Search Results (578)

Background/Objectives: Pulmonary vein isolation (PVI) via cryoballoon ablation (CBA) is a recommended therapeutic strategy for patients with symptomatic paroxysmal and persistent atrial fibrillation (AF) who are refractory to antiarrhythmic drugs. Although PVI has demonstrated efficacy in reducing AF recurrence and improving patients’ quality of life, its impact on respiratory function is not well understood, particularly in patients with comorbid conditions. The aim of the study was to search for functional predictors of the respiratory system in the process of evaluating the efficiency of clinical assessment of CBA in patients with AF. Methods: We conducted a prospective study on 42 patients with symptomatic AF who underwent CBA, assessing their respiratory function through spirometry before and 30 days after the procedure. Exclusion criteria included pre-existing lung disease and cardiac insufficiency. The impact of variables such as body mass index (BMI), coronary artery disease (CAD) and heart failure (HF) on spirometry parameters was analyzed using statistical tests. Results: No significant changes were observed in overall post-PVI spirometry parameters for the full cohort. However, post hoc analyses revealed a significant decline in ΔMEF₇₅ in patients with CAD and BMI ≥ 30 kg/m², whereas ΔFEV₁/FVCex was significantly increased in patients with HF, as well as in patients with ejection fraction (EF) < 50%. Conclusions: CBA for AF does not universally affect respiratory function in the short term, but specific subgroups, including patients with CAD and a higher BMI, may require post-procedure respiratory monitoring. In addition, PVI may improve lung function in patients with HF and reduced EF. Full article

Background/Objectives: Sarcopenia is defined by the progressive loss of muscle mass, strength, and/or physical performance associated with aging. Radiofrequency ablation (RFA) of the medial branch nerves is a well-established and effective treatment for lumbar facetogenic pain. While sarcopenia is associated with poor outcomes following epidural steroid injections and lumbar spine surgeries, its impact on clinical outcomes in patients undergoing RFA for facetogenic pain remains unexplored. This study aims to evaluate the influence of sarcopenia on treatment outcomes in this patient cohort. Methods: Patients were classified into sarcopenia (n = 35) and non-sarcopenia groups (n = 67) based on predefined psoas muscle index (PMI) thresholds. The primary outcomes included changes in back pain intensity and the proportion of responders at 1, 3, and 6 months following RFA. The secondary outcome was to identify demographic, clinical, and sarcopenia-related factors predictive of treatment response at each follow-up interval. Results: Both groups demonstrated statistically significant improvements in pain scores compared to baseline at all follow-up points. However, the median pain scores at 3 months post-RFA remained significantly higher in the sarcopenia group. Despite this, the proportion of responders did not differ significantly between the two groups at any time point. At 3 months, the absence of prior spinal surgery was identified as a significant predictor of treatment response. At 6 months, favorable outcomes were significantly associated with the absence of diabetes, no history of spinal surgery, and a higher PMI. Conclusions: Sarcopenia may influence the extent of pain improvement following medial branch nerve RFA. Additionally, patient-specific factors, such as diabetes, prior spinal surgery, and PMI, should be considered when predicting treatment outcomes. Full article

This paper explores the impact of applying a powder additive in the form of halloysite and mullite on the thermal protection properties of a composite. The authors used CES R70 epoxy resin with CES H72 hardener, modified by varying the amount of powder additive. The composite samples were exposed to a mixture of combustible gases at a temperature of approximately 1000 °C. The primary parameters analyzed during this study were the temperature on the rear surface of the sample and the ablative mass loss of the tested material. The temperature increase on the rear surface of the sample, which was exposed to the hot stream of flammable gases, was measured for 120 s. Another key parameter considered in the data analysis was the ablative mass loss. The charred layer of the sample played a crucial role in this process, as it helped block oxygen diffusion from the boundary layer of the original material. This charred layer absorbed thermal energy until it reached a temperature at which it either oxidized or was mechanically removed due to the erosive effects of the heating factor. The incorporation of mullite reduced the rear surface temperature from 58.9 °C to 49.2 °C, and for halloysite, it was reduced the rear surface temperature to 49.8 °C. The ablative weight loss dropped from 57% to 18.9% for mullite and to 39.9% for halloysite. The speed of mass ablation was reduced from 77.9 mg/s to 25.2 mg/s (mullite) and 52.4 mg/s (halloysite), while the layer thickness loss decreased from 7.4 mm to 2.8 mm (mullite) and 4.4 mm (halloysite). This research is innovative in its use of halloysite and mullite as functional additives to enhance the ablative resistance of polymer composites under extreme thermal conditions. This novel approach not only contributes to a deeper understanding of composite behavior at high temperatures but also opens up new avenues for the development of advanced thermal protection systems. Potential applications of these materials include aerospace structures, fire-resistant components, and protective coatings in environments exposed to intense heat and flame. Full article

Arsenic (As) and cadmium (Cd) in rice grains are major global food safety concerns. Iron (Fe) can help reduce both, but current Fe treatments suffer from poor stability, low leaf absorption, and fast soil immobilization, with unclear underlying mechanisms. To address these issues, an Fe-based metal–organic framework (MIL-88) was modified with sodium alginate (SA) to form MIL-88@SA. Its stability as a foliar inhibitor and its leaf absorption were tested, and its effects on As and Cd accumulation in rice were compared with those of soluble Fe (FeCl₃) and chelating Fe (HA + FeCl₃) in a field study on As–Cd co-contaminated rice paddies. Compared with the control, MIL-88@SA outperformed or matched the other Fe treatments. A single foliar spray during the tillering stage increased the rice yield by 19% and reduced the inorganic As and Cd content in the grains by 22.8% and 67.8%, respectively, while the other Fe treatments required two sprays. Its superior performance was attributed to better leaf affinity and thermal stability. Laser ablation inductively coupled plasma–mass spectrometry (LA–ICP–MS) and confocal laser scanning microscopy (CLSM) analyses revealed that Fe improved photosynthesis and alleviated As–Cd stress in leaves, MIL-88@SA promoted As and Cd redistribution, and Fe–Cd co-accumulation in leaf veins enhanced Cd retention in leaves. Full article

Background: Epicardial adipose tissue (EAT) may contribute to the pathogenesis of atrial fibrillation (AF). The attenuation of EAT assessed by means of computed tomography (CT) may reflect the severity of local tissue inflammation. This study aimed to systematically analyze the relationship between the attenuation of EAT surrounding the left atrium (LA-EAT) and AF recurrence after catheter ablation (CA). Methods: Five databases were searched up to April 10, 2025. Original studies involving adult patients with paroxysmal or persistent AF undergoing CA were included if they provided quantitative measurements of LA-EAT attenuation on cardiac CT before ablation. Results: A total of seven retrospective observational studies with 2440 patients were included in the analysis. The percentage of male participants ranged from 60.9% to 73.0%, and the mean or median age of patients varied from 57.5 to 68.2 years. The mean body mass index across studies ranged from 24.0 to 32.4 kg/m². A pooled analysis of all included trials demonstrated that the mean LA-EAT attenuation in the AF recurrence group was −78.97 ± 15.34 HU, which was less negative compared to the non-recurrence group (−81.37 ± 15.46 HU; mean difference [MD] = 2.22; 95% confidence interval [CI]: 0.84 to 3.61; p = 0.002). Conclusions: LA-EAT attenuation is significantly more positive in patients experiencing AF recurrence compared to those without recurrence following CA procedures. Full article

Sediment fingerprinting was utilized to identify potential hotspots of soil erosion and sediment transport pathways in the Nile Nyabarongo Upper Catchment (NNYU) in Rwanda, where rivers and reservoirs are suffering from alarmingly high levels of sedimentation. Sediment fingerprinting is a practical approach used to identify erosional hotspots and sediment transport processes in highly mountainous regions undergoing swift land use transformation. This technique involves a statistical comparison of the elemental composition of suspended sediments in river water with the elemental composition of soils belonging to different geological formations present in the catchment, thereby determining the sources of the suspended sediment. Suspended sediments were sampled five times over dry and wet seasons in all major headwater tributaries, as well as the main river channel, and compared with soils from respective delineated watersheds. Elemental composition was obtained using laser ablation inductively coupled plasma mass spectrometry, and elements were chosen that could reliably distinguish between the various geological types. The final results indicate different levels of sediment contribution from different geological types. A three-level intervention priority system was devised, with Level 1 indicating the areas with the most serious erosion. Potential sources were located on an administrative map, with the highest likely erosion over the study period (Level 1) occurring in Kabuga cell in the Mwogo sub-catchment, Nganzo and Nyamirama cells in the Nyagako sub-catchment and Kanyana cell in the NNYU downstream sub-catchment. This map enables the pinpointing of site visits in an extensive and rugged terrain to verify the areas and causes of erosion and the pathways of sediment transport. Sediment concentrations (mg L⁻¹) were the highest in the Secoko and Satinsyi tributaries. The composition of suspended sediment was seen to be temporally and spatially dynamic at each sampling point, suggesting the need for an adequate number of sampling locations to identify erosion hotspots in a large mountainous watershed. Apart from prioritizing rehabilitation locations, the detailed understanding of critical zone soil–land cover–climate processes is an important input for developing region-specific watershed management and policy guidelines. Full article

Using low-cost transition-metal chlorides and furfuryl alcohol as raw materials, the (TiZrHfNbTa)C precursor was prepared, and a three-dimensional braided carbon fiber preform (C/C) coated with pyrolytic carbon (PyC) was used as the reinforcing material. A C/C-(TiZrHfNbTa)C composite was successfully fabricated through the precursor impregnation pyrolysis (PIP) process. Under extreme oxyacetylene ablation conditions (2311 °C/60 s), this composite material demonstrated outstanding ablation resistance, with a mass ablation rate as low as 0.67 mg/s and a linear ablation rate of only 20 μm/s. This excellent performance can be attributed to the dense (HfZr)₆(TaNb)₂O₁₇ oxide layer formed during ablation. This oxide layer not only has an excellent anti-erosion capability but also effectively acts as an oxygen diffusion barrier, thereby significantly suppressing further ablation and oxidation within the matrix. This study provides an innovative strategy for the development of low-cost ultra-high-temperature ceramic precursors and opens up a feasible path for the efficient preparation of C/C-(TiZrHfNbTa)C composites. Full article

The Dulong deposit in Wenshan, southeastern Yunnan Province, is rich in zinc, tin, and copper resources, accompanied by rare metals such as indium and silver. It is a particularly important indium production base, with reserves of approximately 7000 tons, ranking first globally. Enrichment and recovery of indium-bearing minerals are mainly achieved through mineral processing technology. However, the recovery rate of indium in the Dulong concentrator remains relatively low, and there is an insufficient understanding of its occurrence state and distribution characteristics, resulting in marked indium resource wastage. Here, we conducted a systematic process mineralogy study on indium-bearing polymetallic ore in the Dulong concentrator. The average grade of indium in the ore is 43.87 g/t, mainly occurring in marmatite (63.63%), supplemented by that in silicate minerals (23.31%), chalcopyrite (7.84%), and pyrrhotite (4.22%). The indium has a relatively dispersed distribution, which is inconducive to enrichment and recovery. The substitution mechanism of indium in marmatite was investigated using laser ablation inductively coupled plasma mass spectrometry. This revealed a positive correlation between indium and copper, allowing us to revise the substitution relationship to: ${\mathrm{Zn}}_x\mathrm{S}+{\mathrm{Cu}}^{+}+{\mathrm{In}}^{3+}\to {\mathrm{Zn}}_{\mathrm{x}-2}\mathrm{CuInS}+2{\mathrm{Zn}}^{2+}$ or ${\mathrm{Zn}}_{\mathrm{x}-1}\mathrm{FeS}+{\mathrm{Cu}}^{+}+{\mathrm{In}}^{3+}\to {\mathrm{Zn}}_{\mathrm{x}-2}\mathrm{CuInS}+{\mathrm{Zn}}^{2+}+{\mathrm{Fe}}^{2+}$. Electron probe microanalysis revealed the presence of roquesite (CuInS₂), an independent indium mineral not previously reported from this deposit. Our detailed investigation of the Dulong concentrator mineral processing technology showed that the recovery rate of indium from marmatite is currently poor, at only 48.01%. To improve the comprehensive utilization rate of indium resources, it will be necessary to further increase the recovery rate from marmatite and explore the flotation recovery of indium from chalcopyrite and pyrrhotite. Full article

This study systematically investigates for the first time the effects of dual-site co-cultivation on spectral characteristics and trace element enrichment in marine-cultured Akoya pearls from Beihai, China. Akoya pearls were cultured over a one-year period, with the final 40-day stage designated as the terminal phase. During this period, two experimental groups of pearl oysters were established: Group Y remained in Beihai for continued local cultivation and harvest, while Group B was transferred to Weihai, Shandong Province, for terminal-stage farming under different thermal conditions. A series of comparative analyses were performed using Fourier-transform infrared (FTIR) spectroscopy, ultraviolet-visible (UV-Vis) spectroscopy, Raman spectroscopy, X-ray fluorescence (XRF), and laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS). The FTIR results revealed distinct differences between the two groups in the distribution of amide and polysaccharide functional groups, particularly around 1643 cm⁻¹ and 1100 cm⁻¹. The UV-Vis spectra of Group B displayed characteristic absorption bands at 430 nm and 460 nm, associated with the organic matrix of the nacre. Raman spectroscopy further indicated a higher abundance of organic-related vibrational features in Group B. Additionally, both XRF and LA-ICP-MS analyses consistently showed significant differences in the concentrations and distributions of trace elements, particularly copper (Cu), cobalt (Co), and zinc (Zn). The findings demonstrate that the dual-site co-cultivation mode significantly impacts both the organic composition and trace element enrichment patterns in seawater Akoya pearls. This research provides valuable references for optimizing environmental parameters in pearl cultivation processes. Full article

In this paper, magnetically responsive graphene/boron nitride/iron oxide fillers were prepared by growing iron oxide on the surface of graphene/boron nitride fillers via liquid-phase reaction. By adding the composite filler into the epoxy resin and utilising magnetic field-assisted curing, the composites were prepared to effectively improve the thermal conductivity of the composites while maintaining the insulating properties. The thermal conductivity of the composite filler is 2.1 Wm⁻¹K⁻¹, and the volume resistance is 4.63 × 10¹² Ω·cm when the mass ratio of the composite filler is 25%, and the thermal stability and ablation resistance of the composites are improved compared with that of the pure epoxy resin. Full article

Limited surface energy and mass flux data hinder the understanding of glacier retreat mechanisms on the Qinghai–Tibet Plateau (QTP). Glaciers in the west Nyainqentanglha Range (WNR) supply meltwater to the densely populated Lhasa River basin (LRB) and Nam Co, the QTP’s second-largest endorheic lake. In this study, we used a glacier mass balance model based on the degree-day method (GMB-DDM) to understand the response of glacier changes to climate warming. The spatiotemporal variation in degree-day factors for ice (DDF_ice; plural form: DDFs_ice) was assessed to characterize the sensitivity of glacier melt to warming over 44 years in the WNR. Our results demonstrate that the GMB_DDM effectively captured the accelerated mass loss and regional heterogeneity of WNR glaciers from 2000 to 2020, particularly the intensified negative balance after 2014. Moreover, glacier ablation was more sensitive to warming in the WNR during 2000–2020 than 1976–2000, with DDF_ice increases of 21% ± 8% in the LRB and 31% ± 10% in the Nam Co basin (NCB). Increased precipitation during the ablation season and reduced glacier surface albedo can explain the increased sensitivity to warming during 2000–2020. These findings could support sustainable water resource management in the LRB, NCB, and the surrounding areas of the QTP. Full article

Renal cell carcinoma (RCC) is the most prevalent solid organ malignancy among kidney transplant recipients, demonstrating substantially higher incidence rates compared to those in the general population. Although RCC is most commonly diagnosed in native kidneys, its development in transplanted kidneys has an infrequent occurrence. The use of immunosuppressive therapies, pre-existing chronic kidney disease and the unique anatomical characteristics of transplanted kidneys represent considerable therapeutic challenges in managing RCC within this patient cohort. Open radical transplantectomy plays a crucial role in curative treatment for localized RCC, whereas nephron-sparing surgery (NSS), in selected cases, can provide similar oncologic benefits while preserving allograft function. Recently, laparoscopic and robotic surgical procedures have demonstrated favorable outcomes as viable alternatives to conventional open surgery. Furthermore, ablative therapies like radiofrequency ablation and cryoablation can be considered therapeutic alternatives for small renal masses, offering the benefit of preserving allograft function, especially in high-risk surgical candidates. Limited data exist regarding the management of metastatic RCC in transplant recipients. Surgery, withdrawal of immunosuppression and systemic adjuvant therapy could be considered. Management of RCC in transplanted kidneys requires a multidisciplinary approach considering patient-specific characteristics, tumor features and the developing landscape of both surgical and non-surgical options. Further research is needed to refine therapeutic strategies in order to achieve optimal oncological outcomes while preserving allograft function. Full article

During the operation of a solid rocket motor, the nozzle, which is a key component, is subjected to extreme conditions, including high temperatures, high-speed gas flow, and discrete-phase particles. For composite nozzles incorporating a carbon/carbon (C/C) throat liner and a carbon/phenolic expansion section, thermochemical ablation and the formation of ablation steps during the ablation process significantly hinder nozzle performance and engine operational stability. In this study, the fluid and solid domains and the physicochemical interactions between them during nozzle operation were analyzed. An innovative thermochemical ablation model for composite nozzles was developed to account for wall recession. The coupled model covered multi-component gas flow, heterogeneous chemical reactions on the nozzle surface, structural heat transfer, variations in material parameters induced by carbon/phenolic pyrolysis, and the dynamic recession process of the nozzle profile due to ablation. The model achieved coupling between gas flow, heterogeneous reactions, and structural heat transfer through interfacial mass and energy balance relationships. Based on this model, the distribution of the nozzle’s thermochemical ablation rate was analyzed to investigate the mechanisms underlying ablation step formation. Furthermore, detailed calculations and analyses were performed to determine the effects of the gas pressure, temperature, H₂O concentration, and aluminum concentration in the propellant on the ablation rate of the throat liner and the thickness of the ablation steps. This study provides a theoretical foundation for the thermal protection design and performance optimization of composite nozzles, improving the reliability and service life of solid rocket motor nozzles and advancing technological development. Full article

The Dehbid region, located in the southern part of the Sanandaj–Sirjan Zone (SSZ), is a significant iron oxide mining district with over 20 iron oxide deposits (IODs) and reserves of up to 50 million tons of iron oxide ores. The region features a NW–SE oriented ductile shear zone, parallel to the Zagros thrust zone, experienced significant deformation. Detailed structural studies indicate that the iron mineralization is primarily stratiform to stratabound and hosted in late Triassic to early Jurassic silicified dolomites and schists. These ore deposits consist of lenticular iron oxide orebodies and exhibit various structures and textures, including banded, laminated, folded, disseminated, and massive forms of magnetite and hematite. The Fe₂O₃ content in the mineralized layers varies from 30 to 91 wt%, whereas MnO has an average of 3.9 wt%. The trace elements are generally low, except for elevated concentrations of Cu (up to 4350 ppm) and Zn (up to 3270 ppm). Laser Ablation Inductively Coupled Plasma Mass Spectrometry (LA-ICP-MS) analysis of magnetite reveals high concentrations of Mg, Al, Si, Mn, Ti, Cu, and Zn, with significant depletion of elements such as Ga, Ge, As, and Nb. This study refutes the hypothesis of vein-like or hydrothermal genesis, providing evidence for a sedimentary origin based on the trace element geochemistry of magnetite and LA-ICP-MS geochemical data. The Dehbid banded iron ores (BIOs) are thought to have formed under geodynamic conditions similar to those of BIOs in back-arc tectonic settings. The combination of anoxic conditions, submarine hydrothermal iron fluxes, and redox fluctuations is essential for the formation of these deposits, suggesting that similar iron–manganese deposits can form during the Phanerozoic under specific geodynamic and oceanographic conditions, particularly in tectonically active back-arc environments. Full article

A combination of microstructural, fluid inclusion, and in situ sulfur isotopic analyses of pyrite, along with major and trace element studies of the mineralization-hosting sandstone, reveals the complexity of its genesis from the Jurassic Toutunhe Formation in the Liuhuanggou sandstone-hosted uranium deposit, Southern Junggar Basin. Based on field geological investigations and the geochemical characteristics, it is concluded that the source of the ore-bearing sandstones originates from felsic igneous rocks in the Northern Tianshan and Central Tianshan regions. Through optical microscopy and scanning electron microscopy (SEM), three generations of pyrite were identified: framboidal pyrite, concentric overgrown pyrite, and sub-idiomorphic to idiomorphic cement pyrite. The sulfur isotopes of the pyrite were analyzed using laser ablation multi-collector inductively coupled plasma mass spectrometry (LA-MC-ICP-MS). The results indicate that each type of pyrite has distinct sulfur isotope compositions (the framboidal pyrite: −16.85‰ to +2.16‰, the concentric overgrown pyrite: −7.86‰ to +10.32‰, the sub-idiomorphic to idiomorphic cement pyrite: +9.16‰ to +16.77‰). The framboidal pyrite and the sub-idiomorphic to idiomorphic cement pyrite were formed through bacterial sulfate reduction (BSR), while the concentric overgrown pyrite was formed through thermochemical sulfate reduction (TSR) triggered by the upward migration of hydrocarbons. The discovery of hydrocarbon inclusions provides evidence for the involvement of deep-seated reducing fluids in uranium mineralization. Uranium mineralization occurred in two distinct stages: (1) The early stage involved the interaction of uranium-bearing fluids with reductants in the mineralization-hosting strata under the influence of groundwater dynamics, leading to initial uranium enrichment. (2) The later stage involved the upward migration of deep-seated hydrocarbons along faults, which enhanced the reducing capacity of the sandstone and resulted in further uranium enrichment and mineralization. Full article