Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

Article Types

Countries / Regions

Search Results (19)

Search Parameters:
Keywords = VVFS 2003:29

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
17 pages, 8997 KB  
Article
Experimental and Numerical Impact Assessment of a Heavy-Duty Truck Cab Reconstructed from 3D Scanning According to the Swedish VVFS 2003:29 Procedure
by Ana-Maria Dumitrache, Ionut-Alin Dumitrache, Daniel Iozsa and Alexandra Molea
Eng 2026, 7(3), 137; https://doi.org/10.3390/eng7030137 - 17 Mar 2026
Viewed by 627
Abstract
Ensuring the crashworthiness of heavy-duty truck cabs is essential for reducing occupant fatalities and improving passive safety in commercial vehicles. Regulatory frameworks such as UNECE Regulation No. 29 (R29) define structural integrity requirements through full-scale destructive impact tests, which are costly and limit [...] Read more.
Ensuring the crashworthiness of heavy-duty truck cabs is essential for reducing occupant fatalities and improving passive safety in commercial vehicles. Regulatory frameworks such as UNECE Regulation No. 29 (R29) define structural integrity requirements through full-scale destructive impact tests, which are costly and limit iterative design. In this study, an integrated experimental–numerical methodology is presented for the impact assessment of a real Iveco Eurocargo 120E18 truck cab reconstructed using high-resolution 3D scanning. The scanned geometry was used to generate a dimensionally accurate CAD model of the load-bearing cab structure, which was analysed using explicit finite element simulations in ANSYS Academic Mechanical and CFD Teaching package under impact conditions compliant with UNECE R29 and implemented according to the Swedish regulation VVFS 2003:29. In parallel, a full-scale physical pendulum impact test was performed on the same cab using a cylindrical impactor with a diameter of 580 mm, a length of 1800 mm, and a mass of approximately 1000 kg, impacting the upper region of the A-pillar. The experimental setup was instrumented using high-speed optical measurements and an accelerometer to capture impact kinematics and structural response. The numerical predictions showed good agreement with experimental results in terms of acceleration–time histories, absorbed energy evolution, and structural deformation, with differences generally below 6%. Critical regions susceptible to local buckling and plastic collapse were consistently identified in both approaches, while preservation of the driver survival space was confirmed. The results demonstrate that scan-based finite element models, when properly calibrated and validated, can reliably reproduce certification-level impact behaviour. The proposed workflow provides a robust and cost-effective framework for regulatory pre-validation, structural optimisation, and digitalisation of crashworthiness assessment for heavy-duty truck cabs. Full article
(This article belongs to the Special Issue Interdisciplinary Insights in Engineering Research 2026)
Show Figures

Figure 1

16 pages, 3836 KB  
Article
Genome-Wide Association Study Identifies Candidate Genes Regulating Berry Color in Grape (Vitis vinifera L.)
by Zhongyi Yang, Yangshengkai Xu, Tao Xu, Chao Yu, Congling Fang, Lingling Hu, Liufei Huang, Qianqian Zheng, Yuxuan Zhou, Shuyi Zhou and Yueyan Wu
Agronomy 2026, 16(1), 121; https://doi.org/10.3390/agronomy16010121 - 4 Jan 2026
Cited by 1 | Viewed by 1264
Abstract
Berry color is a critical determinant of grape quality and market value. While the genetic basis of skin color has been extensively studied, the regulatory network controlling flesh coloration remains largely uncharacterized. To systematically dissect the independent genetic architectures underlying these traits, we [...] Read more.
Berry color is a critical determinant of grape quality and market value. While the genetic basis of skin color has been extensively studied, the regulatory network controlling flesh coloration remains largely uncharacterized. To systematically dissect the independent genetic architectures underlying these traits, we performed a genome-wide association study (GWAS) on 130 grape accessions, integrated with spatiotemporal expression profiling, subcellular localization, and functional validation. Our analysis revealed distinct genetic loci for skin and flesh color, confirming their independent regulation. For skin color, GWAS robustly validated VvMYBA2 as a major locus, explaining up to 51.5% of the phenotypic variance. More importantly, for flesh color, we identified and prioritized VvF3′M (Flavonoid 3′-monooxygenase) as a key candidate gene. Heterologous overexpression of VvF3′M in tobacco resulted in a profound 13.5-fold increase in anthocyanin content, suggesting its potential role as a rate-limiting enzyme in flesh pigmentation. Intriguingly, VvF3′M-overexpressing plants also exhibited a significant increase in flower number, suggesting a novel role beyond pigment biosynthesis. This study provides a comprehensive genetic and functional framework for understanding berry coloration, identifies VvF3′M as a prime target for breeding red-fleshed grapes, and reveals unexpected crosstalk between color metabolism and reproductive development. Full article
(This article belongs to the Section Crop Breeding and Genetics)
Show Figures

Figure 1

15 pages, 2281 KB  
Article
Transcriptome and Anthocyanin Profile Analysis Reveals That Exogenous Ethylene Regulates Anthocyanin Biosynthesis in Grape Berries
by Min Liu, Boyuan Fan, Le Li, Jinmei Hao, Ruteng Wei, Hua Luo, Fei Shi, Zhiyuan Ren and Jun Wang
Foods 2025, 14(14), 2551; https://doi.org/10.3390/foods14142551 - 21 Jul 2025
Cited by 1 | Viewed by 1486
Abstract
Anthocyanins are important phenolic compounds in grape skins, affecting the color, oxidation resistance, and aging ability of red wine. In recent years, global warming has had a negative effect on anthocyanin biosynthesis in grape berries. Ethylene serves as a crucial phytohormone regulating the [...] Read more.
Anthocyanins are important phenolic compounds in grape skins, affecting the color, oxidation resistance, and aging ability of red wine. In recent years, global warming has had a negative effect on anthocyanin biosynthesis in grape berries. Ethylene serves as a crucial phytohormone regulating the development and ripening processes of fruit; however, the specific molecular mechanism and the regulatory network between ethylene signaling and the anthocyanin biosynthesis pathway remain incompletely understood. In this study, 400 mg/L ethephon (ETH) solution was sprayed onto the surface of grape berries at the lag phase (EL-34), and the changes in anthocyanin-related genes and metabolites were explored through transcriptomic and metabolomic analysis. The results showed that ETH treatment increased Brix and pH in mature berries. In total, 35 individual anthocyanins were detected, in which 21 individual anthocyanins were enhanced by ETH treatment. However, the anthocyanin profile was not affected by exogenous ethylene. Transcriptomics analysis showed that there were a total of 825 and 1399 differentially expressed genes (DEGs) 12 h and 24 h after treatment. Moreover, key structural genes in the anthocyanin synthesis pathway were strongly induced, including VvPAL, VvCHS, VvF3H, VvF3′5′H, VvDFR and VvUFGT. At the maturity stage (EL-38), the expression levels of these genes were still higher in EHT-treated berries than in the control. ETH treatment also influenced the expression of genes related to hormone biosynthesis and signal transduction. The ethylene biosynthesis gene (VvACO), ethylene receptor genes (VvETR2, VvERS1 and VvEIN4), ABA biosynthesis gene (VvNCED2), and ABA receptor gene (VvPYL4) were up-regulated by ETH treatment, while the auxin biosynthesis gene (VvTAA3) and seven genes of the auxin-responsive protein were inhibited by exogenous ethylene. Meanwhile, ETH treatment promoted the expression of the sugar transporter gene (VvEDL16) and two sucrose synthase genes (VvSUS2 and VvSUS6). In EHT-treated berries, 19 MYB and 23 ERF genes were expressed differently compared with the control (p < 0.05). This study provides the theoretical foundation and technical support for the regulation of anthocyanin synthesis in non-climacteric fruit. Full article
(This article belongs to the Section Food Physics and (Bio)Chemistry)
Show Figures

Figure 1

19 pages, 5460 KB  
Article
Transcription Factor VvbHLH137 Positively Regulates Anthocyanin Accumulation in Grape (Vitis vinifera)
by Zaozhu Niu, Zhichao Zhang, Yanzhuo Zhao, Lifeng Xuan, Zhan Chen and Lili Yang
Plants 2025, 14(6), 871; https://doi.org/10.3390/plants14060871 - 11 Mar 2025
Cited by 7 | Viewed by 2960
Abstract
Grape (Vitis vinifera) is a popular fruit with a rich color, favorable taste, and high nutritional quality. The formation of the color of its berries is primarily determined by anthocyanin composition and concentration. Basic helix–loop–helix proteins (bHLHs) serve as critical modulators [...] Read more.
Grape (Vitis vinifera) is a popular fruit with a rich color, favorable taste, and high nutritional quality. The formation of the color of its berries is primarily determined by anthocyanin composition and concentration. Basic helix–loop–helix proteins (bHLHs) serve as critical modulators of anthocyanin synthesis, yet many bHLHs in grape have not been systematically studied and remain uncharacterized. In this study, we tracked and detected berry components in ‘Moldova’ grapes during three developmental stages using UPLC-MS/MS and identified malvidin derivatives as the primary main anthocyanins. Our transcriptome sequencing analysis revealed 40 genes and several transcription factors (TFs) involved in anthocyanin pathways and berry coloration, with VvCHS2 (Vitvi05g01044) showing the highest expression. Among TFs, six bHLH candidates were identified, and VvbHLH137 was determined to positively regulate anthocyanin synthesis. The over-expression of VvbHLH137 in Arabidopsis thaliana significantly augmented the anthocyanin content. In addition, VvbHLH137 was found to form interactions with VvMYB15, VvMYB44, and VvMYB306 to impact anthocyanin accumulation. It also directedly stimulates VvDFR and VvF3H transcription via binding to their promoters. These findings provide insights into anthocyanin synthesis in grapes and support molecular breeding efforts for grape cultivars with enhanced coloration. Full article
(This article belongs to the Special Issue Growth, Development, and Stress Response of Horticulture Plants)
Show Figures

Figure 1

21 pages, 2929 KB  
Article
Porosity Effects on the Composite Girder by Rheological Dynamics and FEM
by Nataša Mrđa Bošnjak, Dragan D. Milašinović, Danica Goleš, Jelena Gučević and Arpad Čeh
Materials 2024, 17(23), 5779; https://doi.org/10.3390/ma17235779 - 25 Nov 2024
Viewed by 1431
Abstract
A theoretical model for porous viscoelastoplastic (VEP) materials in the dry state is investigated in this research study. The model is based on the principles of conservation of mass and energy using the rheological dynamic theory (RDT). The model provides expressions for the [...] Read more.
A theoretical model for porous viscoelastoplastic (VEP) materials in the dry state is investigated in this research study. The model is based on the principles of conservation of mass and energy using the rheological dynamic theory (RDT). The model provides expressions for the creep coefficient, Poisson’s ratio, modulus of elasticity, damage variable, and strength as a function of porosity and/or void volume fraction (VVF). The reliability of the proposed model was analyzed by comparing numerical results with experimental ones on hardened concrete. A numerical model was created and analyzed in the commercial software Abaqus and validated by comparison with experimental data obtained by geodetic measurements on a composite wood–lightweight concrete girder. The deflections and stresses of the beam resulting from the influence of concrete creep and porosity were analyzed at the initial moment of time and after 6 years. The results showed that the RDT provided a reliable model for estimating parameters after exposure to long-term loads. Full article
Show Figures

Figure 1

22 pages, 17052 KB  
Article
Assessing the Impact of Street Visual Environment on the Emotional Well-Being of Young Adults through Physiological Feedback and Deep Learning Technologies
by Wei Zhao, Liang Tan, Shaofei Niu and Linbo Qing
Buildings 2024, 14(6), 1730; https://doi.org/10.3390/buildings14061730 - 9 Jun 2024
Cited by 9 | Viewed by 3794
Abstract
Investigating the impact of street visual environments on young adults’ emotions is crucial for the promotion of walkable and healthy streets. However, the applicability and accuracy of existing studies are limited by a lack of large-scale sample validation. Moreover, many studies have determined [...] Read more.
Investigating the impact of street visual environments on young adults’ emotions is crucial for the promotion of walkable and healthy streets. However, the applicability and accuracy of existing studies are limited by a lack of large-scale sample validation. Moreover, many studies have determined emotions through subjective evaluation methods or relied solely on a single physiological indicator to assess levels of emotional arousal, neglecting the significance of emotional valence. In response, this study aims to enhance our understanding of the emotional impact of street visual environments by employing a method that integrates physiological feedback technology and deep learning. We collected videos of 100 streets from five districts in Chengdu to serve as experimental stimuli, and utilizing physiological feedback technology, we gathered data on electrocardiograms (ECG), electrodermal activity (EDA), and respiratory responses (RESP) from 50 participants as they observed these street environments. Subsequently, we applied deep learning techniques to process the video and physiological data, ultimately obtaining 500 data entries on street visual environment elements and 25,000 data entries on emotional arousal and valence. Additionally, we established multiple linear regression and multinomial logistic regression models to explore the relationship between visual street environments and emotions. The results reveal that elements such as green view factor (GVF), sky view factor (Sky VF), and sidewalk view factor (SVF) not only reduce emotional arousal levels but also facilitate the shift from negative to positive emotions, positively affecting emotional regulation. In contrast, visual enclosure (VE), vehicle view factor (VVF), and person view factor (PVF) are associated with negative emotional arousal, adversely affecting emotional valence. Moreover, the impact of specific visual environmental elements on different emotional states may vary. This study introduces a novel, multidisciplinary approach to accurately quantify the relationship between the environment and emotions, providing significant theoretical and practical insights for the development of healthier cities. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
Show Figures

Figure 1

7 pages, 841 KB  
Case Report
Diagnostic and Therapeutic Challenges of Oligosymptomatic Vesicovaginal Fistula in the Complex Case of Endometriosis
by Agnieszka A. Strojny, Arkadiusz Baran, Katarzyna Wiejak, Anna Scholz and Radosław B. Maksym
Clin. Pract. 2024, 14(2), 436-442; https://doi.org/10.3390/clinpract14020033 - 12 Mar 2024
Cited by 2 | Viewed by 2818
Abstract
Endometriosis is a complex condition causing surgical challenges, sometimes leading to urogynecological complications, the diagnosis and treatment of which are not always obvious. We present a case of a 46-year-old woman with a history of severe endometriosis and adenomyosis who developed an oligosymptomatic [...] Read more.
Endometriosis is a complex condition causing surgical challenges, sometimes leading to urogynecological complications, the diagnosis and treatment of which are not always obvious. We present a case of a 46-year-old woman with a history of severe endometriosis and adenomyosis who developed an oligosymptomatic vesicovaginal fistula (VVF) as a complication of surgery. The patient’s medical history included multiple surgeries for endometriosis, a cesarean section, and a laparoscopic hysterectomy. After the excision of the full-thickness infiltration of the urinary bladder, she experienced postoperative bowel obstruction treated by laparotomy. Subsequent urinary complications of bladder healing were eventually recognized as oligosymptomatic VVF. Symptoms of VVFs may vary, making a diagnosis challenging, especially when the lesion is narrow. Imaging techniques such as cystoscopy and cystography are helpful for diagnosis. The treatment options for VVFs range from surgical repair to conservative methods, like bladder catheterization, hormonal therapy, and platelet-rich plasma (PRP) injections, depending on the lesions’ size and location. In this case, the patient’s VVF was treated with PRP injections, a low-invasive method in urogynecology. PRP, known for its pleiotropic role, is increasingly used in medicine, including gynecology. The patient’s fistula closed after 6 weeks from the PRP session, highlighting the potential of this conservative treatment modality. Full article
(This article belongs to the Topic Pathology and Current State of Treatment of Chronic Pain)
Show Figures

Figure 1

20 pages, 12103 KB  
Article
Vertebro-Vertebral Arteriovenous Fistulae: A Case Series of Endovascular Management at a Single Center
by Pattarawit Withayasuk, Ritthikrai Wichianrat, Boonrerk Sangpetngam, Thaweesak Aurboonyawat, Ekawut Chankaew, Saowanee Homsud and Anchalee Churojana
Diagnostics 2024, 14(4), 414; https://doi.org/10.3390/diagnostics14040414 - 13 Feb 2024
Cited by 5 | Viewed by 3673
Abstract
Objective: Vertebro-vertebral arteriovenous fistulae (VVFs) are a rare disorder characterized by a direct shunt between the extracranial vertebral artery and the veins of the vertebral venous plexus. This study aims to comprehensively review the characteristics and outcomes of endovascular treatments for VVFs at [...] Read more.
Objective: Vertebro-vertebral arteriovenous fistulae (VVFs) are a rare disorder characterized by a direct shunt between the extracranial vertebral artery and the veins of the vertebral venous plexus. This study aims to comprehensively review the characteristics and outcomes of endovascular treatments for VVFs at our center. Methods: A retrospective review was conducted on 14 patients diagnosed with a VVF who underwent endovascular treatment at Siriraj Hospital from January 2000 to January 2023. The study assessed patient demographics, presentation, fistula location, treatment strategies, endovascular techniques employed, and treatment outcomes. Results: Among the 14 patients, 11 (78.6%) were female, with an age range from 25 to 79 years (median: 50 years). Spontaneous VVFs were observed in 64.3% of the cases, including three associated with neurofibromatosis type 1 (NF-1). Iatrogenic injury accounted for two cases, and three patients had VVFs resulting from traffic accidents. A pulsatile neck mass and tinnitus, with or without neurological deficits, were common presenting symptoms. Active bleeding was observed in three cases with vascular injury, while unilateral proptosis, congestive heart failure, and incidental findings each presented in one patient. All the VVFs were successfully obliterated without major treatment complications. Parent vessel sacrifice was performed in 85.7% of the cases, while vertebral artery preservation was achieved in the remaining two patients. Embolic materials included detachable balloons, detachable coils, and n-butyl cyanoacrylate (NBCA) glue. All the presenting symptoms showed improvement, and no morbidity or mortality was observed. Conclusions: Endovascular embolization is a feasible and effective approach for achieving complete VVF obliteration with safety. Parent artery sacrifice should not be reluctantly performed, particularly when adequate collateral circulation is demonstrated. Full article
(This article belongs to the Special Issue Advances in Cerebrovascular Imaging and Interventions)
Show Figures

Figure 1

19 pages, 3111 KB  
Article
Impacts of Selenium–Chitosan Treatment on Color of “Red Globe” Grapes during Low-Temperature Storage
by Wei Wang, Yaping Liu, Jianbing Di, Yu Wang, Bing Deng, Jiali Yang, Zezhen Li and Lixin Zhang
Foods 2024, 13(3), 499; https://doi.org/10.3390/foods13030499 - 4 Feb 2024
Cited by 10 | Viewed by 2843
Abstract
Maintaining the vibrant color of fruit is a longstanding challenge in fruit and vegetable preservation. Chitosan and selenium, known for their protective and antioxidant properties, have been applied to preserve these produce. This study aimed to investigate the influence of selenium–chitosan treatment (comprising [...] Read more.
Maintaining the vibrant color of fruit is a longstanding challenge in fruit and vegetable preservation. Chitosan and selenium, known for their protective and antioxidant properties, have been applied to preserve these produce. This study aimed to investigate the influence of selenium–chitosan treatment (comprising 25 mg L−1 selenium and 1.0% chitosan) on the color of “Red Globe” grapes and to analyze the relative expression of genes associated with anthocyanin synthesis enzymes (VvCHS, VvCHI, VvF3H, VvF3′H, VvF3′5′H, VvDFR, VvLDOX, VvUFGT, VvOMT, Vv5GT, and VvGST) using RT-qPCR. Our goal was to uncover the regulatory mechanisms governing grape color. Comparing various treatments, we observed that selenium–chitosan treatment had a significant effect in reducing decay, maintaining the soluble solids content of grape flesh, and preserving the vivid color of grape. This research indicated that selenium–chitosan treatment slowed down browning and prevented the reduction in total phenolic, flavonoids, and anthocyanin in the grape. Moreover, gene expression analysis revealed that selenium–chitosan treatment increased the expression of VvCHS, VvF3H, VvF’3′H, VvLDOX, and Vv5GT, while also stabilized the expression of VvCHI, VvF3′H, and VvDFR in grape skins. These findings shed light on the potential mechanism by which selenium–chitosan impacts grape color. This study established a theoretical foundation for investigating the molecular mechanisms behind selenium–chitosan’s ability to slow down grape browning and provides a novel approach to enhancing fruit and vegetable preservation techniques. Full article
(This article belongs to the Section Food Packaging and Preservation)
Show Figures

Figure 1

17 pages, 9580 KB  
Article
Analysis of Cavitation-Induced Unsteady Flow Conditions in Francis Turbines under High-Load Conditions
by Haobo Wang, Daqing Zhou, An Yu and Junxun Guo
Processes 2024, 12(1), 72; https://doi.org/10.3390/pr12010072 - 28 Dec 2023
Cited by 7 | Viewed by 3117
Abstract
Hydraulic vibrations in Francis turbines caused by cavitation profoundly impact the overall hydraulic performance and operational stability. Therefore, to investigate the influence of cavitation phenomena under high-load conditions, a three-dimensional unsteady numerical simulation is carried out for a Francis turbine with different head [...] Read more.
Hydraulic vibrations in Francis turbines caused by cavitation profoundly impact the overall hydraulic performance and operational stability. Therefore, to investigate the influence of cavitation phenomena under high-load conditions, a three-dimensional unsteady numerical simulation is carried out for a Francis turbine with different head operating conditions, which is combined with the SST k-w turbulence model and two-phase flow cavitation model to capture the evolution of cavitation under high-load conditions. Additionally, utilizing entropy production theory, the hydraulic losses of the Francis turbine during cavitation development are assessed. Contrary to the pressure-drop method, the entropy production theory can quantitatively reflect the characteristics of the local hydraulic loss distribution, with a calculated error coefficient τ not exceeding 2%. The specific findings include: the primary sources of energy loss inside the turbine are the airfoil cavitation and cavitation vortex rope, constituting 26% and 71% of the total hydraulic losses, respectively. According to the comparison with model tests, the vapor volume fraction (VVF) inside the draft tube fluctuates periodically under high-load conditions, causing low-frequency pressure pulsation in the turbine’s power, flow rate, and other external characteristic parameters at 0.37 Hz, and the runner radial force fluctuates at a frequency of 1.85 Hz. Full article
(This article belongs to the Special Issue State-of-the-Art Energy Conversion and Storage)
Show Figures

Figure 1

12 pages, 3307 KB  
Review
Vesicovaginal Fistulas: Prevalence, Impact, and Management Challenges
by Orawee Chinthakanan, Pokket Sirisreetreerux and Apisith Saraluck
Medicina 2023, 59(11), 1947; https://doi.org/10.3390/medicina59111947 - 3 Nov 2023
Cited by 25 | Viewed by 19308
Abstract
Background and Objectives: Vesicovaginal fistulas (VVFs) are an abnormal communication between the vagina and bladder and the most common type of acquired genital fistulas. This review will address the prevalence, impact, and management challenges of VVFs. Materials and Methods: Epidemiologic studies examining VVFs [...] Read more.
Background and Objectives: Vesicovaginal fistulas (VVFs) are an abnormal communication between the vagina and bladder and the most common type of acquired genital fistulas. This review will address the prevalence, impact, and management challenges of VVFs. Materials and Methods: Epidemiologic studies examining VVFs are considered. In addition, publications addressing the treatment of VVFs are reviewed. Results: VVFs in developing countries are often caused by obstructed labor, while most VVFs in developed countries have iatrogenic causes, such as hysterectomy, radiation therapy, and infection. The reported prevalence of VVFs is approximately 1 in 1000 post-hysterectomy patients and 1 in 1000 deliveries. VVFs affect every aspect of quality of life, including physical, mental, social, and sexual aspects. Prevention of VVFs is essential. Early diagnosis is necessary to reduce morbidity. Nutrition, infection control, and malignancy detection are important considerations during evaluation and treatment. Conservative and surgical treatment options are available; however, these approaches should be customized to the individual patient. The success rate of combined conservative and surgical treatments exceeds 90%. Conclusions: VVFs are considered debilitating and devastating. However, they are preventable and treatable; key factors include the avoidance of prolonged labor, careful performance of gynecologic surgery, and early detection. Full article
(This article belongs to the Section Obstetrics and Gynecology)
Show Figures

Figure 1

11 pages, 335 KB  
Review
Gynecological Fistulae—Has Anything Changed in the Diagnosis and Treatment over the Last Decade? A Narrative Literature Review
by Marek Misiak, Michalina Dworak, Małgorzata Wyszomirska, Maria Kurt, Maciej Walędziak and Anna Różańska-Walędziak
Medicina 2023, 59(8), 1455; https://doi.org/10.3390/medicina59081455 - 12 Aug 2023
Cited by 7 | Viewed by 3984
Abstract
Gynecological fistulae are a rare but severe complication of radiation therapy, pelvic surgery, prolonged labor, cesarean deliveries, or inflammatory bowel diseases. A gynecological fistula is an abnormal pathway formed between the urinary and gynecological tract, most commonly located between the urinary bladder and [...] Read more.
Gynecological fistulae are a rare but severe complication of radiation therapy, pelvic surgery, prolonged labor, cesarean deliveries, or inflammatory bowel diseases. A gynecological fistula is an abnormal pathway formed between the urinary and gynecological tract, most commonly located between the urinary bladder and vagina. Vesico-uterine and vesicovaginal fistulae are an important health issue, common in women of reproductive age in developing countries with limited access to obstetrical care. Various surgical techniques have been described for VVF repair, depending on the location, severity, and cause of the fistula and the surgeon’s experience. The purpose of our review was to evaluate the present state of knowledge about the prevalence and treatment of gynecological fistulae. The PubMed scientific database was searched for original articles on the subject of gynecological fistulae that had been published between 2013 and 2023. Full article
(This article belongs to the Section Obstetrics and Gynecology)
10 pages, 2849 KB  
Article
Vaginal-Laparoscopic Repair (VLR) of Primary and Persistent Vesico-Vaginal Fistula: Description of a New Technique and Surgical Outcomes
by Roberto Tozzi, Giulia Spagnol, Matteo Marchetti, Giulia Montan, Carlo Saccardi and Marco Noventa
J. Clin. Med. 2023, 12(5), 1760; https://doi.org/10.3390/jcm12051760 - 22 Feb 2023
Cited by 8 | Viewed by 4143
Abstract
The main aim of our study was to describe the surgical technique and evaluate the feasibility, efficacy and safety of a vaginal-laparoscopic repair (VLR) of iatrogenic vesico-vaginal fistulae (VVF). Between April-2009 and November-2017, we retrospectively reviewed all clinical, radiological and surgical details of [...] Read more.
The main aim of our study was to describe the surgical technique and evaluate the feasibility, efficacy and safety of a vaginal-laparoscopic repair (VLR) of iatrogenic vesico-vaginal fistulae (VVF). Between April-2009 and November-2017, we retrospectively reviewed all clinical, radiological and surgical details of surgery for benign or malignant disease and ended up with VVF. All patients were diagnosed by CT urogram, cystogram and clinical test. The surgical technique was standardised and is described here. Eighteen patients developed VVF after hysterectomy, three after caesarean section and three after hysterectomy and pelvic lymphadenectomy. Twenty-two patients had an average 3 (range 1–5) attempts at fistula repair in other hospitals. In one patient, five attempts were made. The mean size of the fistula was 2.4 cm (range 0.7–3.1 cm). A median 8 weeks (6–16) conservative management with Foley catheter failed in all patients. No conversion to laparotomy and no complication occurred at VLR. Median hospitalisation was 1.4 days (range 1–3). The latter confirmed all patients were dry and tested negative at a repeated filling test. At 36 months follow-up, all patients remained dry. In conclusion, VLR successfully repaired VVF in all patients with primary and persistent VVF. The technique was safe and effective. Full article
(This article belongs to the Section Obstetrics & Gynecology)
Show Figures

Figure 1

45 pages, 1972 KB  
Article
Numerical Simulation of Rheological Models for Complex Fluids Using Hierarchical Grids
by Hugo A. Castillo-Sánchez, Leandro F. de Souza and Antonio Castelo
Polymers 2022, 14(22), 4958; https://doi.org/10.3390/polym14224958 - 16 Nov 2022
Cited by 9 | Viewed by 4429
Abstract
In this work, we implement models that are able to describe complex rheological behaviour (such as shear-banding and elastoviscoplasticity) in the HiGTree/HiGFlow system, which is a recently developed Computational Fluid Dynamics (CFD) software that can simulate Newtonian, Generalised-Newtonian and viscoelastic flows using finite [...] Read more.
In this work, we implement models that are able to describe complex rheological behaviour (such as shear-banding and elastoviscoplasticity) in the HiGTree/HiGFlow system, which is a recently developed Computational Fluid Dynamics (CFD) software that can simulate Newtonian, Generalised-Newtonian and viscoelastic flows using finite differences in hierarchical grids. The system uses a moving least squares (MLS) meshless interpolation technique, allowing for more complex mesh configurations while still keeping the overall order of accuracy. The selected models are the Vasquez-Cook-McKinley (VCM) model for shear-banding micellar solutions and the Saramito model for viscoelastic fluids with yield stress. Development of solvers and numerical simulations of inertial flows of these models in 2D channels and planar-contraction 4:1 are carried out in the HiGTree/HiGFlow system. Our results are compared with those predicted by two other methodologies: the OpenFOAM-based software RheoTool that uses the Finite-Volume-Method and an in-house code that uses the Vorticity-Velocity-Formulation (VVF). We found an excellent agreement between the numerical results obtained by these three different methods. A mesh convergence analysis using uniform and refined meshes is also carried out, where we show that great convergence results in tree-based grids are obtained thanks to the finite difference method and the meshless interpolation scheme used by the HiGFlow software. More importantly, we show that our methodology implemented in the HiGTreee/HiGFlow system can successfully reproduce rheological behaviour of high interest by the rheology community, such as non-monotonic flow curves of micellar solutions and plug-flow velocity profiles of yield-stress viscoelastic fluids. Full article
(This article belongs to the Special Issue Research on Polymer Simulation, Modeling and Computation)
Show Figures

Figure 1

13 pages, 2375 KB  
Article
Multiparametric Magnetic Resonance Imaging for Immediate Target Hit Assessment of CD13—Targeted Tissue Factor tTF-NGR in Advanced Malignant Disease
by Mirjam Gerwing, Tobias Krähling, Christoph Schliemann, Saliha Harrach, Christian Schwöppe, Andrew F. Berdel, Sebastian Klein, Wolfgang Hartmann, Eva Wardelmann, Walter L. Heindel, Georg Lenz, Wolfgang E. Berdel and Moritz Wildgruber
Cancers 2021, 13(23), 5880; https://doi.org/10.3390/cancers13235880 - 23 Nov 2021
Cited by 6 | Viewed by 3125
Abstract
Early assessment of target hit in anti-cancer therapies is a major task in oncologic imaging. In this study, immediate target hit and effectiveness of CD13-targeted tissue factor tTF-NGR in patients with advanced malignant disease enrolled in a phase I trial was assessed using [...] Read more.
Early assessment of target hit in anti-cancer therapies is a major task in oncologic imaging. In this study, immediate target hit and effectiveness of CD13-targeted tissue factor tTF-NGR in patients with advanced malignant disease enrolled in a phase I trial was assessed using a multiparametric MRI protocol. Seventeen patients with advanced solid malignancies were enrolled in the trial and received tTF-NGR for at least one cycle of five daily infusions. Tumor target lesions were imaged with multiparametric MRI before therapy initiation, five hours after the first infusion and after five days. The imaging protocol comprised ADC, calculated from DWI, and DCE imaging and vascular volume fraction (VVF) assessment. DCE and VVF values decreased within 5 h after therapy initiation, indicating early target hit with a subsequent decrease in tumor perfusion due to selective tumor vessel occlusion and thrombosis induced by tTF-NGR. Simultaneously, ADC values increased at five hours after tTF-NGR administration. In four patients, treatment had to be stopped due to an increase in troponin T hs, with subsequent anticoagulation. In these patients, a reversed effect, with DCE and VVF values increasing and ADC values decreasing, was observed after anticoagulation. Changes in imaging parameters were independent of the mean vessel density determined by immunohistochemistry. By using a multiparametric imaging approach, changes in tumor perfusion after initiation of a tumor vessel occluding therapy can be evaluated as early as five hours after therapy initiation, enabling early assessment of target hit. Full article
(This article belongs to the Special Issue Biomarkers in Interventional Oncology)
Show Figures

Figure 1

Back to TopTop