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29 pages, 2806 KiB  
Review
Bridging Design and Climate Realities: A Meta-Synthesis of Coastal Landscape Interventions and Climate Integration
by Bo Pang and Brian Deal
Land 2025, 14(9), 1709; https://doi.org/10.3390/land14091709 (registering DOI) - 23 Aug 2025
Abstract
This paper is aimed at landscape managers and designers. It looks at 123 real-world coastal landscape projects and organizes them into clear design categories, i.e., wetland restoration, hybrid infrastructure, or urban green spaces. We looked at how these projects were framed (whether they [...] Read more.
This paper is aimed at landscape managers and designers. It looks at 123 real-world coastal landscape projects and organizes them into clear design categories, i.e., wetland restoration, hybrid infrastructure, or urban green spaces. We looked at how these projects were framed (whether they focused on climate adaptation, flood protection, or other goals) and how they tracked performance. We are hoping to bring some clarity to a very scattered field, helping us to see patterns in what is actually being carried out in terms of landscape interventions and increasing sea levels. We are hoping to provide a practical reference for making better, more climate-responsive design decisions. Coastal cities face escalating climate-driven threats from increasing sea levels and storm surges to urban heat islands. These threats are driving increased interest in nature-based solutions (NbSs) as green adaptive alternatives to traditional gray infrastructure. Despite an abundance of individual case studies, there have been few systematic syntheses aimed at landscape designers and managers linking design typologies, project framing, and performance outcomes. This study addresses this gap through a meta-synthesis of 123 implemented coastal landscape interventions aimed directly at landscape-oriented research and professions. Flood risk reduction was the dominant framing strategy (30.9%), followed by climate resilience (24.4%). Critical evidence gaps emerged—only 1.6% employed integrated monitoring approaches, 30.1% provided ambiguous performance documentation, and mean monitoring quality scored 0.89 out of 5.0. While 95.9% of the projects acknowledged SLR as a driver, only 4.1% explicitly integrated climate projections into design parameters. Community monitoring approaches demonstrated significantly higher ecosystem service integration, particularly cultural services (36.4% vs. 6.9%, p<0.001), and enhanced monitoring quality (mean score 1.64 vs. 0.76, p<0.001). Implementation barriers spanned technical constraints, institutional fragmentation, and data limitations, each affecting 20.3% of projects. Geographic analysis revealed evidence generation inequities, with systematic underrepresentation of high-risk regions (Africa: 4.1%; Latin America: 2.4%) versus concentration in well-resourced areas (North America: 27.6%; Europe: 17.1%). Full article
33 pages, 39557 KiB  
Article
Automated Segmentation and Quantification of Histology Fragments for Enhanced Macroscopic Reporting
by Mounira Chaiani, Sid Ahmed Selouani and Sylvain Mailhot
Appl. Sci. 2025, 15(17), 9276; https://doi.org/10.3390/app15179276 (registering DOI) - 23 Aug 2025
Abstract
Manual tissue documentation is a critical step in the field of pathology that sets the stage for microscopic analysis and significantly influences diagnostic outcomes. In routine practice, technicians verbally dictate descriptions of specimens during gross examination; these are later transcribed into macroscopic reports. [...] Read more.
Manual tissue documentation is a critical step in the field of pathology that sets the stage for microscopic analysis and significantly influences diagnostic outcomes. In routine practice, technicians verbally dictate descriptions of specimens during gross examination; these are later transcribed into macroscopic reports. Fragment sizes are measured manually with rulers; however, these measurements are often inconsistent for small, irregular biopsies. No photographic record is captured for traceability. To address these limitations, we propose a proof-of-concept framework that automates the image capture and documentation of biopsy and resection cassettes. It integrates a custom imaging platform and a segmentation pipeline leveraging the YOLOv8 and YOLOv9 architectures to improve accuracy and efficiency. The framework was tested in a real clinical context and was evaluated on two datasets of 100 annotated images each, achieving a mask mean Average Precision (mAP) of 0.9517 ± 0107 and a tissue fragment spatial accuracy of 96.20 ± 1.37%. These results demonstrate the potential of our framework to enhance the standardization, reliability, and speed of macroscopic documentation, contributing to improved traceability and diagnostic precision. Full article
(This article belongs to the Special Issue Improving Healthcare with Artificial Intelligence)
24 pages, 9686 KiB  
Article
The Petrogenesis of Early Permian Granodiorites in the Northern Segment of the Changning-Menglian Suture Zone, Western Yunnan, and Their Tectonic Implications
by Jiajia Liu, Zhen Jia, Jiyuan Wang, Feng Zhao, Junbao Luo, Feiyang Xu and Fuchuan Chen
Minerals 2025, 15(9), 894; https://doi.org/10.3390/min15090894 (registering DOI) - 23 Aug 2025
Abstract
The Changning-Menglian suture zone, as the remnant of the main Paleo-Tethyan oceanic basin in its southern segment, lacks direct magmatic evidence constraining the timing of subduction initiation in its northern segment. The petrogenesis and tectonic setting of the newly discovered Early Permian (~280 [...] Read more.
The Changning-Menglian suture zone, as the remnant of the main Paleo-Tethyan oceanic basin in its southern segment, lacks direct magmatic evidence constraining the timing of subduction initiation in its northern segment. The petrogenesis and tectonic setting of the newly discovered Early Permian (~280 Ma) Wayao granodiorite in the northern segment remain unclear, hindering our understanding of the timing of subduction initiation and processes of the Paleo-Tethyan Ocean in the Changning-Menglian suture zone. This study presents systematic petrographic, zircon U-Pb geochronological, whole-rock major and trace element geochemical, and Sr-Nd-Hf isotopic analyses on the newly discovered Early Permian granodiorite in the Wayao area, northern segment of the Changning-Menglian suture zone, western Yunnan. Zircon U-Pb dating yields a crystallization age of ca. 280 Ma, confirming its emplacement during the Early Permian. The petrogeochemical characteristics indicate that it belongs to the metaluminous, calc-alkaline series of I-type granite. It is enriched in large-ion lithophile elements (LILEs; e.g., Rb, Th, U, La, Pb) and depleted in high-field-strength elements (HFSEs; e.g., Ba, Nb, Sr, Ti), exhibiting a pronounced negative Eu anomaly. Whole-rock Sr-Nd isotopes (εNd(t) = −5.6–−6.1) and zircon Hf isotopes (εHf(t) = −1.34–−10.01) suggest that the magma was predominantly derived from the partial melting of ancient crustal material (primarily metamorphosed basic rocks, such as amphibolite), with a minor addition of mantle-derived components (magma mixing). Combined with petrogeochemical discriminant diagrams (e.g., Sr/Y vs. Y, Rb vs. Yb + Ta) and the regional geological context, this granodiorite is interpreted to have formed in an active continental margin tectonic setting associated with the eastward subduction of the Paleo-Tethys Ocean (represented by the Changning-Menglian Ocean). This discovery fills the gap in the record of Early Permian subduction-related magmatic rocks in the northern segment of the Changning-Menglian suture zone. It provides crucial petrological evidence constraining that the eastward subduction and consumption of the northern Paleo-Tethys Ocean had already commenced by the Early Permian. Full article
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13 pages, 5192 KiB  
Article
Surface Hardening of Zr-1.0Sn-1.0Nb-0.3Fe Alloy Induced by Laser Surface Remelting
by Zhien Ning, Fangli Zhang, Lu Wu, Wei Zhang, Jijun Yang, Xiaotong Zhao and Linjiang Chai
Materials 2025, 18(17), 3948; https://doi.org/10.3390/ma18173948 - 22 Aug 2025
Abstract
To enhance surface hardness, laser surface remelting (LSR) was performed to treat the surface of a novel nuclear-grade Zr-1.0Sn-1.0Nb-0.3Fe zirconium alloy. A combination of advanced characterization techniques was used to systematically analyze the microstructural features of the samples before and after the LSR [...] Read more.
To enhance surface hardness, laser surface remelting (LSR) was performed to treat the surface of a novel nuclear-grade Zr-1.0Sn-1.0Nb-0.3Fe zirconium alloy. A combination of advanced characterization techniques was used to systematically analyze the microstructural features of the samples before and after the LSR treatment, and their correlation with hardness variations was studied. Results show that the LSR-treated surface consists of two distinct microstructural regions: (i) the remelted zone (RZ), characterized by fine lath structures and precipitates distributed along the lath boundaries; and (ii) the heat-affected zone, comprising blocky α phase, α laths, and precipitates. The surface of the LSR-treated samples exhibits a random texture, which is attributed to the selection suppression of α variants during the laser-induced rapid transformation. The average hardness of the RZ reaches 285.7 ± 8.3 HV, ~40% higher than the substrate. This hardness enhancement is ascribed to LSR-induced grain refinement. Full article
(This article belongs to the Section Metals and Alloys)
12 pages, 366 KiB  
Article
Exceptionally High Cystic Fibrosis-Related Morbidity and Mortality in Infants and Young Children in India: The Need for Newborn Screening and CF-Specific Capacity Building
by Priyanka Medhi, Grace R. Paul, Madhan Kumar, Grace Rebekah, Philip M. Farrell, Jolly Chandran, Rekha Aaron, Aaron Chapla and Sneha D. Varkki
Int. J. Neonatal Screen. 2025, 11(3), 67; https://doi.org/10.3390/ijns11030067 - 22 Aug 2025
Abstract
Early diagnosis of cystic fibrosis (CF) through newborn screening (NBS) improves clinical outcomes, but in countries like India, delayed diagnosis increases morbidity, mortality, and likely underestimates infant deaths from CF. We performed a retrospective study at a single center in south India from [...] Read more.
Early diagnosis of cystic fibrosis (CF) through newborn screening (NBS) improves clinical outcomes, but in countries like India, delayed diagnosis increases morbidity, mortality, and likely underestimates infant deaths from CF. We performed a retrospective study at a single center in south India from 2017 to 2025 reviewing children diagnosed with CF before one year of age. Patient demographic, clinical, and genetic data were analyzed to characterize early clinical features and identify factors linked to mortality. Of 56 infants diagnosed with CF, 59% survived (median current age 55 months) while 41% died (median age of death 5 months). Key clinical indicators included sibling death with CF-like symptoms, rapid weight loss, and persistent respiratory or nutritional complications. Mortality risk under one year was significantly linked to hypoalbuminemia (OR 9.7), severe malnutrition (OR 4.4), severe anemia (hemoglobin < 7 g/dL) requiring blood transfusions (OR 3.0), and peripheral edema (OR 4.2). A triad of anemia, hypoalbuminemia, and edema was found to strongly predict death (OR 4.2). Integrating clinical checklists of these manifestations into primary healthcare may improve prompt referrals for earlier diagnosis and treatment. Continued education and advocacy for NBS are essential to reduce potentially preventable CF-related deaths in young children. Full article
18 pages, 3300 KiB  
Article
Modes of Occurrence of Critical Elements (Li-Ga-Nb-Zr-REE) in the Late Paleozoic Coals from the Jungar Coalfield, Northern China: An Approach of Sequential Chemical Extraction
by Xiangyang Liu, Yanbo Zhang, Wei Zhao, Jian Wu and Jian Bai
Minerals 2025, 15(9), 889; https://doi.org/10.3390/min15090889 - 22 Aug 2025
Abstract
In recent years, recovering critical elements from coal has attracted considerable interest due to their significant potential and resulting advantages. A prime example is the coal-hosted Al-Ga-Li-REE deposit within the Jungar Coalfield of Inner Mongolia, northern China, where lithium (Li), gallium (Ga), and [...] Read more.
In recent years, recovering critical elements from coal has attracted considerable interest due to their significant potential and resulting advantages. A prime example is the coal-hosted Al-Ga-Li-REE deposit within the Jungar Coalfield of Inner Mongolia, northern China, where lithium (Li), gallium (Ga), and aluminum (Al) are successfully extracted from coal ash. However, the specific forms in which these elements exist, crucial for developing effective extraction methods, remain unquantified. This research investigated the distribution of Li, Ga, Nb, Zr, and rare earth elements (REEs) within the coal. The study employed a combination of analytical techniques, including inductively coupled plasma mass spectrometry (ICP-MS), sequential chemical extraction (SCE), scanning electron microscopy coupled with energy-dispersive X-ray spectrometry (SEM-EDS), and X-ray powder diffraction analysis (XRD). The analyzed coals exhibited enriched levels of Li, Ga, Zr, Nb, and REEs. Kaolinite and boehmite were the primary mineral constituents, along with minor amounts of calcite, pyrite, rutile, goyazite, and chlorite. Sequential chemical extraction revealed that Li and Ga are primarily associated with aluminosilicate phases (71.84%–84.39%) and, to a lesser degree, organic matter (12.15%–25.09%). Zirconium and Nb were also predominantly found within aluminosilicates (68.53%–95.96%). REEs occur mainly in carbonate (28.28%–60.78%), aluminosilicate (11.6%–33.08%), and organic (22.04%–29.42%) fractions. Full article
(This article belongs to the Section Mineral Geochemistry and Geochronology)
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26 pages, 1288 KiB  
Review
Lithium Niobate Crystal Preparation, Properties, and Its Application in Electro-Optical Devices
by Yan Zhang, Xuefeng Xiao, Jiayi Chen, Han Zhang, Yan Huang, Jiashun Si, Shuaijie Liang, Qingyan Xu, Huan Zhang, Lingling Ma, Cui Yang and Xuefeng Zhang
Inorganics 2025, 13(9), 278; https://doi.org/10.3390/inorganics13090278 - 22 Aug 2025
Abstract
Lithium Niobate (LiNbO3, LN) crystals are multifunctional optical materials with excellent electro-optical, acousto-optical, and nonlinear optical properties, and their broad spectral transparency makes them widely used in electro-optical modulators, tunable filters, and beam deflectors. Near Stoichiometric Lithium Niobate (NSLN) crystals have [...] Read more.
Lithium Niobate (LiNbO3, LN) crystals are multifunctional optical materials with excellent electro-optical, acousto-optical, and nonlinear optical properties, and their broad spectral transparency makes them widely used in electro-optical modulators, tunable filters, and beam deflectors. Near Stoichiometric Lithium Niobate (NSLN) crystals have a lithium to niobium ratio ([Li]/[Nb]) close to 1:1,demonstrate superior performance characteristics compared to composition lithium niobate (Congruent Lithium Niobate (CLN), [Li]/[Nb] = 48.5:51.5) crystals. NSLN crystals have a lower coercive field (~4 kV/mm), higher electro-optic coefficient ( 𝛾33= 38.3 pm/V), and better nonlinear optical properties. This paper systematically reviews the research progress on preparation methods, the physical properties of LN and NSLN crystals, and their applications in devices such as electro-optical modulators, optical micro-ring resonators, and holographic storage. Finally, the future development direction of NSLN crystals in the preparation process (large-size single-crystal growth and defect control) and new electro-optical devices (low voltage deflectors based on domain engineering) is envisioned. Full article
38 pages, 10351 KiB  
Article
Transcriptomic Analysis of the Rainbow Trout Response to Single and Co-Infections with Myxobolus cerebralis and Tetracapsuloides bryosalmonae at Sites of Parasite Entry
by Naveed Akram, Reinhard Ertl, Reza Ghanei-Motlagh, Christopher J. Secombes, Mansour El-Matbouli, Astrid S. Holzer and Mona Saleh
Int. J. Mol. Sci. 2025, 26(17), 8148; https://doi.org/10.3390/ijms26178148 - 22 Aug 2025
Abstract
Parasitic infections, such as those caused by the myxozoans Myxobolus cerebralis and Tetracapsuloides bryosalmonae, pose major threats to wild and farmed salmonids due to severe tissue damage and impairment of the host immune system. While individual infections have been studied, limited information [...] Read more.
Parasitic infections, such as those caused by the myxozoans Myxobolus cerebralis and Tetracapsuloides bryosalmonae, pose major threats to wild and farmed salmonids due to severe tissue damage and impairment of the host immune system. While individual infections have been studied, limited information is available on the host response during co-infection. This study investigated the transcriptomic immune response of rainbow trout (Oncorhynchus mykiss) during single and sequential co-infections with M. cerebralis and T. bryosalmonae using RNA-seq. Trout were exposed to single infections (Mc or Tb) followed by co-infections (Mc+ or Tb+). Fish were sampled at 31 days post-single infection (1 day post-co-infection). RNA from gill and caudal fin (portal of parasite entry) was sequenced, followed by differentially expressed genes (DEGs) identification and GO and KEGG enrichment. In the caudal fin, Mc+ (1 day after co-infection with T. bryosalomne) fish showed mild immune activation with C4B upregulation, while Tb+ fish exhibited a stronger response involving IFI44, ISG15, RSAD2, and TLR7 signaling. In gills, Mc+ fish showed moderate cytokine-related gene upregulation, while Tb+ (1 day after co-infection with M. cerebralis) fish displayed increased expression of humoral response genes (C3, immunoglobulin pathways) but suppression of genes involved in B cell development. These results indicate that the order of infection shapes the outcome of the host immune response, offering candidate targets at the host–pathogen interface. Full article
(This article belongs to the Section Molecular Biology)
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15 pages, 5119 KiB  
Article
The Effect of Substrate Bias Voltage on the Mechanical and Tribological Properties of (TiAlZrTaNb)Nx High-Entropy Nitride Coatings
by Juan Pablo González, Ingrid González, Oscar Piamba, Jhon Olaya, Leonardo Velasco and Gilberto Bejarano
J. Manuf. Mater. Process. 2025, 9(9), 287; https://doi.org/10.3390/jmmp9090287 - 22 Aug 2025
Abstract
We investigate TiAlZrTaNb nitride coatings deposited on Haynes 282 nickel superalloy substrates via high-power impulse magnetron sputtering (HiPIMS) under varying substrate bias voltages (0 V to −75 V). The influence of substrate bias on the microstructure, morphology, hardness, and wear resistance was systematically [...] Read more.
We investigate TiAlZrTaNb nitride coatings deposited on Haynes 282 nickel superalloy substrates via high-power impulse magnetron sputtering (HiPIMS) under varying substrate bias voltages (0 V to −75 V). The influence of substrate bias on the microstructure, morphology, hardness, and wear resistance was systematically analyzed using X-ray diffraction (XRD), scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDS), nanoindentation, and ball-on-disk tribometry. The coatings exhibited a near equiatomic chemical composition with a face-centered cubic (FCC) crystal structure preferentially oriented along the (200) and (111) planes. Increasing the bias voltage reduced the grain size (3.65 nm to 2.84 nm) and lattice parameter (0.442 nm to 0.440 nm); meanwhile, the hardness (>45 GPa) and wear resistance were improved. The interplay between the deposition parameters and coating-substrate interactions are discussed in order to optimize HiPIMS-derived coatings for industrial applications. Full article
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23 pages, 12646 KiB  
Article
Titanite Textures, U-Pb Dating, Chemistry, and In Situ Nd Isotopes of the Lalingzaohuo Mafic Magmatic Enclaves and Host Granodiorites in the East Kunlun Orogen Belt: Insights into Magma Mixing Processes
by Zisong Zhao, Bingzhang Wang, Shengwei Wu and Jiqing Li
Minerals 2025, 15(9), 886; https://doi.org/10.3390/min15090886 - 22 Aug 2025
Abstract
Widespread Triassic granitic magmatism is archived in the East Kunlun Orogen Belt (EKOB) of Northern Qinghai–Tibet Plateau. Mafic magmatic enclaves (MMEs), commonly hosted in these plutons, are generally interpreted as products of magma mixing; however, the specific magmatic processes remain poorly understood. In [...] Read more.
Widespread Triassic granitic magmatism is archived in the East Kunlun Orogen Belt (EKOB) of Northern Qinghai–Tibet Plateau. Mafic magmatic enclaves (MMEs), commonly hosted in these plutons, are generally interpreted as products of magma mixing; however, the specific magmatic processes remain poorly understood. In this study, we present new data on the complex zoning patterns, in situ U–Pb ages, trace element compositions, and Nd isotopic characteristics of titanite grains from the MMEs and host granodiorite of Laningzaohuo Zhongyou pluton. Whole-rock geochemical data indicate that the pluton is composed of volcanic arc-related, calc-alkaline, metaluminous I-type granodiorite. Titanite in the MMEs and the granodiorite yield similar U–Pb ages of ~244 Ma but display distinct textural and compositional features. Titanite from the granodiorite is typically euhedral, characterized by magmatic core and mantle with deuteric rim, and exhibits sector and fir-tree zoning in the core. In contrast, titanite from the MMEs is generally anhedral, also showing magmatic core and mantle as well as deuteric rims, but exhibits oscillatory zoning and incomplete sector and fir-tree zoning in the core. Titanite cores in the MMEs have εNd(t) ranging from −2.5 to −3.4, comparable to those of the coeval gabbro and MMEs elsewhere in the EKOB. These cores also show higher LREE/HREE ratios compared to titanite cores in the granodiorite, suggesting crystallization from mixed magmas with greater contributions from enriched lithospheric mantle sources. Titanite mantles in the MMEs yield εNd(t) of −4.0 to −4.8, slightly lower than the cores in the MMEs but higher than those of titanite cores and mantles in the granodiorite (−4.6 to −5.5). The mantle can be interpreted as crystallized from mixed magmas with less mafic components. Titanite rims in the MMEs have εNd(t) of −5.0 to −5.7, identical to those in the granodiorite, and have REE concentrations and Th/U and Nb/Ta ratios consistent with the titanite rims in the granodiorite, clearly indicative of crystallization from evolved, hydrated, granodioritic magmas. Plagioclase in the MMEs exhibits disequilibrium textures such as sieve texture and reverse zoning, with An36–66, contrasting with the more uniform An contents (An35–37) in the granodiorite. This suggests that plagioclase in the MMEs crystallized in an environment influenced by both mafic and felsic magmas. Amphibole thermobarometry indicates that amphibole in the MMEs crystallized at ~788 °C and ~295 MPa, slightly higher than the crystallization conditions in the granodiorite (~778 °C and ~259 MPa). We thus propose that the chemical and textural differences between titanite in the MMEs and granodiorite suggest that the MMEs formed within a mushy hybrid layer generated by injection of upwelling basaltic magma into a pre-existing granitic magma chamber. Titanite cores and mantles in the MMEs likely crystallized from variably mixed magmas. They subsequently underwent resorption and disequilibrium growth within the hybrid layer, and were eventually overgrown by rims formed from evolved interstitial granitic melts within the mushy enclaves. These findings demonstrate that the complex zoning and geochemical titanite in the MMEs provide valuable insights into magma mixing processes. Full article
(This article belongs to the Section Mineral Geochemistry and Geochronology)
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13 pages, 3824 KiB  
Article
Enhanced Piezoelectric Properties and Conduction Mechanism in Na0.5Bi2.5Nb2O9 Piezoelectric Ceramics
by Jianming Deng, Kaijie Chen, Caijin Chen, Chenyang Zheng, Biao Zhang, Lanpeng Guo, Ting Wang, Kai Chen, Laijun Liu and Weiping Gong
Nanomaterials 2025, 15(17), 1293; https://doi.org/10.3390/nano15171293 - 22 Aug 2025
Abstract
In this work, (NaBi)0.5−x(LiSm)xBi2Nb2O9 (NBN-xLS, x = 0.00–0.06) ceramics were fabricated by co-doping of LiSm into Na0.5Bi2.5Nb2O9. The traditional solid-phase technique was employed [...] Read more.
In this work, (NaBi)0.5−x(LiSm)xBi2Nb2O9 (NBN-xLS, x = 0.00–0.06) ceramics were fabricated by co-doping of LiSm into Na0.5Bi2.5Nb2O9. The traditional solid-phase technique was employed for the entire synthesis process. The impact of LiSm doping on the crystal structure, dielectric, ferroelectric, and piezoelectric properties, as well as the underlying conduction mechanisms in the NBN-xLS ceramics, was analyzed systematically. The XRD patterns and the Rietveld refinement revealed that lattice distortion reduced with an increase in the LiSm doping amount. The decrease in lattice distortion significantly contributed to its improved ferroelectric and piezoelectric characteristics. The results showed that the NBN-xLS ceramics were primarily p-type materials due to their bulk-limited conduction, with oxygen holes and vacancies acting as the conducting species, and the appearance of weak ion conduction at high temperatures. The NBN-0.04LS ceramic, in particular, displayed the highest performance, with Pr, Tc, and d33 values of 9.05 μC/cm2, 777 °C, and 25.2 pC/N, respectively. Additionally, the ceramic displayed remarkable thermal stability, with its d33 retaining 95.0% of its original value after annealing at 760 °C. These results demonstrate that LiSm co-doped Na0.5Bi2.5Nb2O9 ceramics have potential for use in high-temperature sensors. Full article
(This article belongs to the Special Issue The Interaction of Electron Phenomena on the Mesoscopic Scale)
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19 pages, 2221 KiB  
Article
Leveraging Deep Learning to Enhance Malnutrition Detection via Nutrition Risk Screening 2002: Insights from a National Cohort
by Nadir Yalçın, Merve Kaşıkcı, Burcu Kelleci-Çakır, Kutay Demirkan, Karel Allegaert, Meltem Halil, Mutlu Doğanay and Osman Abbasoğlu
Nutrients 2025, 17(16), 2716; https://doi.org/10.3390/nu17162716 - 21 Aug 2025
Abstract
Purpose: This study aimed to develop and validate a new machine learning (ML)-based screening tool for a two-step prediction of the need for and type of nutritional therapy (enteral, parenteral, or combined) using Nutrition Risk Screening 2002 (NRS-2002) and other demographic parameters from [...] Read more.
Purpose: This study aimed to develop and validate a new machine learning (ML)-based screening tool for a two-step prediction of the need for and type of nutritional therapy (enteral, parenteral, or combined) using Nutrition Risk Screening 2002 (NRS-2002) and other demographic parameters from the Optimal Nutrition Care for All (ONCA) national cohort data. Methods: This multicenter retrospective cohort study included 191,028 patients, with data on age, gender, body mass index (BMI), NRS-2002 score, presence of cancer, and hospital unit type. In the first step, classification models estimated whether patients required nutritional therapy, while the second step predicted the type of therapy. The dataset was divided into 60% training, 20% validation, and 20% test sets. Random Forest (RF), Artificial Neural Network (ANN), deep learning (DL), Elastic Net (EN), and Naive Bayes (NB) algorithms were used for classification. Performance was evaluated using AUC, accuracy, balanced accuracy, MCC, sensitivity, specificity, PPV, NPV, and F1-score. Results: Of the patients, 54.6% were male, 9.2% had cancer, and 49.9% were hospitalized in internal medicine units. According to NRS-2002, 11.6% were at risk of malnutrition (≥3 points). The DL algorithm performed best in both classification steps. The top three variables for determining the need for nutritional therapy were severe illness, reduced dietary intake in the last week, and mild impaired nutritional status (AUC = 0.933). For determining the type of nutritional therapy, the most important variables were severe illness, severely impaired nutritional status, and ICU admission (AUC = 0.741). Adding gender, cancer status, and ward type to NRS-2002 improved AUC by 0.6% and 3.27% for steps 1 and 2, respectively. Conclusions: Incorporating gender, cancer status, and ward type into the widely used and validated NRS-2002 led to the development of a new scale that accurately classifies nutritional therapy type. This ML-enhanced model has the potential to be integrated into clinical workflows as a decision support system to guide nutritional therapy, although further external validation with larger multinational cohorts is needed. Full article
(This article belongs to the Section Clinical Nutrition)
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18 pages, 1012 KiB  
Article
Sustainable Greywater Treatment in Jordan: The Role of Constructed Wetlands as Nature-Based Solutions
by Ahmed M. N. Masoud, Amani Alfarra, Alham W. Al-Shurafat and Sabrina Sorlini
Water 2025, 17(16), 2497; https://doi.org/10.3390/w17162497 - 21 Aug 2025
Abstract
Water scarcity in Jordan is intensifying, creating an urgent need for innovative approaches to maximize the use of nonconventional water resources, such as greywater treatment and reuse. This study presents a detailed analysis of the suitability of nature-based solutions (NbSs) for greywater treatment, [...] Read more.
Water scarcity in Jordan is intensifying, creating an urgent need for innovative approaches to maximize the use of nonconventional water resources, such as greywater treatment and reuse. This study presents a detailed analysis of the suitability of nature-based solutions (NbSs) for greywater treatment, with a focus on the application of horizontal flow constructed wetlands (HFCWs). Two systems were implemented to treat greywater generated from mosques located in Az-Zarqa Governorate, a dry region in Jordan. Following several months of operation, monitoring, and evaluation, the systems demonstrated high removal efficiencies: turbidity (>87%), total suspended solids (TSS) (>96%), chemical oxygen demand (COD) (>91%), and five-day biological oxygen demand (BOD5) (>85%). The eight-square-meter HFCW units successfully produced one cubic meter of treated greywater per day, meeting Jordanian standards for reclaimed greywater (JS 1776:2013) for use in irrigating food crops, including those consumed raw. The system achieved a 70% reduction in water consumption compared to the same period in the year prior to its implementation. These results demonstrate the potential of constructed wetlands (CWs) as effective, low-cost, and sustainable NbSs for decentralized greywater treatment and reuse in water-scarce regions. Full article
(This article belongs to the Special Issue Impacts of Climate Change & Human Activities on Wetland Ecosystems)
15 pages, 3999 KiB  
Article
Effect of Different N2 Partial Pressures on the Corrosion Properties and Conductivity of NbNx Coated Titanium Bipolar Plates for PEMFCs
by Bo Dang, Yu Han, Kai Yang, Dong Chen, Mengling Zhan, Feng Ding, Shuqin Li and Pingze Zhang
Coatings 2025, 15(8), 973; https://doi.org/10.3390/coatings15080973 - 20 Aug 2025
Viewed by 109
Abstract
Metal nitride coatings have been considered as a promising approach to improve the performance of metal bipolar plates for proton exchange membrane fuel cells (PEMFCs). In this study, NbNx coatings with three different ratios of N2/Ar (1:2, 1:1 and 3:1) [...] Read more.
Metal nitride coatings have been considered as a promising approach to improve the performance of metal bipolar plates for proton exchange membrane fuel cells (PEMFCs). In this study, NbNx coatings with three different ratios of N2/Ar (1:2, 1:1 and 3:1) were prepared on TC4 alloy substrates using the double glow plasma alloying technology. The NbNx coatings are homogeneous and dense, and the phase of the coating transforms from hexagonal β-Nb2N to δ′-NbN phase as the nitrogen content increases. All coatings demonstrate high protective efficiency, with the coating (N2/Ar ratio of 3:1) displaying the lowest current density of 8.92 × 10−6 A/cm2 at a working voltage of 0.6 V. The EIS results also show that this coating has the best corrosion resistance. Notably, it also presents the lowest interfacial contact resistance of 7.29 mΩ·cm2 at 1.5 MPa and good hydrophobicity. More importantly, this study provides a new idea and method for corrosion-resistant coatings of metal bipolar plates for PEMFC applications. Full article
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12 pages, 268 KiB  
Review
Is It Time to Expand Newborn Screening for Congenital Hypothyroidism to Other Rare Thyroid Diseases?
by Antonella Olivieri, Maria Cristina Vigone, Mariacarolina Salerno and Luca Persani
Int. J. Neonatal Screen. 2025, 11(3), 65; https://doi.org/10.3390/ijns11030065 - 20 Aug 2025
Viewed by 193
Abstract
Congenital hypothyroidism (CH) is a heterogeneous condition present at birth, resulting in severe-to-mild thyroid hormone deficiency. This condition is difficult to recognize shortly after birth. Therefore, many countries worldwide have implemented newborn screening (NBS) programs for CH since the 1970s. The most recent [...] Read more.
Congenital hypothyroidism (CH) is a heterogeneous condition present at birth, resulting in severe-to-mild thyroid hormone deficiency. This condition is difficult to recognize shortly after birth. Therefore, many countries worldwide have implemented newborn screening (NBS) programs for CH since the 1970s. The most recent European guidelines strongly recommend screening for primary CH, as well as for central CH when financial resources are available. However, no consensus has been reached yet to screen more rare forms of CH, such as Allan–Herndon–Dudley syndrome (AHDS), an X-linked condition linked to mutations in the gene encoding a transmembrane monocarboxylate transporter (MCT8), resistance to thyroid hormone beta (RTHβ), and resistance to thyroid hormone alfa (RTHα). The combined measurement of thyroid-stimulating hormone (TSH) and total thyroxine (TT4) on DBS currently allows the recognition of central CH (TSH low/normal and low TT4 without defects in transport proteins). With the introduction of liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS) for measurement of free triiodothyronine (FT3) and free thyroxine (FT4), it would be possible to screen for RTHβ (TSH normal/high and high FT4). More complicated would be the method to screen RTHα. It would require the combined measurement of FT4 and FT3 and the determination of FT3/FT4 ratio, while the combined measurement of FT3 and reverse T3 (rT3) to calculate FT3/rT3 ratio would be useful to screen AHDS. In this article, we provide some reflections on expanding NBS for primary CH also to other rare forms of CH. Full article
(This article belongs to the Special Issue Newborn Screening for Congenital Hypothyroidism)
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