Search Results (20,912)

Background/Objectives: Platelets play a role in bone metabolism and fracture healing. This study aimed to investigate the association between platelet indices and the derived systemic immune inflammation index (SII) with fracture risk in postmenopausal women. Methods: Platelet count, mean platelet volume, platelet distribution width (PDW), platelet crit, percentage of large platelets (P-LCR), platelet–lymphocyte ratio, and the SII, calculated as (NxP)/L, where N, P, and L represented neutrophils, platelets and lymphocytes counts, respectively, were evaluated. Bone mineral density (BMD) was measured using dual-energy X-ray absorptiometry. Results: A total of 124 women (mean age 68.4 ± 9 years) were stratified into two groups based on the median platelet count; the “lower platelet count group” (n = 58) had a count of 200,000 (174,000 to 226,000), while the “higher platelet count group” (n = 66) had a count of 281,500 (256,500 to 308,500). The higher platelet count group showed a higher hip fracture risk (7.4 vs. 4.5%, p = 0.08) and lower lumbar spine BMD (0.773 vs. 0.83 gr/cm², p = 0.03). By dividing the participants into two groups with higher SSI (950,848.6 ± 746,097.99) (n = 61) and lower SII (355,751.2 ± 88,662.6) (n = 63), the group with the higher SII showed the higher hip fracture risk (7.4 vs. 3.6%, p = 0.01). Univariate regression analysis revealed correlations between chronological age and PDW (r = 0.188, p = 0.047), and P-LCR (r = 0.208, p = 0.03), as well as associations between vitamin D status and P-LCR (r = −0.301, p = 0.034), and between SII and hip fracture risk (r = 0.12, p = 0.007). Conclusions: Platelet count and SII were associated with fracture risk in postmenopausal women undergoing osteoporosis assessment. Given their reproducibility and cost-effectiveness, these markers warrant further investigation in future prospective studies focused on bone fragility. Full article

Effective flood management in agricultural fields has become increasingly important due to the rising frequency and intensity of rainfall events driven by climate change. This study investigates the applicability of urban flood analysis models—SWMM (1D) and K-Flood (2D)—to irrigated agricultural fields with artificial drainage systems. A case study was conducted in a rural area near the Sindae drainage station in Cheongju, South Korea, using rainfall data from an extreme weather event in 2017. The models simulated inland flooding and were validated against flood trace maps provided by the Ministry of the Interior and Safety (MOIS). Receiver Operating Characteristic (ROC) analysis showed a true positive rate of 0.565, a false positive rate of 0.21, and an overall accuracy of 0.731, indicating reasonable agreement with observed inundation. Scenario analyses were also conducted to assess the effectiveness of three improvement strategies: reducing the Manning coefficient, increasing pump station capacity, and widening drainage channels. Among them, increasing pump capacity most effectively reduced flood volume, while channel widening had the greatest impact on reducing flood extent. These findings demonstrate the potential of urban flood models for application in agricultural contexts and support data-driven planning for rural flood mitigation. Full article

Due to the stroke-protective effects of dietary fiber and anthocyanin together with the synergistic interaction, we hypothesized that the functional drink containing the anthocyanins and dietary fiber-enriched functional ingredient from banana and germinated black Jasmine rice (BR) should protect against ischemic stroke. BR at doses of 300, 600, and 900 mg/kg body weight (BW) was orally given to male Wistar rats weighing 290–350 g once daily for 21 days, and they were subjected to ischemic reperfusion injury induced by temporary occlusion of the middle cerebral artery (MCAO/IR) for 90 min. The treatment was prolonged for 21 days after MCAO/IR. They were assessed for brain infarction volume, neuron density, Nrf2, MDA, and catalase in the cortex together with serum TNF-α and IL-6. Lactobacillus and Bifidobacterium spp. in feces were also assessed. Our results showed that BR improved the increase in brain infarcted volume, MDA, TNF-α, and IL-6 and the decrease in neuron density, Nrf2, catalase, and both bacteria spp. induced by MCAO/IR. These data suggest the stroke-protective effect of the novel functional drink, and the action may involve the improvement of Nrf2, oxidative stress, inflammation, and the amount of Lactobacillus and Bifidobacterium spp. Full article

This study investigates the use of waste glass powder derived from fluorescent lamps as a partial replacement for cement in mortar production, aiming to valorize this Waste from Electrical and Electronic Equipment (WEEE) and enhance sustainability in the construction sector. Mortars were formulated by substituting 25% of cement by volume with glass powders from fluorescent lamp glass and green bottle glass. The experimental program evaluated mechanical strength, durability parameters and ecotoxicological performance. Results revealed that clean fluorescent lamp mortars showed the most promising mechanical behavior, exceeding the reference in long-term compressive (54.8 MPa) and flexural strength (10.0 MPa). All glass mortars exhibited significantly reduced chloride diffusion coefficients (85–89%) and increased electrical resistivity (almost 4 times higher), indicating improved durability. Leaching tests confirmed that the incorporation of fluorescent lamp waste did not lead to hazardous levels of heavy metals in the cured mortars, suggesting effective encapsulation. By addressing both technical (mechanical and durability) and ecotoxic performance, this research contributes in an original and relevant way to the development of more sustainable building materials. Full article

Background/Objectives: Hyperlipidemia is a major risk factor for cardiovascular disease and atherosclerosis. Polyphenols found in polyphenol-rich extra virgin olive oil (EVOO) have been shown to possess strong antioxidant, anti-inflammatory, and cardioprotective properties. The present study aimed to assess the effects of two types of EVOO with different polyphenol content and dosages on the lipid profile of hyperlipidemic patients. Methods: In this single-blind, randomized clinical trial, 50 hyperlipidemic patients were randomized to receive either a higher-dose, lower-phenolic EVOO (414 mg/kg phenols, 20 g/day) or a lower-dose, higher-phenolic EVOO (1021 mg/kg phenols, 8 g/day), for a period of 4 weeks. These doses were selected to ensure equivalent daily polyphenol intake in both groups (~8.3 mg of total phenols/day), based on chemical analysis performed using NMR spectroscopy. The volumes used (8–20 g/day) reflect typical daily EVOO intake and were well tolerated by participants. A group of 20 healthy individuals, separated into two groups, also received the two types of EVOO, respectively, for the same duration. Primary endpoints included blood levels of total blood cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, lipoprotein-a (Lpa), and apolipoproteins A1 and B. Measurements were performed at baseline and at the end of the 4-week intervention. Linear mixed models were performed for the data analysis. Results: The higher-phenolic, lower-dose EVOO group showed a more favorable change in total blood cholesterol (p = 0.045) compared to the lower-phenolic, higher-dose group. EVOO intake was associated with a significant increase in HDL (p < 0.001) and reduction in Lp(a) (p = 0.040) among hyperlipidemic patients in comparison to healthy individuals. Conclusions: EVOO consumption significantly improved the lipid profile of hyperlipidemic patients. Higher-phenolic EVOO at lower dosages appears to be more effective in improving the lipid profile than lower-phenolic EVOO in higher dosages. Full article

This study investigates the effectiveness of passive design in low-rise residential buildings located in arid desert climates, using the Dubai Solar Decathlon Middle East (SDME) competition as a case study. This full-scale experiment offers a unique opportunity to evaluate design solutions under controlled, realistic conditions; prescriptive, modeled performance; and monitored performance assessments. The prescriptive assessment reviews geometry, orientation, envelope thermal properties, and shading. Most houses adopt compact forms, with envelope-to-volume and envelope-to-floor area ratios averaging 1 and 3.7, respectively, and window-to-wall ratios of approximately 17%, favoring north-facing openings to optimize daylight while reducing heat gain. Shading is strategically applied, horizontal on south façades and vertical on east and west. The thermal properties significantly exceed the local code requirements, with wall performance up to 80% better than that mandated. The modeled assessment uses Building Energy Models (BEMs) to simulate the impact of prescriptive measures on energy performance. Three variations are applied: assigning minimum local code requirements to all the houses to isolate the geometry (baseline); removing shading; and applying actual envelope properties. Geometry alone accounts for up to 60% of the variation in cooling intensity; shading reduces loads by 6.5%, and enhanced envelopes lower demand by 14%. The monitored assessment uses contest-period data. Indoor temperatures remain stable (22–25 °C) despite outdoor fluctuations. Energy use confirms that houses with good designs and airtightness have lower cooling loads. Airtightness varies widely (avg. 14.5 m³/h/m²), with some well-designed houses underperforming due to construction flaws. These findings highlight the critical role of passive design as the first layer for improving the energy performance of the built environment and advancing toward net-zero targets, specifically in arid desert climates. Full article

The improvement in yield in cultivar mixtures has been well established. Despite increasing knowledge of the improvement involving within-species diversification and resource use efficiency, little is known about the benefits arising from relatedness-mediated intraspecific interactions in cultivar mixtures. This study used a relatedness gradient of rice cultivars to test whether neighbor relatedness contributes to improvements in grain yields in cultivar mixtures. We experimentally demonstrated the grain yield of rice cultivar mixtures with varying genetic relatedness under both field and controlled conditions. As a result, a closely related cultivar mixture had increased grain yield compared to monoculture and distantly related mixtures by optimizing the root-to-shoot ratio and accelerating flowering. The benefits over monoculture were most pronounced when compared to the significant yield reductions observed in distantly related mixtures. The relatedness-mediated improvement in yields depended on soil volume and nitrogen use level, with effects attenuating under larger soil volumes or nitrogen deficiency. Furthermore, neighbor relatedness enhanced the richness and diversity of both bacterial and fungal communities in the rhizosphere soil, leading to a significant restructuring of the microbial community composition. These findings suggest that neighbor relatedness may improve the grain yield of rice cultivar mixtures. Beneficial plant–plant interactions may be generated by manipulating cultivar kinship within a crop species. A thorough understanding of kinship strategies in cultivar mixtures offers promising prospects for increasing crop production. Full article

Container liner shipping companies operate within a complex environment where they must balance profitability and service reliability. Meanwhile, evolving regulatory policies, such as surcharges imposed on ships of a particular origin or type on specific trade lanes, introduce new operational challenges. This study addresses the heterogeneous ship routing and demand acceptance problem, aiming to maximize two conflicting objectives: weekly profit and total transport volume. We formulate the problem as a bi-objective mixed-integer programming model and prove that the ship chartering constraint matrix is totally unimodular, enabling the reformulation of the model into a partially relaxed MIP that preserves optimality while improving computational efficiency. We further analyze key mathematical properties showing that the Pareto frontier consists of a finite union of continuous, piecewise linear segments but is generally non-convex with discontinuities. A case study based on a realistic liner shipping network confirms the model’s effectiveness in capturing the trade-off between profit and transport volume. Sensitivity analyses show that increasing freight rates enables higher profits without large losses in volume. Notably, this paper provides a practical risk management framework for shipping companies to enhance their adaptability under shifting regulatory landscapes. Full article

While boreal forests constitute 30% of the Earth’s forested area and are responsible for 20% of the global carbon sink, there is considerable concern about their sustainability. This paper focuses on the role of elevated CO₂, examining whether wood volume in these forests has responded to increased CO₂ over the last 60 years. To accomplish this, we use a rich set of wood volume measurement data from the Province of Alberta, Canada, and deploy quasi-experimental techniques to determine the effect of elevated CO₂. While the few experimental studies that have examined boreal forests have found almost no effect of elevated CO₂, our results indicate that a 1.0% increase in lifetime exposure to CO₂ leads to a 1.1% increase in aboveground wood volume in these boreal forests. This study showcases the value of research designs that use natural settings to better account for the effects of prolonged exposure to elevated CO₂. Our results should enable improved delineation of the drivers of historical changes in wood volume and carbon storage in boreal forests. In addition, when combined with other studies, these results will likely aid policymakers in designing management or policy approaches that will enhance the sustainability of forests in boreal regions. Full article

In this study, steel fibers were used to improve the mechanical properties of high-strength self-compacting concrete (HSSCC), and its effect on the fracture mechanical properties was investigated by a three-point bending test with notched beams. Coupled with the digital image correlation (DIC) technique, the fracture process of steel-fiber-reinforced HSSCC was analyzed to elucidate the reinforcing and fracture-resisting mechanisms of steel fibers. The results indicate that the compressive strength and flexural strength of HSSCC cured for 28 days exhibited an initial decrease and then an enhancement as the volume fraction (V_f) of steel fibers increased, whereas the flexural-to-compressive ratio linearly increased. All of them reached their maximum of 110.5 MPa, 11.8 MPa, and 1/9 at 1.2 vol% steel fibers, respectively. Steel fibers significantly improved the peak load (F_P), peak opening displacement (CMOD_P), fracture toughness (K_IC), and fracture energy (G_F) of HSSCC. Compared with HSSCC without steel fibers (HSSCC-0), the F_P, K_IC, CMOD_P, and G_F of HSSCC with 1.2 vol% (HSSCC-1.2) increased by 23.5%, 45.4%, 11.1 times, and 20.1 times, respectively. The horizontal displacement and horizontal strain of steel-fiber-reinforced HSSCC both increased significantly with an increasing V_f. HSSCC-0 experienced unstable fracture without the occurrence of a fracture process zone during the whole fracture damage, whereas the fracture process zone formed at the notched beam tip of HSSCC-1.2 at its initial loading stage and further extended upward in the beams of high-strength self-compacting concrete with a 0.6% volume fraction of steel fibers and HSSCC-1.2 as the load approaches and reaches the peak. Full article

The objective of this study was to evaluate the feasibility and efficacy of the ultrasound-guided thoracolumbar erector spinae plane (TL-ESP) block in standing horses. A total of 24 injections (n = 12) were performed at the L1 level using either 0.1 mL/kg of saline solution (SS group) or 2% lidocaine (LID group). The block feasibility was assessed based on needle visualization and injection time, while efficacy was evaluated through craniocaudal and dorsoventral (DV) spread using the pinprick technique over 270 min. Desensitization was observed at least once in 100% of horses in the LID group and in 75% in the SS group (p = 0.001). However, in the SS group, desensitization was primarily limited to the Th18 metamer at the 2 cm DV position, with a shorter duration compared to the LID group. The block onset occurred at 22.5 (11.25–60) min in the LID group and at 5 (5–30) min in the SS group (p = 0.069). The number of affected metamers was significantly higher in the LID group (2 [¹,²,³]) compared to the SS group (1 [1–2.25], p = 0.014). At the 2 cm DV point, the end of the block effect occurred at 135 (120–210) min in the LID group and at 60 (3.75–60) min in the SS group (p = 0.001). Needle visualization was excellent in 95.8% of cases, and the mean injection time was 2.5 (2–3) min. These findings confirm that the TL-ESP block is a feasible technique in standing horses. However, its effect is predominantly localized to dorsal dermatomes with a limited ventral spread. Future studies evaluating larger volumes and multiple injection sites are warranted to enhance its clinical applicability. Full article

The exponential proliferation of the Internet of Things (IoT) and optical IoT (O-IoT) has introduced substantial challenges concerning computational capacity and energy efficiency. IoT devices generate vast volumes of aggregated data and require intensive processing, often resulting in elevated latency and excessive energy consumption. Task offloading has emerged as a viable solution; however, many existing strategies fail to adequately optimize both latency and energy usage. This paper proposes a novel task-offloading approach based on deep Q-network (DQN) learning, designed to intelligently and dynamically balance these critical metrics. The proposed framework continuously refines real-time task offloading decisions by leveraging the adaptive learning capabilities of DQN, thereby substantially reducing latency and energy consumption. To further enhance system performance, the framework incorporates optical networks into the IoT–fog–cloud architecture, capitalizing on their high-bandwidth and low-latency characteristics. This integration facilitates more efficient distribution and processing of tasks, particularly in data-intensive IoT applications. Additionally, we present a comparative analysis between the proposed DQN algorithm and the optimal strategy. Through extensive simulations, we demonstrate the superior effectiveness of the proposed DQN framework across various IoT and O-IoT scenarios compared to the BAT and DJA approaches, achieving improvements in energy consumption and latency of 35%, 50%, 30%, and 40%, respectively. These findings underscore the significance of selecting an appropriate offloading strategy tailored to the specific requirements of IoT and O-IoT applications, particularly with regard to environmental stability and performance demands. Full article

With the support of the dual-carbon strategy and related policies, China’s offshore wind power has experienced rapid development. However, constrained by the inherent intermittency and volatility of wind power, large-scale expansion poses significant challenges to grid integration and exacerbates government fiscal burdens. To address these critical issues, this paper proposes a multi-market coupling trading model integrating energy storage-equipped offshore wind power into electricity–carbon–green certificate markets for large-scale grid networks. Firstly, a day-ahead electricity market optimization model that incorporates energy storage is established to maximize power revenue by coordinating offshore wind power generation, thermal power dispatch, and energy storage charging/discharging strategies. Subsequently, carbon market and green certificate market optimization models are developed to quantify Chinese Certified Emission Reduction (CCER) volume, carbon quotas, carbon emissions, market revenues, green certificate quantities, pricing mechanisms, and associated economic benefits. To validate the model’s effectiveness, a gradient ascent-optimized game-theoretic model and a double auction mechanism are introduced as benchmark comparisons. The simulation results demonstrate that the proposed model increases market revenues by 17.13% and 36.18%, respectively, compared to the two benchmark models. It not only improves wind power penetration and comprehensive profitability but also effectively alleviates government subsidy pressures through coordinated carbon–green certificate trading mechanisms. Full article

Nasal irrigation (NI) is an effective, safe, low-cost strategy for treating and preventing upper respiratory tract diseases. High-volume, low-pressure saline irrigations are the most efficient method for removing infectious agents, allergens, and inflammatory mediators. This article reviews clinical evidence supporting NI use in various conditions: nasal congestion in infants, recurrent respiratory infections, acute and chronic rhinosinusitis, allergic and gestational rhinitis, empty nose syndrome, and post-endoscopic sinus surgery care. NI improves symptoms, reduces recurrence, enhances the efficacy of topical drugs, and decreases the need for antibiotics and decongestants. During the COVID-19 pandemic, NI has also been explored as a complementary measure to reduce viral load. Due to the safe profile and mechanical cleansing action on inflammatory mucus, nasal irrigations represent a valuable adjunctive treatment across a wide range of sinonasal conditions. Full article

In the trauma resuscitation literature, there are inconsistent definitions of what constitutes massive transfusion and a unit of blood, complicating the use of transfusion cut-points to declare futility. This is problematic as it can lead to the inefficient use of blood products, further exacerbating current blood product shortages. Previous studies have used various transfusion cut-points per hour to define futility in retrospective analyses but have not accurately defined futility at the bedside due to patient survival even at large rates and volumes of blood transfused. In an attempt to use transfusion cut-points as a marker to help define futility, guidelines have been proposed to limit blood product waste in transfusions for severely bleeding trauma patients, such as Suspension of Transfusion and Other Procedures (STOP) for patients older than 15 and the Futility of Resuscitation Measure (FoRM), used to determine futility in patients older than 60. In an effort to construct effective bedside futile resuscitation criteria with 100% positive predictive value and specificity, this review proposes the use of specific blood component transfusion cut-points combined with parameters from both STOP and FoRM to allow for a comprehensive and accurate method of declaring futility in severely bleeding trauma patients. Full article