using human non-cancerous and HNC cell lines, while in vivo biocompatibility was evaluated in the hen’s egg chorioallantoic membrane (CAM) model, with no adverse effects observed. Upon laser activation, AuNPs reduced HNC cell viability by 50–70%, including HNSCC lines. In vivo biodistribution studies showed that AuNPs remained at the injection site for up to one month without toxicity. Conclusions: Overall, the developed AuNP formulation demonstrates stability, biocompatibility, and prolonged local retention, key attributes for effective and targeted PTT. These findings support the potential of AuNP-mediated photothermal therapy as a promising treatment modality for HNC, although further preclinical and clinical studies are needed to optimize treatment parameters. Full article

Early train detection is vital for ensuring the safety of railway personnel, particularly in remote locations where fixed signaling infrastructure is unavailable. Unlike many existing solutions that rely on high-power, high-cost sensors and compute platforms, this work presents a lightweight, low-cost, and portable framework designed to run entirely on resource-constrained microcontrollers with just kilobytes of Random Access Memory (RAM). The proposed system uses vibration data from low-cost accelerometers and employs a simple yet effective Linear Regression (LR) model for almost real-time prediction of train arrival times. To ensure feasibility on low-end hardware, a parallel-processing framework is introduced, enabling continuous data collection, Machine Learning (ML) inference, and wireless communication with strict timing and energy constraints. The decision-making process, including data preprocessing and ML prediction, completes in under 10 ms, and alerts are transmitted via LoRa, enabling kilometer-range communication. Field tests on active railway lines confirm that the system detects approaching trains 15 s in advance with no false negatives and a small number of explainable false positives. Power characterization demonstrates that the system can operate for more than 6 days on a 10 Ah battery, with potential for months of operation using wake-on-vibration modes. Full article