Search Results (1,425)

Maintaining ballast performance in seasonal frozen regions is essential for resilient and sustainable railway infrastructure because freeze–thaw-driven fouling can shorten service life and increase maintenance-related material consumption. To investigate the deterioration mechanisms of fouled railway ballast in seasonal frozen regions, freeze–thaw cycle tests and cyclic loading model tests were conducted in sequence using a custom low-temperature geotechnical system. The test results processed by Origin software indicate that unfrozen water migrates toward the freezing front under temperature gradients and forms ice lenses during freezing. During thawing, meltwater is retained above the underlying frozen soil. Repeated freeze–thaw cycles therefore promote progressive water accumulation in the upper soil layers, eventually forming a clay layer with high water content. Under cyclic loading, interlayer thickening exhibited clear moisture thresholds relative to the clay liquid limit (LL = 24%). Below the LL (18–24%), ballast penetration and fines migration were limited and thickness increased slowly. Above the LL, rapid strength loss accelerated penetration and upward transport. At an initial water content of 32%, fines migration surpassed the ballast surface and the ballast became fully fouled, meaning that the fouled interlayer thickness equaled the full 100 mm ballast-layer thickness. Fouling severity increased sharply with moisture: the void contaminant index exceeded the maintenance criterion (VCI > 40%) at 28% water content and evolved into severe mud pumping at higher concentrations. Excess pore water pressure developed stratification with depth, maintaining an upward hydraulic gradient near the interface and yielding a net water loss of 2.24–6.91% in the upper fine-grained layer. These quantified thresholds and mechanistic insights provide actionable trigger points for condition-based maintenance and climate-adaptive design, helping extend track-bed service life and reduce resource-intensive ballast renewal in seasonal frozen regions. Full article

Objectives: To report the outcomes of a population of fetuses and neonates with life-limiting (LL) or life-threatening (LT) diagnoses leading to adverse prognoses cared for by a service of perinatal palliative care (PPC), the Percorso Giacomo (PG). Study design: This is a single center retrospective cohort study of all fetuses and neonates prenatally or postnatally diagnosed with LL or LT conditions whose families opted to continue the pregnancy at IRCCS Policlinico di Sant’Orsola in Bologna, Italy, from 2013 to 2025. Results: There were 83 fetuses and/or neonates including 64 diagnosed prenatally and 19 postnatally with annual significant increments in number. All families encountered the PG team. Overall, the cohort demonstrated a very high cumulative rate of comfort care plan (90%) with high rate of redirection of goals of care from intensive to palliative. Conclusions: PG showed a significant growth over 13 years suggesting the strong need of a service of PPC. The continuity of care provided by PG facilitated parental decision-making process towards redirection of goals of care. The outcomes observed provided valuable insights related to the wide range of prognoses for each diagnosis that will enable more informed counseling in the future. Full article

Background: Lower limb (LL) and low back Radicular Syndromes (RSs) may result from discopathy of the lumbo-sacral spine. Consistent benefits are reported from Epidural Adhesiolysis (EA). Aim: To evaluate clinical and European Quality of Life items (EQ-5D) of Peri-Neural Release interventions (PNR, a modified approach and terminology for EA) among patients diagnosed with lumbo-sacral discopathy associated radicular syndromes. Methods: A retrospective study was conducted by retrieving records of patients e treated by PNR for low back and lower limbs pain between January 2018 and December 2024. Eligible patients were adults who were diagnosed with lumbo-sacral discopathy, stenosis, or Post Lumbar Surgery Syndrome (PLSS). Data on Patient-Reported Outcome Measures (PROMs) adopting the European Quality of Life five items (Euro-QoL 5D) that includes self-ratings of mobility, active daily living, self-care, pain and discomfort, anxiety and depression) was collected before the procedure and on subsequent follow-up visits. Other clinical outcomes included numerical pain rating scales (NRSs), sleep quality, time to pain during activity, and self-reported health scores. Results: A total of 221 patients were included in this analysis. Of these, 56.6% were female, with a mean age of 45.1 ± 14.7 years. In total, 50.2% of patients underwent PNR alone, followed by 28.1% who underwent PNR balloon decompression neuroplasty. Of the remaining patients, 7.2% underwent epiduroscopic PNR, 6.3% PNR combined with annuloplasty (biacuplasty) and 8.1% underwent PNR combined with nucleoplasty. Significant improvements were observed across all EQ-5D and NRS (p < 0.001) at follow-up assessments without major complications. The interventions were associated with a decrease in NRS from 7.9 to 3.1, and an increase in the duration of pain-free activity (walking, standing, sitting) (p < 0.001). Self-reported overall health scores improved from 53.9 ± 18.4 to 81.1 ± 15.1. In terms of complications, two patients reported post-operative headache. The remaining side effects included coccydynia at the site of intervention, resolving with application of non-steroid anti-inflammatory topicals and self-resolving lower limb numbness in five cases. Conclusions: The presented data suggest that PNR—whether performed alone or in combination with adjunctive intradiscal procedures—is a safe intervention, and is associated, in the majority of patients, with substantial pain relief and improvement in EQ-5D both in the short- and long-term follow-up. Full article

Background: This study aimed to evaluate the relationship between thoracolumbar kyphosis (TLK) and lumbar degenerative spondylolisthesis (LDS) and to determine whether TLK can serve as an independent radiological predictor for both the presence and the specific affected level of LDS. Methods: Initially, 211 patients were screened for this study. After applying exclusion criteria, a final cohort of 129 patients (76 women and 53 men; mean age 62.1 ± 9.1 years) who underwent surgical intervention for degenerative lumbar spinal stenosis and had preoperative full-spine standing radiographs were retrospectively analyzed. Patients were divided into two groups: an LDS group (n = 54) comprising patients with concurrent degenerative spondylolisthesis, and a control group (n = 75) consisting of surgical patients without spondylolisthesis. Sagittal parameters, including TLK (T10–L2 angle), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), and thoracic kyphosis (TK), were measured. LDS was classified by the affected level (L3–L4, L4–L5, L5–S1). Group differences were compared, ROC analysis was performed to identify a threshold value, and multivariate logistic regression was used to determine independent predictors. Results: Multivariate analysis revealed that the T10–L2 angle (TLK) (OR: 1.15, p = 0.001), sacral slope (OR: 1.40, p = 0.017), pelvic tilt (OR: 1.50, p = 0.003), pelvic incidence (OR: 0.68, p = 0.004), and lumbar lordosis (OR: 1.09, p = 0.005) were significant independent predictors of LDS. Conversely, global thoracic kyphosis (TK) demonstrated an inverse relationship (OR: 0.88, p = 0.001), indicative of a secondary compensatory adaptation. ROC analysis established a TLK cut-off of ≥19.5° (AUC = 0.68, p = 0.001) for predicting LDS. Furthermore, Roussouly Type 3 alignment was significantly more prevalent in the L5–S1 LDS cohort (48.1%) Conclusions: Increased TLK is independently associated with LDS, particularly at lower lumbar levels. A TLK value ≥ 19.5° may serve as a practical radiographic marker, and TLK assessment should be incorporated into sagittal alignment evaluation and surgical planning. Full article

Background: Alterations of epithelial barrier integrity and immune response play a key role in the pathogenesis of allergic diseases and represent promising targets for nutritional interventions. Selected postbiotics and plant-derived compounds have been proposed as potential modulators of epithelial barrier and immune function. Methods: We investigated the effects of a novel food supplement combining heat-inactivated Lacticaseibacillus rhamnosus GG, butyrate, Quercetin, and Perilla frutescens extracts on epithelial barrier function and innate immunity in an experimental model of the human epithelial gut barrier. Results: Exposure to the food supplement resulted in epithelial barrier integrity enhancement, consisting of increased transepithelial electrical resistance, tight-junction protein expression, mucus production, and enterocyte differentiation. Moreover, the formulation markedly stimulated the expression of the innate immunity peptides β-defensin-2 and cathelecidin LL-37. Conclusions: The novel food supplement induces a beneficial modulation of the epithelial gut barrier and immune response. These findings support its potential use as a functional food strategy to restore mucosal homeostasis and to promote immune tolerance in allergic diseases. Full article

In recent years, numerous studies have focused on reducing emissions from modern reciprocating engines without compromising their performance characteristics. One promising approach is to use Mild-Hybrid engines as an alternative proposal to the conventional reciprocating ones. This study aims to investigate how the hybridization will impact the main performance variables and the pollutant emissions of a turbocharged, modern aircraft spark-ignition (SI) engine—specifically, the ROTAX 914. The engine is analyzed under three distinct operating conditions at three different altitudes, defined by different combinations of engine speed and throttle position, using conventional aviation fuel (AVGAS 100LL). The analysis is conducted using GT-POWER, an advanced engine simulation software that allows for complete engine modeling and parameterization across a wide range of operating conditions. The accuracy of the simulated engine model is validated by comparing its output to experimental data obtained from the engine’s technical manuals. Key performance indicators examined in this study include brake power (We), brake torque (Mσ), brake specific fuel consumption (BSFC), and emissions of nitrogen monoxide (NO) and carbon monoxide (CO). Therefore, the proposed model can be employed to investigate the operational behavior of the ROTAX 914 UL aircraft engine when integrated into a hybrid aircraft propulsion system, in which the engine is connected in series with an electric battery. In particular, the model enables parametric studies on the effects of varying engine–battery hybridization levels—defined as the respective contributions of the engine and the battery to the total propulsive power available at the aircraft propeller—on the main performance variables and emissions of the ROTAX 914 UL engine in different altitudes. The primary objective is to assess the effects of series hybridization on engine operation and its most significant emissions. This is accomplished by operating the ICE at a lower operating condition, because it is connected with a battery, which helps the engine deliver the required output power sooner. The results suggest that increasing the power output delivered by the battery, so the ICE is operating in lower loads, can significantly enhance the performance and environmental efficiency of a turbocharged aircraft SI engine at different flight altitudes. In conclusion, series hybridization presents a promising solution for improving present-day reciprocating SI engines. Full article

Background: Anterior Lumbar Interbody and Fusion (ALIF) is particularly effective for improving radiographic alignment and functional outcomes. However, it also introduces distinct technical challenges, even for surgeons who are highly experienced with other lumbar fusion approaches. This study analyzes the effect of surgeon experience on clinical outcomes, radiographic parameters, and operative metrics in patients with degenerative lumbar disc disease undergoing single-level L5-S1 anterior lumbar interbody fusion. Methods: Adult patients who underwent L5-S1 ALIF with or without posterior fixation for degenerative disc disease between June 2017 and December 2024 were included. Patients were stratified into Early (from 2017 to December 2020), Middle (January 2021 to December 2022), and Recent (January 2023 to December 2024) groups. Demographics, radiographic alignment, in-hospital outcomes, and 2-year complication and reoperation rates were compared based on time of surgery. Multivariate logistic and linear regression adjusted for age, sex, BMI, comorbidities, prior fusion, and posterior instrumentation was conducted to assess the effect of accumulation of surgeon experience. Results: A total of 203 ALIFs were performed (mean age: 57.6 years; 50.7% female; mean Charlson Comorbidity Index: 2.1). Recent cases showed greater PT reduction (Early = 0.9°, Middle = −1.5°, Recent = −2.2°, p = 0.039), improved PI-LL mismatch correction (−0.4°, −4.8°, −5.4°, p = 0.007), higher L5-S1 lordotic correction (6.7°, 8.4°, 11.4°, p = 0.003), lower estimated blood loss (21.9 mL, 13.8 mL, 10.0 mL, p = 0.006), shorter OR time (107.4 min, 86.6 min, 75.2 min, p < 0.001), and fewer mechanical complications (39.3% vs. 13.7%, p < 0.001) and reoperations (10.7% vs. 2.1%, p = 0.023). Regression showed that each additional year of experience predicted improved alignment, lower blood loss and OR time, and reduced odds of complications (OR = 0.54, p < 0.001) and reoperations (OR = 0.49, p = 0.015). Conclusions: In this single-surgeon, single-center cohort, increasing ALIF-specific experience over time was associated with improvements in sagittal alignment, operative efficiency, and lower complication and reoperation rates. These findings describe the longitudinal learning curve of one surgeon and should be interpreted within this context. Full article

Background/Objectives: Porcine epidemic diarrhea (PED) is a highly contagious enteric disease caused by porcine epidemic diarrhea virus (PEDV) and is associated with severe clinical signs and high mortality in neonatal piglets. Vaccination is an important strategy for PED control through the induction of humoral immunity. This study aimed to compare immune responses induced by inactivated and live-attenuated PEDV vaccines and to evaluate a heterologous prime-boost vaccination strategy in PEDV-naïve replacement gilts. Methods: Twenty-four PEDV-naïve replacement gilts were randomly assigned to four groups: unvaccinated control, inactivated vaccine administered twice (K/K), live-attenuated vaccine administered twice (L/L), and live-attenuated priming followed by an inactivated booster (L/K). Pigs received two intramuscular vaccinations at 16 weeks of age and two weeks later. Serum samples collected up to 42 days post-vaccination were analyzed for PEDV-specific IgG and IgA antibodies by ELISA, and serum-neutralizing antibody titers were determined using a serum neutralization test. Results: The L/K regimen induced the highest PEDV-specific IgG responses, with peak levels at day 28 post-vaccination that were significantly higher than those in the K/K and control groups. Serum-neutralizing antibody titers were significantly higher in the L/K and L/L groups than in the K/K and control groups. Serum IgA responses were low and transient across all vaccination groups. Conclusions: A heterologous prime-boost vaccination strategy using a live-attenuated PEDV vaccine followed by an inactivated booster induces strong systemic humoral immune responses in replacement gilts and represents a promising approach for PEDV vaccination programs. Full article

Forest carbon sinks are central to climate change mitigation, and prior work has established a solid basis for assessing carbon sinks at regional scales. At the basin scale, however, forest carbon density (vegetation biomass carbon density, i.e., aboveground + belowground biomass carbon; t C ha⁻¹) often shows pronounced spatial clustering and inequality, while its temporal evolution and underlying mechanisms remain poorly quantified and interpreted for management-relevant units such as townships. Using the Xiuhe River Basin as a case study and townships as the basic analytical units, this study identifies the clustered spatial structure and inequality characteristics of forest carbon density and clarifies the joint effects of natural constraints and human disturbances, including potential threshold responses. We first assessed global spatial autocorrelation within a spatial weights framework using Global Moran’s I with permutation tests, and delineated local clustering by classifying local indicators of spatial association (LISA) types based on Local Moran’s I. We then measured the magnitude and stage-wise evolution of inter-township disparities using the Gini coefficient and the Theil T index. Finally, we applied GeoDetector factor, interaction, and risk detection to identify dominant drivers, interaction enhancement, and class-based contrasts. The results show significant and persistent positive spatial autocorrelation in forest carbon density from 2002 to 2024, with Moran’s I ranging from 0.68786 to 0.73849 (p < 0.01). Significant LISA units account for 40.74%–45.37% of townships, and the pattern is dominated by high–high (HH) and low–low (LL) clusters. Inequality follows a stage-wise trajectory: it expanded slightly during 2002–2019, converged markedly during 2019–2021, and rebounded modestly by 2024, while remaining below the levels observed in 2002 and 2019. Strong type-based differentiation is evident in 2024: mean carbon density is 46.06 t C ha⁻¹ in HH areas versus 17.64 t C ha⁻¹ in LL areas; HH areas contribute 38.44% of total carbon stock, whereas LL areas contribute only 5.08%. In terms of drivers, natural and human factors jointly shape the spatial pattern and commonly exhibit interaction enhancement. Elevation (q = 0.7832), slope (q = 0.7133), and NPP (q = 0.6373) are the leading natural constraints, while population density (q = 0.6054) and the built-up land ratio (q = 0.5374) are key indicators of human disturbance. Risk detection further indicates a stable negative gradient for the built-up land ratio and nonlinear class differences for population density, implying that once disturbance intensity reaches higher levels, low-value clustering is more likely to persist. By linking clustered spatial structure, stage-wise inequality, and disturbance-related threshold signals, our results support basin-scale zoning and differentiated management at the township level. Specifically, HH clusters should be prioritized for conservation and connectivity maintenance, whereas LL clusters warrant stricter control of built-up expansion and fragmentation to reduce the risk of persistent low-carbon locking under high disturbance. By linking spatial structure, inequality dynamics, and threshold responses, this study provides a quantitative basis for basin-scale zoning to enhance carbon sinks and for implementing differentiated spatial controls. Full article

Background/Objectives: The perceived-time-based model posits that time perception is a critical factor in intertemporal decision-making; however, the mechanisms underlying this influence remain inadequately explored. Despite growing behavioral and neuroimaging findings, no study has directly compared the temporal neural dynamics of individuals who overestimate or underestimate time during intertemporal choices. Methods: This study screened participants with time overestimation or underestimation to examine differences in their electroencephalogram (EEG) activity during an intertemporal choice task. Results: Behavioral results revealed that the time overestimation group selected the smaller-sooner (SS) option at a higher rate than the time underestimation group, exhibiting a myopic decision-making tendency. EEG results revealed that, compared to the time overestimation group, the time underestimation group exhibited a more pronounced N2 amplitude, an enhanced P300 amplitude, and greater beta band oscillations. Within the time overestimation group, the larger-later (LL) option elicited a more negative N2 amplitude than the SS option. Conversely, in the time underestimation group, the LL option elicited a more positive P300 amplitude than the SS option. Conclusions: The results indicate that, during intertemporal decision-making, the time overestimation group experienced more conflict in the LL option, demonstrating lower cognitive control and fewer cognitive resources. This tendency may be driven by a hot system, resulting in more impulsive choices. Full article

This article explores the incorporation of linguistic landscape (LL) studies into English for General Academic Purposes (EGAP) courses, emphasizing its potential to enhance language learning through real-world engagement. This study highlights the growing interest in LL as a sociolinguistic phenomenon that reflects urban multilingualism and cultural dynamics. The goal of this article is to analyze pedagogical benefits of integrating LL into language education, such as fostering critical thinking, pragmatic competence, intercultural awareness among students, and creating situations in which the target language is used in natural communication. Through a case study conducted at the Guangdong Technion–Israel Institute of Technology, the author presents specific classroom activities and reports on how they can be combined with fieldwork conducted by students. The goal of the tasks was to let students analyze language use in public spaces, classifying the surrounding signs into top-down and bottom-up, and informative and regulatory, and discuss how social prestige of languages is reflected in multilingual signs. In documenting written language in public places, creating their own signs and assessing their peers’ work, students were practicing both receptive and productive skills. Most of the work was done in small groups, which contributed to the students’ ability to collaborate with peers. The findings suggest that LL projects can effectively bridge classroom learning with lived language experiences, although challenges remain in implementation due to time constraints and pedagogical ideologies. Full article

Alcohol exposure affects immune regulation and tissue homeostasis. Antimicrobial peptides (AMPs) are essential components of innate immunity, not only defending against pathogens but also modulating processes such as inflammation. However, their tissue-specific regulation in response to alcohol remains poorly characterized, particularly in humans after acute intoxication. We evaluated the expression of AMPs in the peripheral blood of patients with alcohol use disorder (AUD, n = 9), individuals with acute alcohol consumption (AAC, n = 9), and controls using quantitative polymerase chain reaction (qPCR). Additionally, we analyzed AMP expression in selected tissues of mice exposed to chronic ethanol feeding (National Institute on Alcohol Abuse and Alcoholism model for 5 days) and performed a systematic review of AMP regulation in alcohol-related disorders (2005–2025; n = 36 studies, reflecting a limited and heterogeneous body of available evidence). Human cathelicidin antimicrobial peptide (LL-37), lipopolysaccharide-binding protein (LBP), and bactericidal/permeability-increasing protein (BPI) were significantly upregulated in patients with AUD, whereas LL-37 and LBP were significantly upregulated in AAC. In the livers of ethanol-fed mice, LEP2, LCN2, and LBP levels were markedly increased, whereas LL-37 and LEP1 were downregulated. Duodenal tissue exhibited upregulation of DEFB1. In adipose tissue, DEFA2 was significantly increased in peripheral depots, whereas only LCN2 was upregulated in brain tissue. The systematic review demonstrated complex, heterogeneous, and organ-dependent AMP regulation and also highlighted the paucity of human data on AAC, a gap that our study partially addresses. Our results are consistent with the hypothesis that selected AMPs may serve as candidate markers of organ damage or microbial translocation and as possible therapeutic targets, a hypothesis that requires confirmation in larger, adequately powered studies. Full article

Urban river degradation demands remediation strategies that are both environmentally sustainable and technically feasible. This study evaluated the performance of Floating Treatment Wetlands (FTWs) vegetated with Chrysopogon zizanioides (vetiver) and incorporating four substrate configurations: leaf litter (LL), red volcanic rock (RVR), corn cobs (CC), and a composite mixture of all three, for the rehabilitation of the “Paseo de Los Ahuehuetes” River in Veracruz, Mexico. Over a 182-day monitoring period, in situ water quality parameters and plant growth responses were systematically assessed. The results indicate that substrate selection is a decisive design factor governing the establishment and development of C. zizanioides in FTWs. Among the substrates tested, LL exhibited the most favorable performance, achieving the highest plant survival (82%), enhanced shoot elongation (71.5 ± 12.1 cm), greater root development (49.7 ± 10.0 cm), and the highest relative growth rate (0.028 g g⁻¹ d⁻¹), with statistically significant differences (p < 0.05) compared to CC. Additionally, localized improvements in water quality within the FTW zone were observed, including an increase in dissolved oxygen (2.07%) and a reduction in total dissolved solids (5.65%), likely associated with intensified rhizospheric processes. Overall, these findings identify leaf litter as a low-cost, locally available, and environmentally sustainable substrate that enhances vetiver establishment in FTWs. The study provides practical, evidence-based criteria for the design of nature-based phytoremediation systems aimed at the restoration of urban river ecosystems. Full article

Light and salt stress affect the growth of plants and microorganisms, causing photo-oxidative stress. The cyanobacterium Synechocystis is notable for its adaptability to and sustainability in seawater. In this study, the synergistic effects of different light intensities and salt concentrations on the growth and biomass composition of Synechocystis were examined. Cultures were grown in BG11 medium (control) and with 20 and 40 g L⁻¹ marine salts (obtained from a commercial sea water preparation) at 100, 200, and 400 μmoles photons m⁻² s⁻¹ (LL, ML, and HL, respectively) to assess the interactive effects of salinity stress and increasing light intensity. The effect of salinity stress was most pronounced under LL and ML, where the highest accumulation of all major carotenoids was observed; under HL, the contents of most carotenoids significantly increased mainly at the highest salt concentration but to a lesser extent). Under LL and ML echinenone reached the highest values (2.71-fold and 3.75-fold higher than in the control, respectively), whereas β-carotene showed the highest increase at LL, reaching concentrations three times those of the control. At HL myxoxanthophyll exhibited the highest increase with marine salt (1.9-fold higher than in the control). The results show that Synechocystis could grow at all light intensities and marine salt concentrations via increased synthesis of carotenoids in response to physiological stress. Full article

Background/Objectives: It is widely acknowledged that healthy highlanders (HL) present with significantly higher pulmonary arterial pressure (PAP) compared to healthy lowlanders (LL). However, whether this elevated PAP solely signifies a response to hypoxia at altitude or is also linked to right ventricular (RV) dysfunction is still unknown. Therefore, we assessed RV function in HL and LL using speckle-tracking-derived strain analysis. Methods: This case-control study evaluates echocardiographic RV free wall strain (RVFWS) in LL and HL in Kyrgyzstan. A RVFWS over −20% for men and a RVFWS of −21% for women were considered indicators of RV dysfunction. Subgroup analysis included individuals with and without risk for pulmonary hypertension (PH), defined as a TRV > 2.8 m/s. Results: A total of 59 participants (21 LL, 38 HL), with a mean ± SD age of 43 ± 8 versus 48 ± 10 years, were included and assessed at their living altitude. RVFWS in HL and LL was −27.3% ± 4.7 versus −27.0% ± 6.0 (mean difference 0.13%, 95%CI −2.65 to 2.92, p = 0.852). The conventional RV indices RV FAC (42% ± 6 vs. 38% ± 8), TAPSE (2.2 cm ± 0.2 vs. 2.0 cm ± 0.3), and TDI S’ (14.2 cm/s ± 1.9 vs. 12.1 cm/s ± 1.8), however, did differ significantly between LL and HL. HL with and without risk for PH did not differ in RVFWS and in the conventional RV indices. Conclusions: Despite significant differences in conventional RV markers, healthy highlanders generally did not differ in RVFWS compared with lowlanders, indicating maintained RV systolic function at high altitude. Our findings suggest that elevated PAP in HL reflects adaptation rather than RV dysfunction, underscoring the need for refined diagnostic criteria for clinically relevant high-altitude pulmonary hypertension. Full article