Search Results (17,585)

Water scarcity continues to challenge arid regions such as Egypt, where growing population demands, climate change impacts, and increasing agricultural pressures intensify the need for sustainable water management. Treated wastewater has emerged as a viable alternative resource, provided that the effluent meets stringent quality standards for safe reuse. The purpose of this study was to develop a comprehensive model of the Khorshed Wastewater Treatment Plant (KWWTP) to depict the processes used for biological nutrient removal. Operational data was gathered and examined over a period of 18 months to describe the quality of wastewater discharged by the Advanced Sequencing Batch Reactor (ASBR) of the plant, using specific physicochemical parameters like TSS, COD, BOD₅, and N-NO₃⁻. A process flow diagram integrating the Activated Sludge Model No. 1 (ASM1) for biological nutrient removal was created using the GPS-X. The study determined the parameters influencing the nutrient removal efficiency by analyzing the responsiveness of kinetic and stoichiometric parameters. Variables related to denitrification, autotrophic growth, and yield for heterotrophic biomass were the main focus of the calibration modifications. The results showed that the Root Mean Square Error (RMSE) for the dynamic-state was COD (0.02), BOD₅ (0.07), N-NO₃⁻ (0.75), and TSS (0.82), and for the steady state was COD (0.04), BOD₅ (0.11), N-NO₃⁻ (0.67), and TSS (0.10). Since the model’s accuracy was deemed acceptable, it provides a validated foundation for future scenario analysis and operational decision support that produces a trustworthy model for predicting effluent data for the concentrations of TSS, COD, BOD₅, and N-NO₃⁻ in steady state conditions. Dynamic validation further confirmed model reliability, despite modest discrepancies in TSS and nitrate predictions; addressing this issue necessitates further research. Full article

The textile industry is one of the largest consumers of water worldwide and generates highly complex and pollutant-rich textile wastewater (TWW). Due to its high load of recalcitrant organic compounds, dyes, salts, and heavy metals, TWW represents a major environmental concern and a challenge for conventional treatment processes. Among advanced alternatives, electrooxidation (EO) and membrane technologies have shown great potential for the efficient removal of dyes, organic matter, and salts. This review provides a critical overview of the application of EO and membrane processes for TWW treatment, highlighting their mechanisms, advantages, limitations, and performance in real industrial scenarios. Special attention is given to the integration of EO and membrane processes as combined or hybrid systems, which have demonstrated synergistic effects in pollutant degradation, fouling reduction, and water recovery. Challenges such as energy consumption, durability of electrode and membrane materials, fouling, and concentrate management are also addressed. Finally, future perspectives are proposed, emphasizing the need to optimize hybrid configurations and ensure cost-effectiveness, scalability, and environmental sustainability, thereby contributing to the development of circular water management strategies in the textile sector. Full article

Cisplatin, a platinum-based compound, is a cornerstone of modern chemotherapy and remains widely used against a variety of solid tumors, including testicular, ovarian, lung, bladder, and head and neck cancers. Its anticancer activity is primarily attributed to the formation of DNA crosslinks, which obstruct replication and repair, ultimately leading to apoptosis. However, the clinical value of cisplatin is constrained by two major challenges: its toxic profile and the development of resistance. Cisplatin toxicity arises from its interaction not only with tumor DNA but also with proteins and nucleic acids in healthy tissues, resulting in a range of adverse effects, including, but not limited to, nephrotoxicity, ototoxicity, neurotoxicity, and gastrointestinal injury. In pediatric patients, permanent hearing loss represents a particularly debilitating complication. On the other hand, tumor cells can evade cisplatin cytotoxicity through diverse mechanisms, including reduced intracellular drug accumulation, enhanced DNA repair, detoxification by thiol-containing molecules, and alterations in apoptotic signaling. These resistance pathways severely compromise treatment outcomes and often necessitate alternative or combination strategies. This review examines the chemical structure of cisplatin, the molecular mechanisms of cisplatin cytotoxicity and cisplatin-induced resistance, as well as the main applications in cancer management and the complications associated with its clinical use. Full article

Diabetes mellitus (DM) is a chronic disease characterised by chronic hyperglycaemia due to a defect in the production of or cell insensitivity to insulin. If left untreated, it might result in severe side effects such retinal, nephropathy, neuropathy, and cardiovascular disease. Extensive research has been made to develop more effective and less expensive alternatives to existing treatment regimes. This review aims to evaluate research done thus far to test the effect of Saccharomyces boulardii (S. boulardii or Sb) in treating DM and its complications. Searches were conducted using Scopus, Web of Science, PubMed and Google Scholar on 26 July 2025. Overall, 227 articles were identified, and 5 fulfilled the inclusion criteria. Results extracted were from two models of diabetes (type 1 and 2) and two strains of Sb. In type 1 diabetes models, a significant reduction in glycaemia was observed, while in type 2 diabetes models, a non-significant effect was noted, depending on the strain used. Furthermore, an improvement in cardiac function was observed through reduced heart rate variability, a decrease in blood pressure, an increase in C-peptide and hepatic glycogen stores, enhanced liver healing, a nephroprotective effect, as well as a reduction in oxidative stress, blood triglyceride levels, and the inflammatory response. Administration of Sb induced positive modulation of the intestinal microbiota, with a decrease in pathobionts in the stools. Overall, the few studies evaluated indicate that the use of Sb appears to be a promising approach to improve the management of diabetes and its associated metabolic and related complications. The protocol of this review is registered in PROSPERO under ID CRD420251012919. Full article

The increasing environmental impact of synthetic antifouling paints has stimulated the search for natural, eco-friendly alternatives. In this study, alcoholic and aqueous extracts of the macroalgae Ulva ohnoi and Asparagopsis taxiformis were evaluated for their antifouling potential on aluminum substrates representative of boat hulls. Extracts were applied to aluminum plates coated with gelcoat under three different surface conditions (non-worn, worn, highly worn). The treated panels were submerged at 5 m and biofilm and fouling development was monitored every 96 h using digital imaging and quantitative segmentation. All treated surfaces exhibited significantly lower fouling colonization than the untreated control (p < 0.001). Among treatments, the aqueous extract of A. taxiformis produced the lowest degree of colonization across all surface conditions, while U. ohnoi extracts showed moderate antifouling activity. Increased surface wear enhanced overall colonization but did not suppress extract efficacy. These results demonstrate that both algal species possess active compounds capable of inhibiting early biofilm formation on marine substrates. Although less potent than conventional biocidal coatings, their biodegradability and absence of ecotoxicity represent a substantial environmental advantage. Future studies should focus on the chemical characterization of active metabolites, the formulation of hybrid bio-based coatings, and long-term field testing under dynamic marine conditions. Full article

Background: Reconstruction of limbs with extensive bone loss often requires complex surgical procedures, which can be technically demanding, time-consuming, and physically and psychologically burdensome for patients. Historically, the lack of alternatives for large bone defects often led to primary amputation. Modern musculoskeletal practice allows for reconstruction using autologous or allogeneic bone grafts, or through more complex procedures such as the Masquelet technique or distraction osteogenesis. However, these methods share a common challenge: the need for a docking site procedure in cases of insufficient bony fusion of the transport segment. The aim of this study was to identify predictive factors for the need for a docking site procedure. Methods: A retrospective analysis was conducted on 93 patients treated for lower extremity bone defects between January 2013 and June 2023. Of these, 39 patients (41.9%) underwent segmental bone transport and formed the study cohort for the predictive model analysis. Patients of all ages and both genders were included, regardless of the etiology and size of the defect. The need for a docking site procedure was analyzed using logistic regression, ROC analysis, and ANOVA. Results: The study included 93 patients (73 male, 19 female) aged 7 to 83 years. The mean defect size was 76.46 mm (range: 12.1 to 225.1 mm). The mean transport duration was 149.97 days, with a mean transport speed of 0.61 mm/day. Among the 39 segmental transport patients, a docking site procedure was performed in 64.1% (n = 25). Logistic regression and ROC analysis were performed on this subgroup (n = 39, with 25 events). Significant predictors for the need for a docking site procedure were age (p = 0.024), vascular injury (p = 0.009), transport duration (p = 0.001), and transport speed (p < 0.001). ROC analysis demonstrated that transport speed (AUC = 0.931) and transport duration (AUC = 0.911) showed strong discriminative ability for predicting docking site procedure necessity, suggesting potential utility as clinical decision-support parameters. Conclusions: The study identified transport duration and speed as potentially valuable predictive factors in this retrospective cohort for the need of a docking site procedure, though prospective validation is required. A transport duration exceeding 290.5 days significantly increased the likelihood of requiring a docking site procedure. These findings can help optimize treatment planning and improve long-term limb preservation. Full article

Paracetamol (acetaminophen) is one of the most widely used analgesics and antipyretics. Due to its widespread use, it is also one of the chief contaminants in surface water and wastewater, raising a significant environmental concern. Traditional wastewater treatment systems are ineffective at removing pharmaceutical residues, which makes it necessary to search for alternative methods. One of the promising techniques is adsorption which is valued for its simplicity, cost-effectiveness and high efficiency. This review provides an in-depth analysis of the adsorption efficiency of paracetamol on various adsorbent materials. The physical and chemical mechanisms of adsorption are discussed together with the factors affecting the efficiency, such as pH, temperature and ionic strength. Of the materials tested, activated carbon shows the greatest efficiency, but nanomaterials, biocomposites, clays and zeolites also give promising results. The potential of emerging materials, including modified silica, polymer-grafted nanocomposites and biosorbents derived from waste biomass is also explored. Special attention is paid to regeneration capabilities and environmental sustainability. The study emphasizes the importance of adsorption as a technique for enhancing the treatment of pharmaceutical wastewater and mitigating ecological risks. Full article

Phenolic compounds are widespread environmental contaminants whose removal from water and wastewater is essential for ecosystem protection. Among the several purification technologies, the use of zero-valent metals has gained increasing interest in recent years. The identification of effective and environmentally friendly materials is a key issue for the development of this technology. In this study, zero-valent magnesium (ZVMg), a highly reactive non-toxic material, was used for the first time for the degradation of gallic acid (GA), chosen as a model phenolic compound, in an aqueous system. Several tests were conducted in order to identify the effect of pH, ZVMg amount, and temperature on the process performance. Moreover, the reusability of the reactive material in subsequent treatment cycles was assessed. Optimal operational conditions were achieved with a ZVMg amount of 0.3 g, corresponding to a ratio of 0.33 g_GA/g_Mg, reaching a removal efficiency of almost 90% in about 180 min. The performance was clearly favored by an alkaline environment, and yields close to the maximum values were reached under uncontrolled pH conditions. The increase in temperature significantly accelerated the reaction rate, which followed pseudo-first-order kinetic law, achieving high abatement percentages with a reduced quantity of ZVMg. Finally, Mg⁰ demonstrated good reusability, maintaining high efficiency, close to 78%, for up to four cycles, with the possibility of restoring the material’s activity through acid washing. The detected results confirm that ZVMg is a promising and sustainable reactive material for environmental remediation processes, offering an effective alternative for the treatment of water contaminated by phenolic compounds. Full article

Aquaculture has been established as a sustainable alternative to traditional fisheries, which face challenges such as overexploitation and environmental degradation. However, disease outbreaks, often caused by poor farming conditions, pollution, and environmental stress, remain a major concern, leading to economic losses and increasing the risk of antibiotic resistance due to the overuse of antibiotics. Therefore, it is crucial to seek new strategies that improve fish health and well-being, preventing drug resistance and promoting sustainable practices. GHRP-6, a synthetic growth hormone-releasing peptide that mimics ghrelin, has shown potential immunostimulatory properties and feed efficiency in fish. In this study, we evaluated the effects of orally administered GHRP-6 in an oil-based formulation on juvenile tilapia (Oreochromis sp.) challenged or unchallenged with Pseudomonas aeruginosa. We assessed its influence on immune gene expression and digestive enzyme activity. The results demonstrated that GHRP-6 treatment significantly enhanced growth performance (weight and length), reduced in vivo bacterial load after infection, and modulated key genes related to innate and adaptive immunity in the gills, intestine and head kidney. In addition, our results demonstrated, for the first time, a direct link between a growth hormone secretagogue in fish and the modulation of specific enzyme activity in the gut following a bacterial challenge. These findings highlight the potential of GHRP-6 as a dietary immunomodulator and growth promoter in fish farming, offering a promising strategy to reduce antibiotic usage and promote more sustainable aquaculture practices. Full article

Brain disorders remain a major global health challenge, highlighting the urgent need for innovative therapeutic strategies and efficient drug-delivery approaches. Among alternative routes, intranasal administration has garnered significant interest over recent decades, not only for its systemic delivery but also for its unique ability to bypass the bloodstream and the blood–brain barrier via the Nose-to-Brain (NtB) pathway. While numerous reviews have explored the opportunities and challenges of this route, industrial considerations—critical for successful clinical implementation and commercial development—remain insufficiently addressed. This review provides a comprehensive and critical assessment of the NtB pathway from a drug development and chemistry, manufacturing, and controls perspective, addressing key constraints in pre-clinical–clinical extrapolation, formulation design, device selection, dose feasibility, chronic safety, and regulatory requirements. We also discuss recent advances in neuronal targeting mechanisms, also with a focus on the role of trigeminal nerves. Dodecyl creatine ester (DCE), a highly unstable in plasma creatine prodrug developed by Ceres Brain Therapeutics, is presented as an illustrative case study. Delivered as a nasal spray, DCE enables direct neuronal delivery, exemplifying the potential of the NtB pathway for disorders characterized by neuronal energy deficiency, including creatine transporter deficiency and mitochondrial dysfunction. Overall, the NtB pathway—or, more precisely, the “Nose-to-Neurons” pathway—offers distinct advantages for unstable molecules and metabolic supplementation, particularly in neuron-centric diseases. Its successful implementation will depend on rational molecule design, optimized nasal formulations, appropriate devices, and early integration of industrial constraints to ensure feasibility, scalability, and safety for long-term treatment. Full article

Rising quantities of a broad spectrum of contaminants due to high industrial and residential wastewater effluent loads have further raised the stakes with respect to environmental and health concerns. These demands, coupled with limitations in existing wastewater treatment solutions, have culminated in innovative supplementary solutions in the form of alternative wastewater treatments that, in general, encompass physical, chemical, or biological methods. By quantifying the resource consumption, pollution emissions, and ecological effects across the life-cycle in wastewater treatments, Life-Cycle Assessment (LCA) has proven valuable as a fundamental methodology for assessing and quantifying environment-related sustainability in wastewater treatments. Although valuable in its current applications, LCA is limited in its assessment of the relevant data related to the impacts of construction activities, novel contaminants emerging in wastewater treatment plants, and sludge disposal options. By considering pollutant type, wastewater treatment options, and important LCA methodological considerations, all encompassed within a structured framework including synthesis tables and comparative figures, our hope is that this study will prove valuable to rigorous decision-making processes based on related notions underpinning sustainability concerns in this domain. Full article

Decarbonisation of the transport sector, whilst reducing pollutant emissions, will likely involve the utilisation of multiple strategies, including hybridisation and the use of alternative fuels such as advanced biofuels as mandated by the EU. Alcoholysis of lignocellulosic feedstocks, using n-butanol as the solvent, can produce such potential advanced biofuel blends. Butyl blends, consisting of n-butyl levulinate (nBL), di-n-butyl ether, and n-butanol, were selected for this study. Three butyl blends with diesel, two at 10 vol% biofuel and one at 25 vol% biofuel, were tested in a Euro 6b-compliant diesel hybrid vehicle to determine the influence of the blends on regulated emissions and fuel economy. Real Driving Emissions (RDE) were measured for three cold start tests with each fuel using a Portable Emissions Measurement System (PEMS) for carbon monoxide (CO), particle number (PN), and nitrogen oxides (NO_X = NO + NO₂). When using the butyl blends, there was no noticeable change in vehicle drivability and only a small fuel economy penalty of up to 5% with the biofuel blends relative to diesel. CO, NO_X, and PN emissions were below or within one standard deviation of the Euro 6 not-to-exceed limits for all fuels tested. The CO and PN emissions reduced relative to diesel by up to 72% and 57%, respectively. NO_X emissions increased relative to diesel by up to 25% and increased with both biofuel fraction and the amount of nBL in that fraction. The CO emitted during the cold start period was reduced by up to 52% for the 10 vol% blends but increased by 25% when using the 25 vol% blend. NO_X and PN cold start emissions reduced relative to diesel for all three biofuel blends by up to 29% and 88%, respectively. It is envisaged that the butyl blends could reduce net carbon emissions without compromising or even improving air pollutant emissions, although optimisation of the after-treatment systems may be necessary to ensure emissions limits are met. Full article

Control of elbow exoskeletons using muscular signals, although promising for the rehabilitation of millions of patients, has not yet been widely commercialized due to challenges in real-time intention estimation and management of dynamic uncertainties. From a practical perspective, millions of patients with stroke, spinal cord injury, or neuromuscular disorders annually require active rehabilitation, and elbow exoskeletons with precise and safe motion intention tracking capabilities can restore functional independence, reduce muscle atrophy, and lower treatment costs. In this research, an intelligent control framework was developed for an elbow joint exoskeleton, designed with the aim of precise and safe real-time tracking of the user’s motion intention. The proposed framework consists of two main stages: (a) real-time estimation of desired joint angle (as a proxy for movement intention) from High-Density Surface Electromyography (HD-sEMG) signals using an LSTM network and (b) implementation and comparison of three PID, impedance, and sliding mode controllers. A public EMG dataset including signals from 12 healthy individuals in four isometric tasks (flexion, extension, pronation, supination) and three effort levels (10, 30, 50 percent MVC) is utilized. After comprehensive preprocessing (Butterworth filter, 50 Hz notch, removal of faulty channels) and extraction of 13 time-domain features with 99 percent overlapping windows, the LSTM network with optimal architecture (128 units, Dropout, batch normalization) is trained. The model attained an RMSE of 0.630 Nm, R² of 0.965, and a Pearson correlation of 0.985 for the full dataset, indicating a 47% improvement in R² relative to traditional statistical approaches, where EMG is converted to desired angle via joint stiffness. An assessment of 12 motion–effort combinations reveals that the sliding mode controller consistently surpassed the alternatives, achieving the minimal tracking errors (average RMSE = 0.21 Nm, R² ≈ 0.96) and showing superior resilience across all tasks and effort levels. The impedance controller demonstrates superior performance in flexion/extension (average RMSE ≈ 0.22 Nm, R² > 0.94) but experiences moderate deterioration in pronation/supination under increased loads, while the classical PID controller shows significant errors (RMSE reaching 17.24 Nm, negative R² in multiple scenarios) and so it is inappropriate for direct myoelectric control. The proposed LSTM–sliding mode hybrid architecture shows exceptional accuracy, robustness, and transparency in real-time intention monitoring, demonstrating promising performance in offline simulation, with potential for real-time clinical applications pending hardware validation for advanced upper-limb exoskeletons in neurorehabilitation and assistive applications. Full article

Vital pulp therapy (VPT) is increasingly recognised as a biologically driven alternative to root canal treatment in teeth with deep caries and a vital pulp diagnosis. Resin-modified calcium silicate-based materials (RM-CSMs) were introduced to combine the bioactivity of traditional cements with improved handling and immediate light-curing, but their biological performance remains debated. Objectives: This systematic review and meta-analysis aimed to evaluate the clinical and radiographic outcomes of VPT performed with RM-CSMs compared with conventional non-resin-modified calcium silicate-based materials (NRM-CSMs) Methods: PRISMA Guidelines were followed to carry out this systematic review. Electronic databases (Medline, Embase, Scopus, and Web of Science) were searched up to October 2025 for randomised clinical trials evaluating indirect pulp capping, direct pulp capping, or pulpotomy. Nine trials met the inclusion criteria. Meta-analyses were performed for TheraCal LC, the only RM-CSM with sufficient clinical evidence. The risk of bias was assessed using the RoB 2 Tool. The certainty of evidence was assessed using GRADE. Results: Pooled results showed no significant differences in overall clinical–radiographic success between RM-CSMs and NRM-CSMs at 90 or 180 days. At 360 days, a trend favouring NRM-CSMs emerged, though not statistically significant. Dentine bridge formation at 360 days was significantly lower with TheraCal LC. Conclusions: Current RM-CSMs demonstrate comparable short-term success to conventional materials but still present biological limitations, particularly regarding long-term reparative outcomes. NRM-CSMs remain the preferred option when maximal bioactivity and predictable dentinogenesis are required Full article

This study investigates rim seal flow in axial turbine configurations through a combined experimental–numerical approach, with the objective of identifying sealing-flow conditions that minimize ingestion while limiting aerodynamic losses. Experimental measurements from the University of BATH are used to validate computational methodology, ensuring consistency with established sealing-effectiveness trends. The work places particular emphasis on the influence of computational domain selection and interface treatment, which is shown to strongly affect the prediction of ingestion mechanisms. A key contribution of this study is the systematic assessment of multiple domain configurations, demonstrating that a frozen rotor MRF formulation provides the most reliable steady-state representation of pressure-driven ingress, whereas stationary and non-interface domains tend to overpredict sealing effectiveness. A simplified thin-seal model is also evaluated and found to offer an efficient alternative for global performance predictions. Furthermore, a statistical orifice-based model is introduced to estimate minimum sealing flow for different rim seal geometries, providing a practical engineering tool for purge-flow scaling. The effects of pre-swirl injection are examined and shown to substantially reduce rotor wall shear and moment coefficient, contributing to lower windage losses without significantly modifying sealing characteristics. Unsteady flow features are explored using a harmonic balance method, revealing Kelvin–Helmholtz-type instabilities that drive large-scale structures within the rim seal cavity, particularly near design-speed operation. Finally, results highlight a clear trade-off between sealing-flow rate and turbine isentropic efficiency, underlining the importance of optimized purge-flow management. Full article