Search Results (918)

The aviation industry is responsible for approximately 2–3% of worldwide CO₂ emissions and is increasingly subjected to demands for the attainment of net-zero emissions targets by the year 2050. Traditional fossil jet fuels, which exhibit lifecycle emissions of approximately 89 kg CO₂-eq/GJ, play a substantial role in exacerbating climate change, contributing to local air pollution, and fostering energy insecurity. In contrast, Sustainable Aviation Fuels (SAFs) derived from renewable feedstocks, including biomass, municipal solid waste, algae, or through CO₂- and H₂-based power-to-liquid (PtL) represent a pivotal solution for the immediate future. SAFs generally accomplish lifecycle greenhouse gas (GHG) reductions of 50–80% (≈20–30 kg CO₂-eq/GJ), possess reduced sulfur and aromatic content, and markedly diminish particulate emissions, thus alleviating both climatic and health-related repercussions. In addition to their environmental advantages, SAFs promote energy diversification, lessen reliance on unstable fossil fuel markets, and invigorate regional economies, with projections indicating the creation of up to one million green jobs by 2030. This comprehensive review synthesizes current knowledge on SAF sustainability advantages compared to conventional aviation fuels, identifying critical barriers to large-scale deployment and proposing integrated solutions that combine technological innovation, supportive policy frameworks, and international collaboration to accelerate the aviation industry’s sustainable transformation. Full article

Background: Locally advanced prostate cancer (PCa) is commonly treated with multimodal therapy; however, long-term outcomes of surgery alone are poorly defined. We investigated the potential and limitations of robot-assisted radical prostatectomy (RARP) as primary treatment without perioperative systemic therapy in patients with locally advanced PCa. Methods: We retrospectively analyzed 258 patients who underwent RARP with extended pelvic lymph node dissection between 2012 and 2022 with locally advanced PCa, defined as present if at least one of the following was met: clinical stage cT3b–T4; primary Gleason pattern 5; >4 biopsy cores with Grade Group 4 or 5; or more than one NCCN high-risk characteristic. Patients who received neoadjuvant or adjuvant therapy were excluded. Endpoints included biochemical recurrence-free survival, metastasis-free survival, cancer-specific survival, and predictors of persistent PSA. Results: Median follow-up was 60.6 months. Pathological stage ≥ pT3a occurred in 63.6% and nodal involvement (pN1) in 27.1%. Five-year BRFS, MFS, and CSS were 36.6%, 88.9%, and 98.3%, respectively. Persistent PSA occurred in 21.3%. Preoperative predictors included PSA > 40 ng/mL, clinical stage ≥ cT3a, and >4 biopsy cores with a Gleason score of 8–10; patients with ≥2 features had significantly poorer BRFS and MFS. Postoperative predictors of recurrence were pathological stage, lymphovascular invasion, and nodal involvement. Conclusions: RARP alone provided durable long-term cancer control in selected men with locally advanced PCa, whereas patients with multiple adverse features were unlikely to be cured with surgery alone. Careful risk stratification may identify candidates for surgical monotherapy and help avoid overtreatment, while others may benefit from multimodal therapy. Full article

Introduction and Objectives: Local recurrence (LR) in patients treated with surgery for renal cell carcinoma (RCC) remains a significant clinical challenge that requires thorough investigation. Our study aimed to identify the relative risk factors and explore the optimal clinical management of LR. Materials and Methods: We conducted a non-randomized, observational, retrospective multicentric registry involving multiple Italian urological centers. We included patients treated with surgery (either nephron-sparing or radical nephrectomy) who later developed LR, defined as recurrence in the ipsilateral kidney or renal fossa. Patients with hereditary syndromes or metastatic disease at the time of LR diagnosis were excluded. Results: We reported 135 cases of LR with the following characteristics: most primary lesions were monofocal (85.7%), with a median size of 42 mm (23–53), the median R.E.N.A.L. score was 7 (6–8), and the median Padua score was 7 (6–9). Patients were treated with robot-assisted techniques in 59% of cases, laparoscopic surgery in 32.4%, and open surgery in 8.6%. Nephron-sparing surgery was performed in 75.2% of cases. Ischemia occurred in 61% of the cases, with a median ischemia time of 21 min (15.5–24). Intraoperative complications occurred in 3.8% of cases, while postoperative complications were reported in 13.8%, all of which were grade ≤3 according to the Clavien–Dindo classification. The primary tumors were pT1a in 43.5% of cases, pT1b in 26.3%, pT2 in 14.7% and pT3 in 15.5%. Histologically, 84% of cases were clear cell, 11.3% papillary type 1 or 2, and 3.7% chromophobe. Sarcomatoid/rhabdoid variants were present in 10.5% of cases. The median rate of LR was 1.3% (range 0.2–3.6), while the median time to LR was 18 months (12–39). LR occurred in the ipsilateral kidney in 70.5% of cases and in the ipsilateral renal fossa in 29.5%. The median rate of PSM in LR cases at initial surgery was 2.4% (range 0–4.3), while the median rate of negative surgical margin (NSM) in LR cases at initial surgery was 0.1 (0–0.3). Following LR diagnosis, most patients (49.2%) underwent surgery, 29.1% received cryoablation or radiotherapy, 17.1% received systemic treatment alone, and 4.6% followed a watchful waiting/active surveillance approach. At a median follow-up of 62 months, the highest oncological control in terms of 5-year cancer-specific survival and overall survival rates was achieved in surgically treated patients. The PSM, the histological variant, and their combination were found to be independent variables correlated with the occurrence of LR, with relative risks of 3.62, 2.71, and 8.12, respectively. Conclusions: LR after nephron-sparing or radical nephrectomy represents a significant clinical dilemma. Known risk factors are not always sufficient to predict recurrence, emphasizing the necessity of consistent radiological follow-up per guideline recommendations. Early detection of recurrence and a multidisciplinary approach involving expert centers are crucial for optimizing patient outcomes. Full article

The decarbonization of hard-to-defossilize sectors, such as international maritime transport, requires innovative, and at times disruptive, energy solutions that combine efficiency, scalability, and climate benefits. Therefore, power-to-liquid (PtL) routes have stood out for their potential to use low-emission electricity for the production of synthetic fuels, via electrolytic hydrogen and CO₂ capture. However, the high energy demand inherent to these routes poses significant challenges to large-scale implementation. Moreover, PtL routes are usually at most neutral in terms of CO₂ emissions. This study evaluates, from a thermo-energetic perspective, the optimization potential of an e-methanol synthesis route through integration with a biomass oxy-fuel combustion process, making use of electrolytic oxygen as the oxidizing agent and the captured CO₂ as the carbon source. From the standpoint of a first-law thermodynamic analysis, mass and energy balances were developed considering the full oxygen supply for oxy-fuel combustion to be met through alkaline electrolysis, thus eliminating the energy penalty associated with conventional oxygen production via air separation units. The balance closure was based on a small-scale plant with a capacity of around 100 kta of methanol. In this integrated configuration, additional CO₂ surpluses beyond methanol synthesis demand can be directed to geological storage, which, when combined with bioenergy with carbon capture and storage (BECCS) strategies, may lead to net negative CO₂ emissions. The results demonstrate that electrolytic oxygen valorization is a promising pathway to enhance the efficiency and climate performance of PtL processes. Full article

This work presents the HX-responsiveness of the following heteroleptic donor–M–acceptor dithiolene complexes: Bu4N[MII(L1)(L2)] [M = Ni(1), Pd(2), Pt(3)], where L1 is the chiral acceptor ligand [(R)-α-MBAdto = chiral (R)-(+)α-methylbenzyldithio-oxamidate] and L2 is the donor ligand (tdas = 1,2,5-thiadiazole-3,4-dithiolato). Addition of hydrohalic acids induces a strong bathochromic shift and visible color change, which is fully reversed by ammonia (NH₃). Moreover, the sensing capability of 1 was further evaluated by deposition on a cellulose substrate. Exposure to HCl vapors induces an evident color change from purple to green, whereas successive exposure to NH₃ vapors fully restores the purple color. Remarkably, cellulose films of 1 were revealed to be excellent optical sensors against the response to triethylamine, which is a toxic volatile amine. Moreover, the HCl-responsiveness of the nonlinear optical properties of complexes 1, 2, and 3 embedded into a poly(methyl methacrylate) poled matrix was demonstrated. Reversible chemical second harmonic generation (SHG) switching is achieved by exposing the poled films to HCl vapors and then to NH₃ vapors. The SHG response ratio HCl–adduct/complex is significant (around 1.5). Remarkably, the coefficients of the susceptibility tensor for the HCl–adduct films are always larger than those of the respective free-complex films. Density Functional Theory (DFT) and time-dependent DFT calculations help in highlighting the structure–properties relationship. Full article

(1) Background: Pulmonary embolism (PE) is a severe complication of coronavirus disease 2019 (COVID-19), particularly in hospitalized patients. Data from Eastern Europe, including Romania, are limited, despite potential regional differences in demographics, comorbidities, and thromboprophylaxis practices. (2) Methods: This retrospective cohort study included 395 adults hospitalized with RT-PCR-confirmed COVID-19 at the “Victor Babeș” Clinical Hospital of Infectious Diseases and Pneumophthisiology, Timișoara, Romania, from September 2022 to December 2024. Demographic, clinical, laboratory, and imaging data were extracted from medical records. PE was confirmed by computed tomography pulmonary angiography (CTPA). Group comparisons used chi-square and t-tests, with multivariable logistic regression to identify independent PE predictors. (3) Results: PE was diagnosed in 47 patients (11.9%). Compared to those without PE, patients with PE had higher D-dimer (5305.00 ± 1251.00 vs. 537.00 ± 203.00 ng/mL, p < 0.001), fibrinogen (6.33 ± 0.74 vs. 3.51 ± 0.60 g/L, p < 0.001), and PT/INR (1.68 ± 0.21 vs. 1.05 ± 0.09, p < 0.001). Prior venous thromboembolism (VTE; 19.1% vs. 8.3%, p = 0.03) and prolonged immobilization (61.7% vs. 23.0%, p < 0.001) were significant risk factors. Intensive care unit (ICU) transfer occurred in 59.6% of PE cases, with a 25.5% in-hospital mortality rate. All PE patients received anticoagulation; 10.6% underwent thrombolysis. (4) Conclusions: In this Romanian cohort, one of the first large-scale studies in Eastern Europe, PE was prevalent among hospitalized COVID-19 patients, associated with elevated coagulation markers, identifiable risk factors, and high mortality. Early recognition and optimized thromboprophylaxis are critical to improve outcomes. Full article

Metabolic syndrome (MetS) is a multifactorial clinical condition characterized by the co-occurrence of abdominal obesity, impaired glucose metabolism, high blood pressure, and dyslipidemia. Non-pharmacological strategies, such as hypocaloric diets (HD) and structured physical training (PT), have shown promise in improving metabolic and functional outcomes in this population. The aim of this prospective interventional study was to evaluate the effects of a 16-week program combining HD with PT on ventilatory efficiency and cardiometabolic risk markers in women with MetS. Forty-one sedentary women (aged 45–55 years) with clinically diagnosed MetS underwent anthropometric, metabolic, nutritional, and cardiopulmonary assessments before and after the intervention. Participants engaged in 60 min exercise sessions three times per week and followed a personalized hypocaloric diet targeting 5–10% weight loss. Post-intervention analyses revealed significant reductions (p ≤ 0.05) in body weight (from 86.6 kg ± 3.3 kg to 78.2 kg ± 3.3 kg), body fat percentage (40.1% ± 0.6% to 33.4% ± 1.6%), and waist circumference (105.1 cm ± 1.2 cm to 95.7 cm ± 1.9 cm). Improvements were also observed in fasting glucose (from 117.1 mg/dL to 95.1 mg/dL) and triglycerides (158.8 mg/dL ± 9.1 mg/dL to 111.8 mg/dL ± 9.1 mg/dL), and in lean mass percentage (59.9% ± 6.5% to 66.6% ± 1.7%). Cardiopulmonary variables showed enhanced ventilatory function, with increased VO₂peak (1.59 L/min ± 0.1 L/min to 1.74 ± 0.1 L/min), improved oxygen uptake efficiency slope (OUES), and a steeper VO₂/workload relationship. Resting heart rate and blood pressure declined significantly (69.9 bpm ± 2.0 bpm to 64.9 ± 1.8 bpm; 145.4 mmHg ± 3.9/80.2 ± 3.0 mmHg to 140.1 mmHg ± 2.7/75.2 ± 1.6 mmHg). In conclusion, the 16-week intervention combining HD with PT proved effective for reducing cardiometabolic risk factors and enhancing ventilatory efficiency, suggesting improved integration of oxygen uptake, transport, and utilization in the women with MetS assessed. Full article

Considering the world’s growing interest in health-promoting phytochemicals, the current research investigated the development of a dual-captured Ginkgo Biloba and Green Tea Extract into Collagen-Nanostructured Lipid Nanocarriers (Col-NLC-GBil-GTE) for an enhanced therapeutic efficacy against hepatic, colon or breast cancer. NLC considerably reduced cell viability; the most advanced cytotoxicity profile was determined on human colon adenocarcinoma cells (LoVo) and liver cancer cells (HepG2), e.g., tumor cell viability was 21.81% in the presence of Col-NLC-GBil-GTE, similar to that determined for Cisplatin. Col-NLC exhibited apoptosis in HepG2 and LoVo cells and no significant apoptosis induction in normal HUVECs. A 20% increase in apoptosis for HepG2 cells was registered for 100 μg/mL NLC-GBil-GTE compared to Cisplatin (Cis-Pt), e.g., a 63.4% total apoptosis for NLC-GBil-GTE versus a 52.6 apoptosis induced by 100 μg/mL of a chemotherapeutic drug. According to the cell cycle outcomes, an accumulation of hepatocyte HepG2 tumor cells in the G0/G1 phase was detected upon treatment with 100 mg/mL of NLC- and Col-NLC-GBil-GTE, simultaneously with a drastic decrease in the S phase, which may indicate a cell number reduction that enters in the division cycle. The simultaneous delivery of GBil and GTE by synchronizing their bioactivities offers several advantages; Col-NLC-GBil-GTE can be viewed as a noteworthy strategy for consideration in connection with antitumor therapeutic protocols. Full article

Listeria monocytogenes (L. monocytogenes) is a Gram-positive intracellular pathogen capable of causing severe infections. The Listeria pathogenicity island 4 (LIPI-4) encodes a phosphotransferase system (PTS) with its EIIB component playing a critical role in carbohydrate phosphorylation and virulence. However, the precise function of EIIB in virulence regulation across diverse pathogenic strains remains unclear. Here, we generated an EIIB deletion mutant (LM873ΔEIIB) and its complemented strain (CLM873ΔEIIB) from the low-virulence strain LM873, and performed comparative analyses with the high-virulence strain LM928 and its corresponding mutants. Deletion of EIIB differentially modulated biofilm formation: suppressing it in LM928 while enhancing it in LM873, accompanied by corresponding transcriptional changes in biofilm-associated and virulence genes. Both mutants exhibited impaired hemolytic activity, whereas motility attenuation was specific to LM928ΔEIIB. At the cellular level, LM873ΔEIIB enhanced adhesion to and invasion of Caco-2 but impaired intracellular proliferation in JEG-3; In contrast, LM928ΔEIIB promoted Caco-2 invasion while attenuating JEG-3 adhesion, invasion, and intracellular replication, as well as reducing invasion and proliferation in RAW264.7 macrophage. Animal experiments demonstrated that EIIB deletion attenuated LM928 colonization in the liver and spleen, but had no significant impact on LM873. Collectively, our findings establish EIIB as a strain-dependent virulence regulator in L. monocytogenes, particularly modulating biofilm formation and host–pathogen interactions. Full article

In this work, the photocatalytic reduction of CO₂ was innovatively tested with the simultaneous removal and mineralization of a textile contaminant, methylene blue (MB), which acts as a sacrificial agent. The process was carried out in a flow regime under atmospheric conditions, using a liquid-phase photoreactor under UVA illumination with a duration of 24 h per test. Two commercial TiO₂-based photocatalysts, P25 and P90 from Evonik, were used and surface modified through the photodeposition of metallic nanoparticles of Pt, Au, and Pd, as they did not show gas-phase products from CO₂ reduction on their own. The optimal pH was 5, the decreasing order of activity by metal was Pt > Au > Pd, and the optimal MB concentration was 20 ppm. The major products were CH₄ and H₂ in the gas phase. The presence of CH₄ was only detected in the presence of a CO₂ flow. In the liquid phase, carboxylic acids were also detected in small amounts, and in the test, 100 ppm of MB ethanol was additionally detected. A 100% degradation of MB and 72.5% mineralization was achieved under the conditions of highest CH₄ production (20 ppm MB at pH 5 with 4 g·L⁻¹ P25-0.70%Pt). Full article

The increasing carbon footprint of civil aviation has made the use of Sustainable Aviation Fuel (SAF) a strategic necessity in line with the sector’s sustainability goals. This study evaluates the existing SAF types based on environmental, economic, technical and social criteria, determines the criteria weights with Fuzzy-Step-Wise Weight Assessment Ratio Analysis (F-SWARA) and selects the most suitable alternative through Spherical Fuzzy-Multi Objective Optimization on the basis of Ratio Analysis plus full MULTIplicative form (SF-MULTIMOORA) method. The alternative evaluation process was carried out on a Python-based online platform and sensitivity analysis was performed on five different scenarios. According to the findings, the Hydroprocessed Esters and Fatty Acids (HEFA-SPK) alternative stands out as the most suitable option in all scenarios, followed by the Fischer-Tropsch Synthetic Paraffinic Kerosene (FT-SPK) alternative. In contrast, Alcohol-to-Jet (ATJ-SPK) and Power-to-Liquid (PtL) options seem to be more variable and less stable. The study provides methodological contributions for the evaluation of SAF alternatives with fuzzy multi-criteria decision making (MCDM) methods and provides strategic implications for manufacturers and airlines in achieving the low-carbon targets of the aviation sector. Full article

Background/Objectives: The abductor pollicis longus (APL) muscle exhibits a high degree of anatomical variation, particularly in the number and configuration of its tendons. Understanding these variants is crucial in surgical contexts, especially for tendon transfer and reconstruction procedures. This study aimed to determine the prevalence and morphometric characteristics of the accessory abductor pollicis longus (AAPL) muscle in a Bolivian cadaveric population. Methods: A descriptive, cross-sectional study was performed on 16 forearms from eight adult cadavers (six males and two females) preserved in 10% formalin. Cadaveric dissection was conducted following the AQUA guidelines, with measurements obtained for the AAPL proximal tendon length (PTL), distal tendon length (DTL), muscle length (ML), and transverse muscle length (TML) using a digital caliper. Statistical analysis was carried out using SPSS v26. Results: The AAPL muscle was present in 50% of forearms. Most were unilateral, with one bilateral case. The muscle exhibited a fusiform shape, with fibers aligned longitudinally. Morphometric analysis revealed a mean PTL of 1.20 ± 0.08 cm, DTL of 3.91 ± 0.52 cm, ML of 5.30 ± 0.45 cm, and TML of 0.55 ± 0.056 cm. One case (6.25%) exhibited a multicaudal APL with an additional tendon measuring 6.23 cm. No significant correlations were found between muscle and tendon measurements. Conclusions: AAPL muscles are relatively common and demonstrate notable morphometric variation. While the proximal tendon may be inadequate for grafting due to its short length, the distal tendon offers a viable alternative for reconstructive procedures. Recognition of such variants is clinically relevant, as they may contribute to pathologies like De Quervain’s tenosynovitis or serve as graft sources in surgical interventions. Full article

Bioplastics are gaining attention as eco-friendly alternatives to conventional plastics, with Polybutylene Adipate Terephthalate (PBAT) emerging as a promising biodegradable substitute for polyethylene (PE) in food packaging. Commercial PBAT is often blended with other plastics or bio-based fillers to improve mechanical properties and reduce costs, though these additives can influence its environmental footprint. Therefore, this study quantifies the environmental impacts of producing PBAT resin blends reinforced with common inorganic fillers and compares end-of-life (EoL) performance against PE. While prior studies have largely assessed virgin PBAT or PBAT/Polylactic Acid (PLA) systems, systematic LCA of commercial-style PBAT blends with inorganic fillers and screening LCA level for comparisons of composting vs. landfill remain limited. The contributions of this study are to: (i) map gate-to-gate environmental hotspots for PBAT-blend conversion, (ii) provide a screening gate-to-grave comparison of PBAT composting vs. PE landfill using ReCiPe 2016 and IPCC GWP100 methods, and (iii) discuss theoretical implications for material substitution in the context of EoL strategies. The results indicated that producing 1 kg of PBAT blend generated a single score impact of 921 mPt with Human Health and Resource categories contributing similarly, and a GWP of 8.64 kg CO₂-eq, dominated by mixing and drying processes. EoL screening showed PBAT composting offered clear advantages over landfilling PE, yielding −53.9 mPt and 11.35 kg CO₂-eq savings, effectively offsetting production emissions. In contrast, landfilling PE resulted in 288.8 mPt and 2.2 kg CO₂-eq emissions. Sensitivity analysis further demonstrated that a 30% reduction in electricity use could decrease impacts by up to 10%, underscoring the importance of energy efficiency improvements and renewable energy adoption for sustainable PBAT development. Full article

The development of a prototype of a cooking device based on catalytic hydrogen combustion (CHC) is presented in this research. CHC is the catalytic reaction between hydrogen (H₂) and oxygen (O₂), generating heat and water vapour as the only by-product. In the developed prototype, only H₂ gas is fed to the catalytic surface while air is entrained from the environment by convection (i.e., passive approach). Therefore, the convective mass transfer during the exothermic reaction between H₂ and O₂ allows a continuous H₂/air mixture supply to the catalytic surface. In this prototype, 30 g of Pt/Al₂O₃ (0.5 wt% Pt) catalyst is used for the H₂ combustion. The developed prototype performance was evaluated by determining its combustion temperature, H₂ slip (amount of unreacted H₂ in the flue gas), and flue gas composition with respect to NO_x formation. Tests were performed at inlet H₂ flows of 1–5 normal (N) L/min, which equates to a power output of 0.18–0.90 kW, respectively. The observed combustion temperature of the catalyst surface, determined using an IR camera, was in the range of 324.5 °C (at 1 NL/min) to 611.2 °C (at 5 NL/min). The H₂ slip of <1.75 vol% was observed during CHC at 1–5 NL/min H₂ flow. The maximum efficiency of 42% was determined at 1 NL/min H₂ flow and a power output of 0.18 kW. Full article

Accurate and timely 3D vegetation structure information is essential for ecological modeling and land management. However, these needs often cannot be met with existing airborne LiDAR surveys, whose broad-area coverage comes with trade-offs in point density and update frequency. To address these limitations, this study introduces a deep learning framework built on attention mechanisms, the fundamental building block of modern large language models. The framework upsamples sparse (<22 pt/m²) airborne LiDAR point clouds by fusing them with stacks of multi-temporal optical (NAIP) and L-band quad-polarized Synthetic Aperture Radar (UAVSAR) imagery. Utilizing a novel Local–Global Point Attention Block (LG-PAB), our model directly enhances 3D point-cloud density and accuracy in vegetated landscapes by learning structure directly from the point cloud itself. Results in fire-prone Southern California foothill and montane ecosystems demonstrate that fusing both optical and radar imagery reduces reconstruction error (measured by Chamfer distance) compared to using LiDAR alone or with a single image modality. Notably, the fused model substantially mitigates errors arising from vegetation changes over time, particularly in areas of canopy loss, thereby increasing the utility of historical LiDAR archives. This research presents a novel approach for direct 3D point-cloud enhancement, moving beyond traditional raster-based methods and offering a pathway to more accurate and up-to-date vegetation structure assessments. Full article