Search Results (39,671)

Urban roads can effectively handle peak flows during extreme storms by serving as surface flood passages, provided the flow remains within safety thresholds for vehicles and pedestrians. However, studies on flow allocation at crossroad intersections are limited. Previous research has overlooked important factors: road transverse slope and turning radius. This study built a “two in, two out” laboratory crossroad intersection to examine flow allocation patterns. Experiments explored the effects of road longitudinal slope, boundary conditions, and the combined influence of turning radius and side slope. The results indicated that at flatter slopes, flow allocation is more influenced by road slope, while at steeper slopes, the inflow Froude number ratio becomes more significant. The combined effect of the turning radius and side slope results in a flow allocation that differs by 44.3% compared to rectangular orthogonal channel intersections. A straightforward formula is proposed to calculate the flow allocation ratio based on experimental results and inflow power ratio. These findings could improve road intersection designs for better flood mitigation, offering a practical tool for planning flood-resilient road networks. Full article

This study analyses a set of phenomena occurring in the burnished surface layer at the initial moment of deformation formation. The aim of the present research was to explain the phenomena occurring in the top layer of the material during burnishing. The presented analyses include selected laboratory and experimental studies of the process involved in forming burnished surface layers. As shown, conducting an analysis of these processes is purposeful and important because the processes affecting final deformations determine the definitive properties of the burnished surface layers. The final results should help to increase the durability and smoothness of the surface of the products obtained. The feasibility of applying computer technology to determine the three-dimensional shape of the deformation zone formation based on measurements of the stereometry of the contact zone of the burnishing tool with the workpiece material is presented. The process of forming a deformation zone was analysed, revealing that irregularities left over from prior treatment are permanently deformed, and a new structure of irregularities is formed on the machined surface, conditioned by the mechanical, geometric, and kinematic factors of the process. Crucial to this are qualities such as the burnishing load (pressure), the type, shape, and dimensions of the tool, the properties of the workpiece material, and the roughness of the surface before burnishing. The analyses presented here include the first stage of processing, in which initial contact is made with the workpiece, and the period of actual processing, during which plastic deformation of the material occurs in three perpendicular directions, leading to the formation of a material wave on the machined surface just in front of the burnishing tool. Full article

Background: Accurate measurements of flow and ventricular volume and function are critical for clinical decision-making in cardiovascular medicine. Cardiac magnetic resonance (CMR) is the current gold standard for ventricular functional evaluation but is relatively expensive and time-consuming, thus limiting the scale of clinical applications. New volumetric acquisition techniques, such as four-dimensional flow (4D-flow) and three-dimensional volumetric cine (3D-cine) MRI, could potentially reduce acquisition time without loss in accuracy; however, this has not been formally tested on a large scale. Methods: 4DCarE (4D-flow MRI for cardiovascular evaluation) is a prospective, multi-centre study designed to test the non-inferiority of a compressed 20 min exam based on volumetric CMR compared with a conventional CMR exam (45–60 min). The compressed exam utilises 4D-flow together with a single breath-hold 3D-cine to provide a rapid, accurate quantitative assessment of the whole heart function. Outcome measures are (i) flow and chamber volume measurements and (ii) overall functional evaluation. Secondary analyses will explore clinical applications of 4D-flow-derived parameters, including wall shear stress, flow kinetic energy quantification, and vortex analysis in large-scale cohorts. A target of 1200 participants will enter the study across three sites. The analysis will be performed at a single core laboratory site. Pilot Results: We present a pilot analysis of 196 participants comparing flow measurements obtained by 4D-flow and conventional 2D phase contrast, which demonstrated moderate–good consistency in ascending aorta and main pulmonary artery flow measurements between the two techniques. Four-dimensional flow underestimated the flow compared with 2D-PC, by approximately 3 mL/beat in both vessels. Conclusions: We present the study protocol of a prospective non-inferiority study of a rapid cardiac MRI exam compared with conventional CMR. The pilot analysis supports the continuation of the study. Study Registration: This study is registered with the Australia and New Zealand Clinical Trials Registry (Registry number ACTRN12622000047796, Universal Trial Number: U1111-1270-6509, registered 17 January 2022—Retrospectively registered). Full article

The waterborne epoxy resin (WER) colored antiskid thin layer has been widely used in asphalt pavement to improve driving safety. The tectonic depth determines the antiskid performance of aparticle antiskid type thin layer. The spalling of aggregate from a thin layer may reduce the tectonic depth, thus damaging antiskid performance. The spreading process of aggregate on the WER binder surface plays an important role in the spalling behavior of the thin layer. Herein, the influence of spreading processes on the ceramic aggregate spalling behavior on the WER thin layer was investigated based on laboratory experiments. The abrasion and British Pendulum Number (BPN) tests were employed to evaluate the antispalling and antiskid properties of the WER thin layers with different amounts of WER mortar, coverage rates of first-spread aggregate, and spreading orders of coarse/fine aggregates. Moreover, the tectonic depths of the layers before/after the spalling test were also investigated. The results indicated that the optimal dosage of WER mortar is 2.8 kg/m². The WER thin layer exhibited better anti-striping property when coarse ceramic aggregate was spread first. The first-spread coverage rate of the aggregate on the WER surface is 70%. The thin layer exhibited a superior antispalling performance according to the resulting scheme, with a spalling rate of 3.77%. The tectonic depth only decreased from 1.87 to 1.80 mm after the spalling test. Full article

The implementation of inductive compensation in the two-scale models of the extra-high-voltage transmission line, without and with transposition, of the Physical Laboratory of Electric Power Systems (PLEPS) is presented. As they have voltages above the normal operating range, for a situation like that of the real 500 kV Coca Codo Sinclair–El Inga lines in Ecuador, the problem was solved by incorporating parallel inductive reactors located at the ends of the lines. The fixed bus compensation used was carried out by means of three-phase inductors in star connection with neutral-to-ground voltage and built-in iron cores with pitches of 50, 75 and 100% of the design capacity. Full article

Introduction: Lipid Transfer Proteins (LTPs) are plant-derived panallergens that have emerged as significant allergens in Mediterranean populations. Though less common in children, LTP allergies represent a critical consideration for physicians diagnosing plant food allergies in this demographic. Methodology: PRISMA-ScR guidelines were followed. A search with specific terms was performed in searchable databases. Two of the authors extracted and evaluated the data. Results: A total of 21 original studies and 6 case reports focusing on LTP allergies in the paediatric population met the inclusion criteria. Diagnostic tools, predictive markers and management options for LTP allergies were examined. Allergens, clinical presentation and history were the diagnostic tools investigated. The clinical and laboratory phenotypes of the patient were considered possible predictive markers for the evaluation and progression of LTP allergies. Lastly, dietary modifications and sublingual immunotherapy were identified as the main focus of LTP allergy management. Discussion: A summary of the results is presented, and at the same time, questions concerning the nature of LTP allergies and their management are raised. Conclusions: LTP allergy in children is something physicians should be aware of. Further research is needed to establish the differences in LTP allergies in children and adults and the effectiveness of immunotherapy in paediatric populations. Full article

Few universities in the world conduct experimental research on high-speed, high-power turbomachinery. The Purdue High-Speed Compressor Research Laboratory has a longstanding tradition of partnering with industry sponsors to perform high-TRL (technology readiness level) experiments on axial and radial compressors for aerospace applications. Early work in the laboratory with Professor Sanford Fleeter and Professor Patrick Lawless involved aeromechanics and the addition of a multistage axial compressor facility to support compressor performance studies. This work continues today under the guidance of Professor Nicole Key. While other universities may operate a single-stage transonic compressor or a low-speed multistage compressor, the Purdue 3-Stage (P3S) Axial Compressor Research Facility provides a unique environment to understand multistage effects at speeds where compressibility is important. Over the last two decades, several areas of important research within the gas-turbine engine industry have been explored: vane clocking, stall/surge inception, tip-leakage/stator-leakage (cavity leakage) flow characterization, and forced response, to name a few. This paper addresses the different configurations of the facility chronologically so that existing datasets can be matched with correct boundary conditions and provides an overview of the different upgrades in the facility as it has developed in preparation for the next generation of small-core compressor research. Full article

Pandemics of infectious disease and growing anti-microbial resistance (AMR) pose major threats to global health, trade, and security. Conflict and climate change compound and accelerate these threats. The One Health approach recognizes the interconnectedness of human, animal, and environmental health, but is grounded in the biomedical model, which reduces health to the absence of disease. Biomedical responses are insufficient to meet the challenges. The COVID-19 pandemic is the most recent example of the failure of this biomedical model to address global threats, the limitations of laboratory-based surveillance, and the exclusive focus on vaccination for disease control. This paper examines the current paradigm through the lens of polio and the global campaign to eradicate it, as well as other infectious threats including mpox and drug-resistant tuberculosis, particularly in the context of armed conflict. Decades before vaccines became widely available, public health measures—ventilation, chlorination, nutrition and sanitation— led to longer, healthier, and even taller lives. Chlorine, our primary tool of public health, conquered cholera and transformed infection control in hospitals. The World Health Organization (WHO), part of the One Health alliance, focuses mainly on antibiotics and vaccines to reduce deaths due to superbugs and largely ignores the critical role of chlorine to control water-borne diseases (including polio) and other infections. Moreover, the One Health approach ignores armed conflict. Contemporary wars are characterized by indiscriminate bombing of civilians, attacks targeting healthcare, mass displacement and lack of humanitarian access, conditions which drive polio outbreaks and incubate superbugs. We discuss the growing trend of attacks on healthcare and differentiate between types: community-driven attacks targeting vaccinators in regions like Pakistan, and state-sponsored attacks by governments such as those of Syria and Russia that weaponize healthcare to deliberately harm whole populations. Both fuel outbreaks of disease. These distinct motivations necessitate tailored responses, yet the WHO aggregates these attacks in a manner that hampers effective intervention. While antimicrobial resistance is predictable, the escalating pandemic is the consequence of our reliance on antibiotics and commitment to a biomedical model that now borders on pathological. Our analysis reveals the international indenture to the biomedical model as the basis of disease control is the root driver of AMR and vaccine-derived polio. The unique power of vaccines is reduced by vaccination-only strategy, and in fact breeds vaccine-derived polio. The non-specific effects of vaccines must be leveraged, and universal vaccination must be supplement by international investment in water chlorination will reduce health costs and strengthen global health security. While vaccines are an important weapon to combat pandemics and AMR,, they must be accompanied by the entire arsenal of public health interventions. Full article

Background/Objectives: The necessity and clinical utility of routine pre-procedural blood tests (PBTs) before neuraxial blockade remain controversial. This study evaluates the effectiveness of PBTs in identifying clinically significant conditions in an outpatient setting. Methods: This single-center retrospective study involved patients who received neuraxial blockades from January 2020 to August 2023. We extracted medical information and laboratory data from the electronic medical records during the pre-procedural period. Through a multivariate regression analysis, we identified patient factors associated with abnormal laboratory results. Results: Advanced age (OR, 1.021; p = 0.026) and a history of cancer (OR, 2.359; p = 0.016) were significantly associated with elevated CRP levels (>0.30 mg/dL). Severe hyperglycemia (≥200 mg/dL) was found in 24 patients (3.88%), with a history of cancer being a strong predictor (OR, 6.764; p < 0.001). No significant abnormalities were observed in PT or PTT. Reduced eGFR (<60 mL/min/1.73 m²) was detected in 8.62% of patients, despite no prior history of renal dysfunction. A multivariate analysis revealed that advanced age, hypertension, cancer, and coronary artery disease were significant predictors of abnormal PBT results, highlighting the importance of selective testing in high-risk patients. Conclusions: Routine PBTs are not universally required for all patients undergoing neuraxial blockade but can provide crucial information in high-risk populations. A selective testing approach based on individual risk factors is recommended to optimize patient safety and resource utilization. Future studies should aim to establish clear guidelines for targeted PBT use. Full article

Background: The worldwide misuse of antibiotics is one of the main factors in microbial resistance that is a serious threat worldwide. Alternative strategies are needed to overcome this issue. Objectives: In this study, a novel strategy was adopted to suppress the growth of resistant pathogens through immobilization of silver nanoparticles (AgNPs) in gum of Moringa oleifera. Methods: The AgNPs were prepared from the leaves of Moringa oleifera and subsequently characterized through UV-spectrophotometry, FTIR, SEM, and XRD. The differential ratios of characterized AgNPs were immobilized with gum of M. oleifera and investigated for antimicrobial potential against highly resistant pathogens. Results: The immobilized AgNPs displayed promising activities against highly resistant B. subtilis (23.6 mm; 50 µL:200 µL), E. coli (19.3 mm; 75 µL:200 µL), K. pneumoniae (22 mm; 200 µL:200 µL), P. mirabilis (16.3 mm; 100 µL:200 µL), P. aeruginosa (22 mm; 175 µL:200 µL), and S. typhi (19.3; 25 µL:200 µL) than either AgNPs alone or gum. The immobilized AgNPs released positive sliver ions that easily attached to negatively charged bacterial cells. After attachment and permeation to bacterial cells, the immobilized NPs alter the cell membrane permeability, protein/enzymes denaturation, oxidative stress (ROS), damage DNA, and change the gene expression level. It has been mechanistically considered that the immobilized AgNPs can kill bacteria by damaging their cell membranes, dephosphorylating tyrosine residues during their signal transduction pathways, inducing cell apoptosis, rupturing organelles, and inhibiting cell division, which finally leads to cell death. Conclusions: This study proposes a potential alternative drug for curing various infections. Full article

Erectile dysfunction (ED) is a multifactorial social problem affecting men worldwide. While phosphodiesterase type 5 inhibitors (PDE5) like sildenafil are commonly used, they often present side effects, underscoring the need for alternative therapies. Therefore, this study investigated the potential of phytochemicals from Detarium senegalense in the management of ED. A library of phytochemicals from Detarium senegalense was generated, prepared, and interacted with six key enzymes implicated in ED, including PDE5, using the Schrödinger Maestro suite. The results identified catechin, epicatechin, and gallic acid as the leading compounds with significant binding affinities for the targeted enzymes. Catechin and epicatechin (−9.877 and −11.408 kcal/mol, respectively) exhibited comparable binding affinities to sildenafil (−11.926 kcal/mol) on PDE5. The MD simulation results also revealed superior stability and ability to maintain interaction with key amino acids at the active site of PDE5 over the entire simulation period for these compounds. These compounds also demonstrated favorable ADMET profiles over sildenafil, including high gastrointestinal absorption and no violation of Lipinski’s rule, indicating good bioavailability and drug likeness. These findings suggest that flavonoids from Detarium senegalense, especially catechin and epicatechin, have potential in the management of ED by interacting with multiple targets involved in its pathogenesis. Full article

Background: Coronary artery disease (CAD) is a chronic inflammatory disease with multiple well-known risk factors. Although epidemiological studies report improvements in classical CAD risk-factor control, except for diabetes and obesity, cardiovascular diseases remain the leading causes of morbidity and mortality in the current population. The question regarding the atherosclerotic plaque location in particular arteries remains unanswered. Research on novel possible aspects that could help to properly understand atherosclerosis pathophysiology is essential. This study was based on a body trace-elements analysis, measured in scalp hair samples, as possible co-factors of various enzymes that may be crucial for CAD development. Methods: A total of 133 consecutive male patients with a median age of 71 (65–75) years, who presented with anginal symptoms of CCS class 2.0 (0.3) without previous heart-related interventions, were included in the analysis. The results of the cine-angiography were compared with the demographical, clinical, and laboratory results, followed by scalp-hair trace analysis. The possible predictors for coronary disease locations in the left descending artery (LAD), the circumflex artery (Cx), and the right coronary artery (RCA) were the subjects of this study. Results: Statistically significant differences in the scalp-hair trace elements concentration between the CAD and normal angiogram groups were noticed for magnesium (p = 0.003), calcium (p < 0.001), chromium (p = 0.011), and copper (p = 0.043). The multivariable analysis for epicardial atherosclerotic disease revealed the co-existence of diabetes mellitus (OR: 2.94, 95% CI: 1.27–6.79, p = 0.012) as a possible causative factor for the LAD location. The multivariable analysis for the atherosclerosis location in the Cx artery presented scalp-hair magnesium as a possible predictive factor (OR: 0.98, 95% CI: 0.96–1.00, p = 0.024). The multivariable model for the RCA location of atherosclerotic plaque indicated scalp-hair Zn concentration (0.99, 95% CI: 0.98–1.00, p = 0.002) and serum HDL (OR: 0.61, 95% CI: 0.04–0.09, p = 0.016). Conclusions: Possible hypothetical distinctive pathomechanisms, in particular, coronary artery involvement, in atherosclerosis processes are presented in the male group. Diabetes mellitus was found to be the primary factor for left descending artery disease. The low scalp-hair magnesium concentration was found to be a possible risk factor involved in the circumflex artery atherosclerotic plaque location. The inverse relation between serum high-density lipoprotein, the scalp hair zinc concentration, and right coronary disease was noticed. Full article

Objectives: To compare post-operative bleeding measures in patients who underwent prostatic artery embolization (PAE) prior to water-jet ablation (aquablation) vs. water-jet ablation alone. Methods: A retrospective review identified 145 patients treated with water-jet ablation for benign prostatic hyperplasia from December 2018 to June 2021. Patients were divided into two groups: water-jet ablation alone (n = 56) vs. pre-operative PAE and water-jet ablation (n = 89). Patient demographics, pertinent laboratory values, operative reports, and hospital courses were reviewed. Results: PAE was technically successful in all patients (n = 89), and all 89 patients underwent successful water-jet ablation within a median time of 2 days. Compared to water-jet ablation alone, pre-operative PAE resulted in a significant reduction in post-operative bleeding as measured via lower rates of continuous bladder irrigation, hemostatic measures, and hematuria. Pre-operative PAE was also associated with lower rates of post-operative urinary retention (odds ratio 17, p = 0.02) and less likely to require reoperation 30 days after the procedure (p = 0.003). There were no major PAE-related adverse events reported in the combination arm. Conclusions: Compared to water-jet ablation alone, pre-operative PAE resulted in fewer bleeding-related complications and urinary retention. Full article

Floor impact sound insulation is essential for improving living environments and has become a mandatory requirement for green buildings in Southern China. This study introduces an innovative inorganic sound insulation coating technology for enhancing building floor acoustic performance. Through comprehensive laboratory experiments and field tests, we evaluated inorganic coatings of 3 mm and 5 mm thickness, comparing their performance against traditional methods, including organic coatings and soundproof mortar. Standardized impact sound pressure level measurements, conducted in accordance with the China GB/T 50121 standard, demonstrated significant acoustic improvements. Laboratory testing revealed impact sound reductions of 6–7 dB and 9–10 dB for the 3 mm and 5 mm inorganic coatings, respectively, while field applications of the 3 mm coating achieved an average reduction of 14.3 dB. The inorganic coating exhibited superior performance characteristics compared to both organic coatings and soundproof mortar in terms of sound insulation efficiency, fire resistance, and application feasibility, demonstrating particularly effective attenuation in the mid- to high-frequency range. This investigation presents an innovative, cost-effective, and environmentally sustainable solution for improving floor sound insulation in green buildings. Full article

Anticoagulants can complicate the interpretation of routine and specialised coagulation assays. Several methodologies have been developed to minimise or eliminate anticoagulant-associated interferences; however, no ‘universal methodology’ that encompasses different anticoagulant classes is currently available. Ciraparantag is a promising reversal agent that can bind both direct oral anticoagulants (DOACs) and heparin-like anticoagulants. As such, we aimed to investigate whether ciraparantag could be employed as a ‘universal’ anticoagulant chelator in vitro. Human plasma was spiked with ascending concentrations of ciraparantag, with or without DOACs or heparin, and assayed for routine coagulation parameters. Ciraparantag had minimal effects on coagulation testing when added to human plasma at concentrations similar to pharmacokinetic maxima; however, ciraparantag did not remove DOAC- or heparin-associated activities in vitro, which was likely due to the preferential chelation of anionic substances in the coagulation reagents. In contrast, DOAC-Stop™, a commercial activated charcoal-based adsorbent, efficiently removed both DOAC- and ciraparantag-associated interferences. In conclusion, although ciraparantag is not effective as a ‘universal’ anticoagulant chelator in vitro, we report that activated charcoal-based adsorbents may be clinically useful in situations where laboratory investigations are complicated by the presence of DOACs and/or ciraparantag. Full article