Search Results (88)

A first-principles investigation was conducted to characterize the novel Cr₂ZnC MAX phase and its exfoliated MXene nanosheet, Cr₂C. The study critically examines the effect of electron correlations on the bulk phase, revealing that the PBE+U framework, unlike standard PBE, yields a dramatically enhanced magnetic moment of 12.80 μ_B (vs. 1.88 μ_B), confirming the necessity of this approach for Cr-based carbides. The phase stability is confirmed through rigorous analysis of its thermodynamic, dynamic, and mechanical properties. For the derived 2D Cr₂C, results confirm a robust half-metallic state with a total magnetic moment of 8.00 μ_B, characterized by a metallic spin-majority channel and a semiconducting spin-minority channel with a 2.41 eV direct gap, leading to near-ideal spin polarization. These combined features establish Cr₂C as a highly promising candidate for next-generation spintronic applications and 2D magnetic devices requiring room-temperature stability. Full article

To strengthen the safety management and control of explosives in underwater blasting construction sites, this study proposes an improved YOLOv11-based network named CRS-Y, designed to enhance the detection accuracy of explosives in complex underwater environments and improve the recognition capability of multi-scale targets. To address the limitations of traditional object detection methods in handling complex backgrounds and low-resolution targets, a lightweight re-parameterized vision transformer was integrated into the C3K module, forming a novel CSP structure (C3K-RepViT) that enhances feature extraction under small receptive fields. In combination with the Efficient Multi-Scale Attention (EMSA) mechanism, the model’s spatial feature representation is further strengthened, enabling a more effective understanding of objects in complex scenes. Furthermore, to reduce the computational cost of the P2 feature layer, a new convolutional structure named SPD-DSConv (Space-to-Depth Depthwise Separable Convolution) is proposed, which integrates downsampling and channel expansion within depthwise separable convolution. This design achieves a balance between parameter reduction and multidimensional feature learning. Finally, the Inner-IoU loss function is introduced to dynamically adjust auxiliary bounding box scales, accelerating regression convergence for both high-IoU and low-IoU samples, thereby optimizing bounding box shapes and localization accuracy while improving overall detection performance and robustness. Experimental results demonstrate that the proposed CRS-Y model achieved superior performance on the VOC2012, URPC2020, and self-constructed underwater blasting datasets, effectively meeting the real-time detection requirements of underwater blasting construction scenarios while exhibiting strong generalization ability and practical value. Full article

Cr and Platinum-Group Elements (PGEs), critical metallic elements, are mainly hosted in mafic and ultramafic rocks, but determining these rocks’ mineralization age has long been challenging. Zircon, the primary geochronological mineral, is scarce and fine-grained in such rocks, hindering conventional separation techniques (heavy liquid separation, magnetic separation, manual hand-picking) with low efficiency, poor recovery, and significant sample bias. This study develops an integrated workflow: mixed acid leaching enrichment (120 °C), powder stirring for mount preparation, automated mineral identification, and in situ Laser Ablation-Inductively Coupled Plasma-Mass Spectrometry (LA–ICP–MS) dating. Validated on the Xiugugabu diabase in the western Yarlung–Tsangpo Suture Zone (southern Tibet), the workflow yielded weighted mean ²⁰⁶Pb/²³⁸U ages of 120.5 ± 3.3 Ma (MSWD = 0.13) and 120.5 ± 2.0 Ma (MSWD = 3.2) for two samples. Consistent with the published Yarlung–Tsangpo Suture Zone (YTSZ) diabase formation ages (130–110 Ma), these confirm the Xiugugabu diabase as an Early Cretaceous Neo–Te–thys oceanic lithosphere residual recording mid-stage spreading. The workflow overcomes traditional limitations: single-sample analytical cycles shorten from 30–50 to 10 days, fine–grained zircon recovery is 15x higher than manual picking, and U–Pb ages are stable. Suitable for large-scale mafic–ultramafic geochronological surveys, it can extend to in situ zircon Hf isotope and trace element analysis, offering multi-dimensional constraints on petrogenesis and tectonic evolution. Full article

Background: Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality. Atezolizumab plus bevacizumab (Atezo/Bev) has emerged as a first-line therapy for unresectable HCC (uHCC), improving overall and progression-free survival (OS, overall survival and PFS, progression-free survival) in IMbrave150. This study evaluates the real-world efficacy and safety of Atezo/Bev in uHCC. Methods: A retrospective analysis was performed on 87 patients (median age 68 years) treated with Atezo/Bev at Houston Methodist Hospital between January 2020 and June 2023. Demographics, treatment patterns, radiological response, OS, PFS, and toxicities were reviewed. Atezo/Bev was administered per FDA guidelines (atezolizumab 1200 mg plus bevacizumab 15 mg/kg every 3 weeks). Results: Of 87 patients, 78% were male, 71% White, and 70% had BCLC stage C disease. Most (60%) had Child–Pugh class A liver function, and 62% had viral hepatitis. Median OS was 15.1 months (95% CI: 10.57–25.97) and PFS was 9.1 months (95% CI: 7.4–21.07). Objective response rate was 31.3% (CR 7.2%, PR 25%, SD 52%, PD 16%). OS was longer in CP A versus CP B patients (21.2 vs. 5.2 months, p < 0.001) and in those receiving post-Atezo/Bev locoregional therapy (21.2 vs. 10.4 months, p = 0.043). Discontinuation due to toxicity occurred in 14%, mainly gastrointestinal bleeding and fatigue. Conclusions: Atezo/Bev demonstrated favorable real-world efficacy and manageable toxicity in uHCC, particularly in patients with preserved liver function or multimodal therapy. Full article

Cardiorenal syndrome (CRS) reflects the intricate and bidirectional interplay between cardiac and renal dysfunction, commonly resulting in diagnostic uncertainty, therapeutic dilemmas and poor outcomes. While traditional biomarkers like serum creatinine (Cr) and natriuretic peptides remain widely used, their limitations in specificity, timing and contextual interpretation often hinder optimal management. This narrative review synthesizes the current evidence on established and emerging biomarkers in CRS, with emphasis on their clinical relevance, integration into real-world practice, and potential to inform precision therapy. Markers of glomerular filtration rate beyond creatinine—such as cystatin C—offer more accurate assessment in frail or sarcopenic patients, while tubular injury markers such as NGAL, KIM-1, and urinary L-FABP (uL-FABP) provide early signals of structural renal damage. The FDA-approved NephroCheck^® test—based on TIMP-2 and IGFBP7— enables risk stratification for imminent AKI up to 24 h before functional decline. Congestion-related markers such as CA125 and bio-adrenomedullin outperform natriuretic peptides in certain CRS phenotypes, particularly in right-sided heart failure or renally impaired patients. Fibrosis and inflammation markers (galectin-3, sST2, GDF-15) add prognostic insights, especially when combined with NT-proBNP or troponin. Rather than presenting biomarkers in isolation, this review proposes a framework that links them to specific clinical contexts—such as suspected decongestion-related renal worsening or persistent congestion despite therapy—to support actionable interpretation. A tailored, scenario-based, multi-marker strategy may enhance diagnostic precision and treatment safety in CRS. Future research should prioritize prospective biomarker-guided trials and standardized pathways for clinical integration. Full article

Background: Fixed-duration venetoclax plus rituximab (VR) is a standard therapy for relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL). However, evidence supporting its use after covalent BTK inhibitor (c-BTKi) therapy is scarce in clinical trials and limited in real-world settings. Objectives: To assess the efficacy and safety of VR in a real-world cohort of patients with R/R CLL, including cBTKi-pretreated individuals, and to contextualize outcomes alongside published real-world studies and registrational trials of alternative therapies. Methods: We retrospectively analyzed 37 patients with R/R CLL treated with VR at our center between April 2018 and November 2024. Baseline characteristics, treatment responses, minimal residual disease (MRD), and adverse events were recorded. Survival was estimated using the Kaplan–Meier method. A structured review of relevant real-world evidence and pirtobrutinib clinical trials was also conducted. Results: Median age was 67 years; 35.1% had prior cBTKi exposure. The overall response rate (ORR) was 91.7% (22/24 evaluable patients), with 66.7% achieving complete remission (CR). Among evaluable c-BTKi-pretreated patients, the ORR was 87.5% (7/8) and the CR rate was 62.5%. Undetectable MRD (uMRD) rates were 78.6% in peripheral blood and 71.4% in bone marrow. Thirty-month progression-free survival (PFS), time to next treatment (TTNT), and overall survival (OS) were >90% for the whole cohort and for c-BTKi-pretreated patients. The most frequent adverse event was neutropenia grade ≥ 3, especially during combination therapy, which is easily managed with GCSF support. Conclusions: Our real-world evidence shows that VR is an effective and well-tolerated option even after c-BTKi therapy in R/R CLL. These data complement evidence from emerging therapies and inform post-c-BTKi treatment selection in clinical practice. Full article

Acute kidney injury (AKI) is a frequent and severe complication in trauma patients, affecting up to 28% of intensive care unit (ICU) admissions and contributing significantly to morbidity, mortality, and long-term renal impairment. Trauma-related AKI (TRAKI) arises from diverse mechanisms, including hemorrhagic shock, ischemia–reperfusion injury, systemic inflammation, rhabdomyolysis, nephrotoxicity, and complex organ crosstalk involving the brain, lungs, and abdomen. Pathophysiologically, TRAKI involves early disruption of the glomerular filtration barrier, tubular epithelial injury, and renal microvascular dysfunction. Inflammatory cascades, oxidative stress, immune thrombosis, and maladaptive repair mechanisms mediate these injuries. Trauma-related rhabdomyolysis and exposure to contrast agents or nephrotoxic drugs further exacerbate renal stress, particularly in patients with pre-existing comorbidities. Traditional markers such as serum creatinine (sCr) are late indicators of kidney damage and lack specificity. Emerging structural and stress response biomarkers—such as neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule 1 (KIM-1), liver-type fatty acid-binding protein (L-FABP), interleukin-18 (IL-18), C-C motif chemokine ligand 14 (CCL14), Dickkopf-3 (DKK3), and the U.S. Food and Drug Administration (FDA)-approved tissue inhibitor of metalloproteinases-2 × insulin-like growth factor-binding protein 7 (TIMP-2 × IGFBP-7)—allow earlier detection of subclinical AKI and better predict progression and the need for renal replacement therapy. Together, functional indices like urinary sodium and fractional potassium excretion reflect early microcirculatory stress and add clinical value. In parallel, risk stratification tools, including the Renal Angina Index (RAI), the McMahon score, and the Haines model, enable the early identification of high-risk patients and help tailor nephroprotective strategies. Together, these biomarkers and risk models shift from passive AKI recognition to proactive, personalized management. A new paradigm that integrates biomarker-guided diagnostics and dynamic clinical scoring into trauma care promises to reduce AKI burden and improve renal outcomes in this critically ill population. Full article

Systemic sclerosis (SSc) is an autoimmune disease associated with a high burden of morbidity and mortality due to organ complications. Pulmonary arterial hypertension (PAH) and cardiac involvement, characterized by chronic right ventricular (RV) pressure overload with consequent RV dysfunction and ultimately right heart failure (HF), are among these. A common comorbidity in SSc is chronic kidney disease (CKD). CKD is often present at the time of PAH diagnosis or a decline in renal function may occur during the course of the disease. CKD is strongly and independently associated with mortality in patients with PAH and HF. The cardiovascular and renal systems are closely interconnected, and disruption of this balance may result in cardiorenal syndrome (CRS). Type 2 CRS refers to CKD as a consequence of chronic HF. In clinical practice, non-specific markers such as troponin, B-type natriuretic peptide (BNP), N-terminal pro-BNP (NT-proBNP), and serum creatinine aid in CRS diagnosis. More specific biomarkers, including cystatin C (CysC), neutrophil gelatinase-associated lipocalin (NGAL), galectin-3, and soluble urokinase plasminogen activator receptor (suPAR), have shown value for diagnosis and prognosis in CRS. This study aimed to evaluate comprehensively heart/kidney damage markers related to CRS in SSc patients compared with healthy controls (HC) and to examine their association with renal and cardiac ultrasound parameters. SSc patients showed significantly higher CRS markers than HC (p < 0.001). SSc patients with clinically diagnosed CRS had significantly elevated galectin-3, suPAR, sNGAL, and uNGAL levels (p < 0.05) than SSc patients without CRS. Positive correlations were found between renal resistive index (RRI) and NT-proBNP (r = 0.335, p < 0.05), and between RRI and suPAR (r = 0.331, p < 0.05). NT-proBNP, suPAR, galectin-3, sNGAL, and uNGAL emerge as promising biomarkers for the early detection of cardiac and renal involvement in SSc patients. Full article

Objectives: Evaluation of the predictive potential of pre-CAR-T [¹⁸F]FDG PET/CT in Diffuse Large B-Cell Lymphoma (DLBCL) patients concerning Cytokine Release Syndrome (CRS) and Immune Effector Cell-associated Neurotoxicity Syndrome (ICANS). Methods: Eighteen DLBCL patients (mean age: 60 ± 12 years) who underwent pre-therapeutic [¹⁸F]FDG-PET/CT and CAR-T cell therapy were retrospectively included. Median follow-up time was ten months (IQR6-16) after CAR-T cell infusion. Age, sex, serum lactate dehydrogenase (LDH), interleukin-6 (IL-6), C-reactive protein (CRP), and modified Endothelial Activation and Stress Index (mEASIX) were obtained. Potential occurrence of CRS/ICANS and the SUV_max were evaluated. Pearson and Spearman correlations, group comparisons (Mann–Whitney U-test) and the odds ratio (OR) were calculated. P values below 0.05 were defined as statistically significant and 95%-confidence intervals (CI) were calculated. Results: Pre-therapeutic SUV_max correlated positively with LDH (r = 0.5; p = 0.02), with the grade of CRS (r = 0.5; p = 0.03) and with the grade of ICANS (r = 0.6; p = 0.01). Appearance of ICANS was significantly correlated with pre-therapeutic SUV_max (p = 0.03; U = 7.0; Z = −2.2). Using ROC analysis and Youden’s index, an SUV_max threshold of 17 (AUC: 0.865; p < 0.01) was defined. Patients exceeding a pre-therapeutic SUV_max of 17 had a significantly higher risk of CRS grade > 1 (OR = 22; CI 2, 314; p = 0.03) and ICANS grade > 1 (OR = 18; CI 1, 271; p = 0.04). Conclusions: Pre-therapeutic SUV_max may be a useful marker for identifying DLBCL patients at risk for CRS and ICANS. Full article

Surface functionalization is key for tuning the electronic and magnetic properties essential in spintronics, yet its impact on chromium-based MXenes (Cr₃C₂T₂) is not fully understood. Using spin-polarized DFT+U, this study investigates how O, F, and OH groups modify the magnetic state, electronic structure, and Curie temperature. Functionalization dramatically changes magnetism: O termination gives ferromagnetism, while F and OH yield ferrimagnetism. Our results show surface functionalization effectively adjusts the Curie temperature, critical for spintronic materials. The electronic character is highly functional group dependent: pristine Cr₃C₂ is half-metallic, Cr₃C₂O₂ metallic, and Cr₃C₂F₂/Cr₃C₂(OH)₂ semiconducting with narrow gaps. Structures with dynamic stability are analyzed through phonon spectroscopy. These findings provide fundamental insights into controlling MXene properties via surface functionalization, guiding the design of next-generation spintronic materials. Full article

Exercise training in extreme temperatures concurrent with hypohydration status may potentiate the development of acute kidney injury (AKI) in young, healthy persons. Background/Objectives: It is unknown how repeated training bouts in ambient higher temperatures and humidity may influence measures of AKI. The purpose of this study was to investigate hydration status and renal biomarkers related to AKI in NCAA Division I female soccer athletes during preseason conditioning. Methods: A convenience sample of n = 21 athletes were recruited (mean ± SEM; age: 19.3 ± 0.25 y; height: 169.6 ± 1.36 cm; mass: 68.43 ± 2.46 kg; lean body mass: 45.91 ± 1.13 kg; fat mass: 22.51 ± 1.69 kg; body fat %: 32.22 ± 1.32%). The average temperature was 27.43 ± 0.19 °C, and the humidity was 71.69 ± 1.82%. Body composition, anthropometric, workload, and 14 urine samples were collected throughout the preseason training period for urine specific gravity (USG), creatinine (uCr), cystatin C (uCyst-C), and neutrophil gelatinase-associated lipocalin (uNGAL) analyses. Results: Our investigation showed that, when compared to baseline (D0), the athletes maintained a USG-average euhydrated status (1.019 ± 0.001) and were euhydrated prior to each exhibition game (D5-Pre: p = 0.03; 1.011 ± 0.001; D10-Pre: p = 0.0009; 1.009 ± 0.001); uCr was elevated on D8 (p = 0.001; 6.29 ± 0.44 mg·dL⁻¹·LBM⁻¹) and D10-Post (p = 0.02; 6.61 ± 0.44 mg·dL⁻¹·LBM⁻¹); uCyst-C was elevated on D6 through D10 (p = 0.001; ~0.42 ± 0.01 mg·dL⁻¹); no differences were found in uNGAL concentration. The highest distance (m) displaced was found during exhibition games (D5: p = <0.0001; ~8.6 km and D10: p = <0.0001; ~9.6 km). During the preseason conditioning, the athletes maintained a euhydrated status (~1.019) via USG, an increase in uCr that averaged within a normal range (208 mg·dL⁻¹), and an increase in uCyst-C to near AKI threshold levels (0.42 mg·L⁻¹) for several practice sessions, followed by an adaptive decline. No differences were found in uNGAL, which may be explained by athlete variation, chosen time sample collection, and variation in training and hydration status. Conclusions: The athletes maintained a euhydrated status, and this may help explain why urinary markers did not change or meet the reference threshold for AKI. Full article

The Minghuazhen Formation in the Cangdong Sag of the Bohai Bay Basin is a key sedimentary unit for investigating regional provenance evolution, paleoclimate variations, and hydrocarbon potential in Eastern China. This study integrates mineralogical and geochemical analyses to explore sedimentary characteristics. Techniques include X-ray diffraction (XRD), major/trace element compositions, rare earth element (REE) distributions, and organic carbon content. XRD data and elemental ratios (e.g., Al/Ti, Zr/Sc) suggest a predominant felsic provenance, sourced from acidic magmatic rocks. The enrichment with light rare earth elements (LREE: La–Eu) and notable negative Eu anomalies in the REE patterns support the interpretation of a provenance from the Taihangshan and Yanshan Orogenic Belts. Geochemical proxies, such as the Chemical Index of Alteration (CIA) and trace element ratios (e.g., U/Th, V/Cr, Ni/Co), indicate a warm and humid depositional environment, characterized by predominantly oxic freshwater conditions. Organic geochemical parameters, including total organic carbon (TOC), total nitrogen (TN), and C/N ratios, suggest that organic matter primarily originates from aquatic algae and plankton, with C/N values predominantly below 10 and a strong correlation between TOC and TN. The weak correlation between TOC and total carbon (TC) indicates that the organic carbon is mainly biological in origin rather than carbonate-derived. Although the warm and humid climate promoted the production of organic matter, the prevailing oxic conditions hindered its preservation, resulting in a relatively low hydrocarbon generation potential within the Minghuazhen Formation of the Cangdong Sag. These findings provide new insights into the sedimentary evolution and hydrocarbon potential of the Bohai Bay Basin. Full article

This study proposes the development of a dual-wavelength optical fiber sensor (DWOFS) that integrates two optical fiber structures in a multimode transmission line to measure the refractive index and temperature of a liquid concurrently. One structure is based on a refractive index sensor that utilizes surface plasmon resonance, comprising a 5 mm long single-mode fiber (SMF) section coated with chromium/gold (Cr/Au) films. The secondary structure employs a multimode interferometer with a 29 mm long no-core fiber (NCF) section covered with a thick layer of polydimethylsiloxane (PDMS) to measure temperature. The measurements obtained reveal two distinct drops in the transmission spectrum at approximately 600 nm and 1550 nm, respectively, enabling precise measurement of the two parameters. The sensor demonstrates a high degree of sensitivity to both refractive index and temperature, spanning the visible ($2770.30\mathrm{n}\mathrm{m}/\mathrm{R}\mathrm{I}\mathrm{U}$) and infrared $(-0.178\mathrm{n}\mathrm{m}/°\mathrm{C}$) regions of the spectra, respectively. Furthermore, the thermo-optical coefficient for water $({-0.9928\times 10}^{-4}\mathrm{R}\mathrm{I}\mathrm{U}/°\mathrm{C})$ was estimated. The proposed sensor offers a compact solution for the simultaneous measurement of refractive index and temperature in liquid samples for a variety of applications, including biological, environmental, and healthcare research. Full article

Prostate cancer with bone metastasis exhibits significant heterogeneity, complicating prognosis, and treatment. This study explores the potential of plasma, serum, and urine biomarkers to stratify patients and evaluate their prognostic value. Using two-step clustering, we analyzed baseline levels of Platelet-derived growth factor-BB (PDGF-BB), Insulin-like growth factor-binding protein 1 (IGFBP-1), Bone Morphogenetic Protein 2 (BMP-2), Vascular endothelial growth factor (VEGF) (plasma and urine), prostate-specific antigen (PSA), neuron-specific enolase (NSE), chromogranin A (CgA) and bone-specific alkaline phosphatase (BAP) (serum) and creatinine (Cr), and type I collagen-cross-linked N telopeptide (NTx) (urine) in 29 patients with prostate cancer and bone metastasis. Longitudinal biomarker dynamics were assessed at baseline, 6 months, and 12 months. Clinical outcomes were evaluated using Kaplan–Meier and multivariate analyses. Three distinct groups (C1, C2, and C3) were identified. C1 exhibited elevated pPDGF-BB and pVEGF levels, C3 had increased pBAP and uNTx/Cr, and C2 showed lower biomarker levels. Prior treatments influenced biomarker levels, with bisphosphonates reducing bone turnover markers and radiotherapy correlating with long-term changes in growth factors. Longitudinal analysis revealed unique biomarker dynamics within each group, with a tendency for pPDGF-BB and pVEGF levels to decrease over time in C1, and distinct trends in uNTx/Cr between groups. Despite individual biomarkers failing to predict survival, C3 patients demonstrated significantly worse survival than C1 and C2. Molecular clustering of peripheral blood and urinary biomarkers identifies distinct subgroups with metastatic castration-resistant prostate cancer patients outperforming traditional models in outcome prediction and supporting its potential for personalized treatment and prognosis. Full article

In order to obtain high-performance 3D printed parts, this study focuses on the key performance indicator of impact toughness. The parametric modeling software Rhino 6 is used to design impact specimens, and the laser selective melting equipment DiMetal-100, independently developed by the South China University of Technology, is used to manufacture impact specimens. Subsequently, the CoCrMo alloy parts were annealed using an MXQ1600-40 box-type atmosphere furnace and subjected to impact testing using a cantilever beam impact testing machine XJV-22. Fractal theory was applied to analyze the fractal behavior of the resulting impact fracture surfaces. The research results indicate that the 3D-printed impact specimens exhibited excellent surface quality, characterized by brightness, low roughness, and the absence of significant defects such as warping or deformation. In terms of annealing treatment, lower annealing temperatures did not improve the impact performance of SLM-formed CoCrMo alloy parts but instead led to a decrease in toughness. While increasing the annealing temperature can improve toughness to some extent, the effect is limited. Furthermore, the relationship between impact energy and heat treatment temperature exhibits a U-shaped trend. The fractal dimension analysis shows that the parts annealed in a 1200 °C furnace have the highest fractal dimension and better toughness performance. This study introduces a novel approach by comprehensively integrating advanced 3D printing technology, annealing processes, and fractal theory analysis to systematically investigate the influence of annealing temperature on the impact properties of 3D-printed CoCrMo alloy parts, thereby establishing a solid foundation for the application of high-performance 3D printed parts. Full article