Search Results (14,051)

Offshore reservoirs in the high water-cut stage present significant development challenges, including declining production, complex remaining oil distribution, and the inadequacy of conventional evaluation methods to capture intricate flow dynamics. To overcome these limitations, this study introduces a novel approach based on flow diagnostics for performance evaluation and potential adjustment. The method integrates key metrics such as time-of-flight (TOF) and the dynamic Lorenz coefficient, supported by reservoir engineering principles and numerical simulation, to construct a multi-parameter evaluation system. This system, which also incorporates injection–production communication volume and inter-well fluid allocation factors, precisely quantifies and visualizes waterflood displacement processes and sweep efficiency. Applied to the QHD32 oilfield, this framework was used to establish specific thresholds for operational adjustments. These include criteria for infill drilling (waterflooded ratio < 45%, remaining oil thickness > 6 m, TOF > 200 days), conformance control (TOF < 50 days, dynamic Lorenz coefficient > 0.5), and artificial lift optimization (remaining oil thickness ratio > 2/3, TOF > 200 days). Field validation confirmed the efficacy of this approach: an additional cumulative oil production of 165,600 m³ was achieved from infill drilling in the C29 well group, while displacement adjustments in the B03 well group increased oil production by 2.2–3.8 tons/day, demonstrating a significant enhancement in waterflooding performance. This research provides a theoretical foundation and a technical pathway for the refined development of offshore heavy oil reservoirs at the ultra-high water-cut stage, offering a robust framework for the sustainable management of analogous reservoirs worldwide. Full article

Breastfeeding is recommended because of its benefits for the woman and the newborn, but during lactation, pre-existing or lactation-related health conditions that require medication can expose the minor to the risk of acute or chronic intoxication. While drug safety during pregnancy is a well-discussed topic, there is scarce evidence about the safety of common licit and illicit substances during breastfeeding. Hence, we performed a systematic review on the toxicity of licit and illicit substances during lactation. Applying PRISMA criteria for systematic reviews, we found 26 eligible papers published in the last ten years. Our review showed that human milk should be considered a specific (and dynamic) matrix for toxicological analysis, and relatively little is known about the actual levels of common substances in this matrix. Current recommendations on drug safety are mainly based on a benefit–risk ratio based on the little available information. Experimental research in this field should be promoted, which is also because of the relatively high frequency of sudden infant deaths that is currently unexplained. Full article

To overcome the production bottleneck induced by the high viscosity of extra-heavy oil and resolve the issues of limited efficiency in traditional thermal oil recovery methods (including cyclic steam stimulation (CSS), steam flooding, and steam-assisted gravity drainage (SAGD)) as well as the fragmentation of existing viscosity reducer evaluation systems, this study establishes a multi-dimensional evaluation system for the effectiveness of viscosity reducers, with stage-averaged remaining oil saturation as the core benchmarks. A “1D static → 2D dynamic → 3D synergistic” progressive sequential experimental design was adopted. In the 1D static experiments, multi-gradient concentration tests were conducted to analyze the variation law of the viscosity reduction rate of viscosity reducers, thereby screening out the optimal adapted concentration for subsequent experiments. For the 2D dynamic experiments, sand-packed tubes were used as the experimental carrier to compare the oil recovery efficiencies of ultimate steam flooding, viscosity reducer flooding with different concentrations, and the composite process of “steam flooding → viscosity reducer flooding → secondary steam flooding”, which clarified the functional value of viscosity reducers in dynamic displacement. In the 3D synergistic experiments, slab cores were employed to simulate the SAGD development process after multiple rounds of cyclic steam stimulation, aiming to explore the regulatory effect of viscosity reducers on residual oil distribution and oil recovery factor. This novel evaluation system clearly elaborates the synergistic mechanism of viscosity reducers, i.e., “chemical empowerment (emulsification and viscosity reduction, wettability alteration) + thermal amplification (steam carrying and displacement, steam chamber expansion)”. It fills the gap in the existing evaluation chain, which previously lacked a connection from static performance to dynamic displacement and further to multi-process synergistic adaptation. Moreover, it provides quantifiable and implementable evaluation criteria for steam–chemical composite flooding of extra-heavy oil, effectively releasing the efficiency-enhancing potential of viscosity reducers. This study holds critical supporting significance for promoting the efficient and economical development of extra-heavy oil resources. Full article

MicroRNAs (miRNAs) have emerged as crucial regulators of gene expression and have been implicated in various physiological and pathological processes, including cardiovascular diseases. The clinical presentation, diagnostic criteria, and proposed pathophysiological mechanisms of Takotsubo Syndrome (TTS) are discussed, with an emphasis on the emerging evidence implicating miRNAs in its etiology and progression. A systematic review following the PRISMA guidelines was performed on the evidence regarding the interplay between miRNAs and TTS. A search of the Pubmed, Web of Science, and Scopus databases was conducted and resulted in 584 articles. Of these, 14 full-text articles were eligible for inclusion in the qualitative analysis. The reviewed studies suggest that multiple miRNAs are involved in the processes associated with TTS pathophysiology, including acute and chronic myocardial inflammation, oxidative stress, apoptosis, microvascular dysfunction, hypertrophy, and, ultimately, maladaptive cardiac remodelling. This review provides an overview of the current understanding of miRNAs in cardiovascular pathophysiology, with a specific focus on their potential roles in TTS. To the best of our knowledge, this is the first systematic exploration of the miRNAs involved in TTS and its modulation as potential biomarkers or therapeutic targets. Full article

The predator–prey model is a fundamental mathematical tool in ecology used to understand the dynamic relationship between predator and prey populations. This study develops a fractional-order delayed dynamical model for a four-species food web, which includes an intermediate predator feeding on two prey species and a top predator preying on all three species. The boundedness of the system’s solutions is first rigorously established using the Laplace transform method. Next, a nonlinear dynamical analysis is performed to determine the existence conditions and local stability of both the trivial and positive equilibrium points. In particular, by treating the time delay as a bifurcation control parameter, explicit criteria for the onset of Hopf bifurcation are derived. Theoretically, when the delay magnitude exceeds a critical threshold, the system loses stability and exhibits sustained oscillatory behavior. Finally, systematic numerical simulations are performed under specific parameter settings. The effects of varying fractional orders and delay magnitudes on the system’s dynamics are quantitatively explored, and the results show strong agreement with the theoretical predictions. Full article

Background: Mild cognitive impairment (MCI) is a precursor to dementia, with a prevalence of over 15% among community dwellers, with significant economic and social implications. Despite preserved autonomy in daily living, individuals with MCI face challenges in handling everyday technology and memory-related tasks, necessitating digital interventions, such as digital planning-based technologies to support cognitive functioning. Objective: The aim of this study is to identify and summarize available research literature on available digital planning-based technologies to support memory-related functioning in older adults with MCI. Specifically, this study seeks to (1) document the types and functions of these technologies, (2) report their effectiveness, and (3) identify gaps in the current evidence. Methods: A comprehensive literature search of four databases (Medline, Embase, APA PsycINFO, and CINAHL) was conducted in accordance with Arksey and O’Malley’s scoping review methodological framework from inception to February 6, 2024, without restrictions. Inclusion criteria focused on peer-reviewed studies involving adults aged 50 or older with diagnosed cognitive impairment, specifically using digital planning-based technologies for memory support. Results: From 1854 sources, 8 studies were included. Five categories of digital planning-based technologies were identified: (1) reminders and alarms, (2) electronic calendars, (3) digital memory notebooks, (4) digital visual mapping, and (5) smart-home integration. Several studies reported improved task performance, memory recall, and executive function, with digital memory notebooks and visual mapping software showing greatest impact on functional independence. While interventions were generally well-received, usability challenges and low adherence were common, often linked to technological familiarity and motivation. Conclusions: Digital planning-based technologies show promise in supporting memory-related functioning in older adults with MCI. While studies report positive outcomes, more research is needed to refine these tools, evaluate long-term effects, and ensure integration into daily life. Expanding the evidence base will be key to improving accessibility and effectiveness for this population. Full article

Natural Deep Eutectic Solvents (NADES) were synthesized from food-grade components and evaluated as green extractants for the simultaneous recovery and liquid chromatography coupled to quadrupole-Orbitrap mass spectrometry (LC–Q-Orbitrap-MS) analysis of biopesticide residues in a complex matrix like honey. Conventional solid–liquid extraction (SLE) was applied, initially using choline chloride-2,3-butanediol (1:4, molar ratio) as the NADES extractant solvent, before systematically evaluating other NADES formulations. Extraction parameters, such as time (10 min, 20 min, and 30 min), technique (rotary mixing vs. sonication), and NADES composition, namely lactic acid–glucose–water (LGH, 5:1:9, molar ratio), lactic acid–glycerol–water (LGLH, 1:1:3, molar ratio), urea–glycerol–water (UGLH, 1:1:2, molar ratio), and choline chloride–2,3-butanediol (ChClBt, 1:4, molar ratio), were systematically optimized. Rotating agitation for 10 min yielded the highest overall recoveries and was therefore selected as the optimal extraction time. Rotary shaking was chosen over sonication due to its superior performance across both simple and complex matrices. Among the NADES tested, UGLH proved to be the most effective composition for the honey matrix. The analytical method was validated for the honey matrix. Linearity showed excellent performance across the tested concentration range, with R² values above 0.95 for all analytes. Matrix effects were within ±20% for nearly half of the compounds, while a few exhibited moderate matrix enhancement. Recoveries ranged from 50.1% to 120.5% at 500 µg/kg and 1000 µg/kg, demonstrating acceptable extraction performance. Intra-day and inter-day precision showed relative standard deviations (RSDs) below 20% for most analytes. Limits of quantification (LOQs) were established at 500 µg/kg for eight compounds based on recovery and precision criteria. These results confirm the suitability of the proposed NADES-based method for sensitive and reliable analysis of biopesticide residues in honey. When compared to conventional extraction methods, the proposed NADES-based protocol proved to be a greener alternative, achieving the highest AGREEprep score due to its use of non-toxic solvents, lower waste generation, and overall sustainability. Full article

Background: Sarcopenia and low muscle mass are prevalent and prognostically relevant in patients with lung cancer, yet their diagnosis remains challenging in routine clinical practice. Opportunistic assessment using computed tomography (CT) has emerged as a valuable tool for body composition evaluation. We aimed to assess the utility of thoracic CT at T12 and T4 levels in identifying sarcopenia and low muscle mass and explore their correlation with morphofunctional tools such as bioelectrical impedance vector analysis (BIVA), nutritional ultrasound (NU), and functional performance tests. Methods: In this prospective observational study, 80 patients with lung cancer were evaluated at diagnosis. Body composition was assessed using BIVA-, NU-, and CT-derived parameters at T12 and T4 levels. Functional status was measured using the Timed Up and Go (TUG) and 30-Second Chair Stand Test. Sarcopenia was defined according to EWGSOP2 criteria. Results: Sarcopenia was identified in 20% of patients. CT-derived indices at T12CT demonstrated better diagnostic performance than T4CT. For detecting low muscle mass, the optimal SMI cut-off values were SMI_T12CT < 31.98 cm²/m² and SMI_T4CT < 59.05 cm²/m² in men and SMI_T12CT < 28.23 cm²/m² and SMI_T4CT < 41.69 cm²/m² in women. For sarcopenia diagnosis, the values were SMI_T12CT < 24.78 cm²/m² and SMI_T4CT < 57.23 cm²/m² in men and SMI_T12CT < 21.24 cm²/m² and SMI_T4CT < 49.35 cm²/m² in women. A combined model including SMI_T12CT, RF_CSA, and the 30 s squat test showed high diagnostic accuracy (AUC = 0.826). In multivariable analysis, lower SMA_T12CT was independently associated with risk of sarcopenia (OR = 0.96, 95% CI: 0.92–0.99, p = 0.022), as were older age (OR = 1.23, 95% CI: 1.07–1.47, p = 0.010) and fewer repetitions in the 30 s squat test (OR = 0.78, 95% CI: 0.63–0.91, p = 0.007). Conclusions: CT-derived body composition assessment, particularly at the T12 level, shows good correlation with morphofunctional tools and may offer a reliable and timely alternative for identifying sarcopenia and low muscle mass in patients with lung cancer. Full article

Over 35% of bridges in the United States are currently rated in fair or poor condition, highlighting ongoing challenges in maintaining safety and performance amid aging infrastructure, limited budgets, and extended repair timelines. While Accelerated Bridge Construction (ABC) offers a faster solution, its adoption requires comprehensive decision frameworks. This paper presents a multi-criteria decision support tool (DST) that builds on the Connecticut Department of Transportation (CTDOT) ABC decision matrix. This DST quantifies the benefits of ABC for road and work zone safety, social equity, and environmental justice (SEEJ) and integrates them with structural, traffic, and construction factors to provide a comprehensive approach for determining the suitability of ABC techniques in bridge construction projects. Crash costs and corresponding safety benefits are quantified based on crash severity and frequency. While the tool incorporates both safety and SEEJ criteria, it also allows decision makers to consider either criterion individually based on their preferences. To demonstrate the applicability and benefits of the tool, it was applied to case studies in Connecticut. The results demonstrated how the considerations of safety and SEEJ can affect ABC decision-making. The presented DST is simple (Excel-based) and offers a practical and flexible tool that utilizes readily available data from national databases, making it applicable to all state DOTs across the United States. Full article

Postimplantation syndrome (PIS) is an early inflammatory response following endovascular stent-graft implantation (EVAR and TEVAR), defined by culture-negative fever and leukocytosis. The patient’s preoperative inflammatory status is thought to play a central role in its development. This study aimed to evaluate whether the systemic inflammatory response index (SIRI) and the eosinophil-to-lymphocyte ratio (ELR) can serve as preoperative predictors of PIS. Clinical data from 300 patients who underwent aortic endograft implantation and laboratory results obtained 24 h before the procedure, and at 24 h, 72 h, and 1 week postoperatively, were prospectively recorded. PIS was defined as culture-negative fever ≥ 37.8 °C accompanied by leukocytosis ≥ 12,000/µL. Inflammation-based indices derived from complete blood count (SIRI and ELR), along with serum C-reactive protein (CRP) and albumin levels, were compared between patients with and without PIS. Logistic regression and receiver operating characteristic (ROC) analyses were performed to identify independent predictors. PIS developed in 55 patients (18.3%). Patients with PIS were younger (70.1 ± 8.6 vs. 72.7 ± 7.3 years; p = 0.042) and had larger aneurysm diameters and greater mural thrombus thickness. Preoperatively, leukocyte count, SIRI, and CRP levels were significantly higher in patients who developed PIS, whereas ELR and albumin levels were lower. Multivariable analysis showed that a larger aneurysm diameter (OR: 1.2; 95% CI: 1.0–1.3; p = 0.003), greater mural thrombus thickness (OR: 1.3; 95% CI: 1.0–1.6; p = 0.012), EVAR procedure (OR: 3.7; 95% CI: 1.2–6.3; p = 0.033), elevated SIRI (OR: 1.9; 95% CI: 1.2–3.1; p = 0.005), and higher CRP (OR: 1.4; 95% CI: 1.1–3.2; p = 0.003) were significantly associated with PIS. In contrast, increasing age, higher ELR, and higher albumin levels were associated with a reduced risk of PIS. Simple biomarkers routinely obtained from standard laboratory tests can contribute meaningfully to the preoperative prediction and postoperative identification of PIS. Their integration into risk stratification models and confirmation against definitive diagnostic criteria will require validation in larger, multicenter studies. Full article

Background: Pediatric heart failure (PHF) remains a major contributor to morbidity and mortality, yet standardized diagnostic and prognostic frameworks–particularly those leveraging left ventricular ejection fraction (LVEF)–are not well-established. This study evaluates clinical profiles, therapeutic interventions, and mortality outcomes across LVEF thresholds while identifying an optimal cutoff to refine risk stratification in PHF. Methods: This multicenter retrospective cohort study analyzed 1449 PHF patients (aged 1–18 years) across 30 tertiary centers (2013–2022). LVEF stratification employed conventional thresholds (50%, 55%) and an ROC-optimized cutoff (53%, derived via Youden index maximization). The primary outcome was in-hospital all-cause mortality. Multivariable logistic regression models, adjusted for clinical covariates, evaluated mortality predictors. The discriminative performance of LVEF thresholds was compared using area under the curve (AUC) analysis. Results: Distinct clinical profiles, etiologies, and treatments were observed across LVEF strata (50% vs. 55%; p < 0.05). A data-driven optimized LVEF threshold of 53% was identified for mortality prediction, demonstrating superior diagnostic accuracy with enhanced sensitivity and specificity across age groups. Multivariate analysis revealed LVEF ≥ 55% as protective (OR = 0.81, 95% CI: 0.68–0.96, p = 0.003), while ≥50% was non-significant (OR = 0.91, 95% CI: 0.74–1.12, p = 0.06). Elevated BNP (OR = 2.78, p < 0.001) and NT-proBNP (OR = 2.34, p < 0.001) strongly correlated with mortality risk. Age and sex showed no significant association with outcomes. Conclusion: In conclusion, an LVEF of 53% emerged as the optimal pediatric threshold for mortality prediction, outperforming conventional cutoffs of 50% and 55%. The integration of LVEF with biomarkers (BNP/NT-proBNP) provides a robust prognostic framework, underscoring the necessity for pediatric-specific LVEF criteria and multidimensional risk assessment in PHF management. Full article

Industrial odour is a common pollution concern raised with local regulatory authorities, with communities citing impacts to their mental health and wellbeing. We performed a systematic review to determine if industrial odours are associated with psychosocial wellbeing in nearby communities. PubMed, Medline, PsycINFO, and Web of Science were searched for peer-reviewed articles published between 2003 and 2023, assessing associations between industrial odour and psychosocial wellbeing (mental health or quality of life). Critical appraisal of the studies was conducted using JBI’s assessment tools. We undertook a narrative synthesis of results. After screening, 13 articles met the inclusion criteria: 11 cross-sectional and 2 longitudinal studies. Sample sizes ranged from 23 to 25,236 participants. Odour exposure was assessed through self-reported measures (intensity, annoyance) and objective measures (proximity to source, odorous chemical concentration). Psychosocial health outcomes included stress, psychological distress, quality of life, depression and anxiety. Of the 13 studies, 11 identified an association between odour exposure and poorer psychosocial wellbeing, with the strongest evidence relating to quality of life. However, the critical appraisal identified quality issues with most studies. The findings suggest that industrial odours may be associated with poorer psychosocial wellbeing for nearby residents, particularly in terms of quality of life. Future research using consistent objective and subjective measures of odour exposure, and prospective data collection, would strengthen the quality of the evidence. Full article

Background: Anastomotic leakage (AL) is a major complication after esophago-gastric surgery, with incidence rates of 11–21% and mortality up to 14%. Early intervention is essential to reduce morbidity. Endoscopic treatments have advanced, with self-expandable metal stents (SEMSs) as the traditional standard (success ~90%), but they carry risks like migration, stenosis, and need for drainage. Endoscopic vacuum therapy (EVT), applying negative pressure to drain secretions and promote healing, has shown success rates of 66–100%. Limited comparative data exists from small retrospective studies. This study compares SEMS and EVT for safety and efficacy in AL management. Methods: A retrospective case–control study from a prospective database at our institution was performed (March 2012–2025). We included patients with AL post-esophageal/gastric surgery treated endoscopically (SEMS or EVT). We excluded patients treated with conservative or surgical management. Demographics, comorbidities, oncology, surgery type, leak details, treatments, and outcomes were collected. Primary outcome was complete healing of the leak, while secondary outcomes were time to success, number of procedures needed, hospital stay, complications, mortality. Results: From 592 resections, we extracted 68 AL (11.5%), 45 of which met the inclusion criteria (22 SEMS, 23 EVT). Groups were similar demographically, but SEMS had more respiratory issues (43% vs. 8.7%, p = 0.018). SEMS were used more after esophagectomy (86.4% vs. 56.5%, p = 0.004); EVT was performed mostly after gastrectomy (34.7% vs. 9.1%, p = 0.009). Success rate was 86.4% for SEMS vs. 95.6% for EVT (p = 1.000). Complications were significantly lower in EVT (8.3% vs. 50%, p = 0.001; SEMS: 36.4% migrations, 18.2% stenoses). Leak onset time, modality of diagnosis, and leak size were comparable among the groups. Need for jejunostomy was higher in EVT (43.5% vs. 9.1%, p = 0.015), while chest drains in SEMS (63.7% vs. 13.1%, p < 0.001). Hospital stays (33–38 days, p = 0.864) and mortality (22.7% vs. 8.7%, p = 0.225) were similar. No differences were observed in terms of long-term mortality (log-rank p = 0.815). Conclusions: SEMS and EVT are both effective for AL after esophago-gastric surgery. EVT offers fewer complications and shorter treatment, so it is favored especially for esophago-jejunal leaks. Full article

This study focuses on improving the control system of vehicle suspension, which is critical for optimizing driving dynamics and enhancing passenger comfort. Traditional passive suspension systems are limited in their ability to effectively mitigate road-induced vibrations, often resulting in compromised ride quality and vehicle handling. To overcome these limitations, this work explores the application of active suspension control strategies aimed at improving both comfort and performance. Type-I and Type-II Fuzzy Logic Control (FLC) methods were designed and implemented to enhance vehicle stability and ride quality. The Harris Hawks Optimization (HHO) algorithm was employed to optimize the membership function parameters of both fuzzy control types. The system was tested under two distinct road disturbance inputs to evaluate performance. The designed control methods were evaluated in simulations where results demonstrated that the proposed active control approaches significantly outperformed the passive suspension system in terms of vibration reduction. Specifically, the Type-II FLC achieved a 54.7% reduction in vehicle body displacement and a 76.8% reduction in acceleration for the first road input, while improvements of 75.2% and 72.8% were recorded, respectively, for the second input. Performance was assessed using percentage-based metrics and Root Mean Square Error (RMSE) criteria. Numerical and graphical analyses of suspension deflection and tire deformation further confirm that the proposed control strategies substantially enhance both ride comfort and vehicle handling. Full article

Satellite Precipitation Products (SPPs) play a crucial role in hydrological modeling, particularly in data-scarce and climate-sensitive basins such as the Magat River Basin (MRB), Philippines—one of Southeast Asia’s most typhoon-prone and infrastructure-critical watersheds. This study presents the first full-cycle evaluation of nine widely used multi-source precipitation products (2000–2024), integrating raw validation against rain gauge observations, bias correction using quantile mapping, and post-correction re-ranking through an Entropy Weight Method–TOPSIS multi-criteria decision analysis (MCDA). Before correction, SM2RAIN-ASCAT demonstrated the strongest statistical performance, while CHIRPS and ClimGridPh-RR exhibited robust detection skills and spatial consistency. Following bias correction, substantial improvements were observed across all products, with CHIRPS markedly reducing systematic errors and ClimGridPh-RR showing enhanced correlation and volume reliability. Biases were decreased significantly, highlighting the effectiveness of quantile mapping in improving both seasonal and annual precipitation estimates. Beyond conventional validation, this framework explicitly aligns SPP evaluation with four critical hydrological applications: flood detection, drought monitoring, sediment yield modeling, and water balance estimation. The analysis revealed that SM2RAIN-ASCAT is most suitable for monitoring seasonal drought and dry periods, CHIRPS excels in detecting high-intensity and erosive rainfall events, and ClimGridPh-RR offers the most consistent long-term volume-based estimates. By integrating validation, correction, and application-specific ranking, this study provides a replicable blueprint for operational SPP assessment in monsoon-dominated, data-limited basins. The findings underscore the importance of tailoring product selection to hydrological purposes, supporting improved flood early warning, drought preparedness, sediment management, and water resources governance under intensifying climatic extremes. Full article