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27 pages, 39231 KiB  
Article
Study on the Distribution Characteristics of Thermal Melt Geological Hazards in Qinghai Based on Remote Sensing Interpretation Method
by Xing Zhang, Zongren Li, Sailajia Wei, Delin Li, Xiaomin Li, Rongfang Xin, Wanrui Hu, Heng Liu and Peng Guan
Water 2025, 17(15), 2295; https://doi.org/10.3390/w17152295 (registering DOI) - 1 Aug 2025
Abstract
In recent years, large-scale linear infrastructure developments have been developed across hundreds of kilometers of permafrost regions on the Qinghai–Tibet Plateau. The implementation of major engineering projects, including the Qinghai–Tibet Highway, oil pipelines, communication cables, and the Qinghai–Tibet Railway, has spurred intensified research [...] Read more.
In recent years, large-scale linear infrastructure developments have been developed across hundreds of kilometers of permafrost regions on the Qinghai–Tibet Plateau. The implementation of major engineering projects, including the Qinghai–Tibet Highway, oil pipelines, communication cables, and the Qinghai–Tibet Railway, has spurred intensified research into permafrost dynamics. Climate warming has accelerated permafrost degradation, leading to a range of geological hazards, most notably widespread thermokarst landslides. This study investigates the spatiotemporal distribution patterns and influencing factors of thermokarst landslides in Qinghai Province through an integrated approach combining field surveys, remote sensing interpretation, and statistical analysis. The study utilized multi-source datasets, including Landsat-8 imagery, Google Earth, GF-1, and ZY-3 satellite data, supplemented by meteorological records and geospatial information. The remote sensing interpretation identified 1208 cryogenic hazards in Qinghai’s permafrost regions, comprising 273 coarse-grained soil landslides, 346 fine-grained soil landslides, 146 thermokarst slope failures, 440 gelifluction flows, and 3 frost mounds. Spatial analysis revealed clusters of hazards in Zhiduo, Qilian, and Qumalai counties, with the Yangtze River Basin and Qilian Mountains showing the highest hazard density. Most hazards occur in seasonally frozen ground areas (3500–3900 m and 4300–4900 m elevation ranges), predominantly on north and northwest-facing slopes with gradients of 10–20°. Notably, hazard frequency decreases with increasing permafrost stability. These findings provide critical insights for the sustainable development of cold-region infrastructure, environmental protection, and hazard mitigation strategies in alpine engineering projects. Full article
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19 pages, 9733 KiB  
Article
Complementary Relationship-Based Validation and Analysis of Evapotranspiration in the Permafrost Region of the Qinghai–Tibetan Plateau
by Wenjun Yu, Yining Xie, Yanzhong Li, Amit Kumar, Wei Shao and Yonghua Zhao
Atmosphere 2025, 16(8), 932; https://doi.org/10.3390/atmos16080932 (registering DOI) - 1 Aug 2025
Abstract
The Complementary Relationship (CR) principle of evapotranspiration provides an efficient approach for estimating actual evapotranspiration (ETa), owing to its simplified computation and effectiveness in utilizing meteorological factors. Accurate estimation of actual evapotranspiration (ETa) is crucial for understanding surface energy [...] Read more.
The Complementary Relationship (CR) principle of evapotranspiration provides an efficient approach for estimating actual evapotranspiration (ETa), owing to its simplified computation and effectiveness in utilizing meteorological factors. Accurate estimation of actual evapotranspiration (ETa) is crucial for understanding surface energy and water cycles, especially in permafrost regions. This study aims to evaluate the applicability of two Complementary Relationship (CR)-based methods—Bouchet’s in 1963 and Brutsaert’s in 2015—for estimating ETa on the Qinghai–Tibetan Plateau (QTP), using observations from Eddy Covariance (EC) systems. The potential evapotranspiration (ETp) was calculated using the Penman equation with two wind functions: the Rome wind function and the Monin–Obukhov Similarity Theory (MOST). The comparison revealed that Bouchet’s method underestimated ETa during frozen soil periods and overestimated it during thawed periods. In contrast, Brutsaert’s method combined with the MOST yielded the lowest RMSE values (0.67–0.70 mm/day) and the highest correlation coefficients (r > 0.85), indicating superior performance. Sensitivity analysis showed that net radiation (Rn) had the strongest influence on ETa, with a daily sensitivity coefficient of up to 1.35. This study highlights the improved accuracy and reliability of Brutsaert’s CR method in cold alpine environments, underscoring the importance of considering freeze–thaw dynamics in ET modeling. Future research should incorporate seasonal calibration of key parameters (e.g., ε) to further reduce uncertainty. Full article
(This article belongs to the Section Meteorology)
16 pages, 1867 KiB  
Review
Histological Processing of Scaffolds: Challenges and Solutions
by Tomas Ragauskas, Ilona Uzieliene and Eiva Bernotiene
J. Funct. Biomater. 2025, 16(8), 279; https://doi.org/10.3390/jfb16080279 (registering DOI) - 31 Jul 2025
Viewed by 51
Abstract
Scaffolds are widely used in bioengineering, both as 3D native tissue-mimicking models for investigating mechanisms under physiological and pathological conditions and also as implantable agents in regenerative medicine. Histological approaches, mainly formalin-fixed paraffin-embedded (FFPE) and frozen sample sectioning, are commonly applied to evaluate [...] Read more.
Scaffolds are widely used in bioengineering, both as 3D native tissue-mimicking models for investigating mechanisms under physiological and pathological conditions and also as implantable agents in regenerative medicine. Histological approaches, mainly formalin-fixed paraffin-embedded (FFPE) and frozen sample sectioning, are commonly applied to evaluate cell distribution and tissue-like properties of scaffolds. However, standard histological processing is not always compatible with the materials that scaffolds are made of. Thus, some adaptations to protocols are required to obtain intact sections. In this review we discuss challenges related to the histological processing of scaffolds and solutions to overcome them. We sequentially cover processing steps of the three main histological techniques for sample preparation—cryomicrotomy, FFPE samples microtomy and vibrating microtomy. Furthermore, we highlight the critical considerations in choosing the most appropriate method based on scaffold composition, mechanical properties and the specific research question. The goal of this review is to provide practical guidance on choosing reliable histological evaluation of complex scaffold-based systems in tissue engineering research. Full article
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14 pages, 1980 KiB  
Review
Ultrasound in Adhesive Capsulitis: A Narrative Exploration from Static Imaging to Contrast-Enhanced, Dynamic and Sonoelastographic Insights
by Wei-Ting Wu, Ke-Vin Chang, Kamal Mezian, Vincenzo Ricci, Consuelo B. Gonzalez-Suarez and Levent Özçakar
Diagnostics 2025, 15(15), 1924; https://doi.org/10.3390/diagnostics15151924 - 31 Jul 2025
Viewed by 49
Abstract
Adhesive capsulitis is a painful and progressive condition marked by significant limitations in shoulder mobility, particularly affecting external rotation. Although magnetic resonance imaging is regarded as the reference standard for assessing intra-articular structures, its high cost and limited availability present challenges in routine [...] Read more.
Adhesive capsulitis is a painful and progressive condition marked by significant limitations in shoulder mobility, particularly affecting external rotation. Although magnetic resonance imaging is regarded as the reference standard for assessing intra-articular structures, its high cost and limited availability present challenges in routine clinical use. In contrast, musculoskeletal ultrasound has emerged as an accessible, real-time, and cost-effective imaging modality for both the diagnosis and treatment guidance of adhesive capsulitis. This narrative review compiles and illustrates current evidence regarding the role of ultrasound, encompassing static B-mode imaging, dynamic motion analysis, contrast-enhanced techniques, and sonoelastography. Key sonographic features—such as thickening of the coracohumeral ligament, fibrosis in the axillary recess, and abnormal tendon kinematics—have been consistently associated with adhesive capsulitis and demonstrate favorable diagnostic performance. Advanced methods like contrast-enhanced ultrasound and elastography provide additional functional insights (enabling evaluation of capsular stiffness and vascular changes) which may aid in disease staging and prediction of treatment response. Despite these advantages, the clinical utility of ultrasound remains subject to operator expertise and technical variability. Limited visualization of intra-articular structures and the absence of standardized scanning protocols continue to pose challenges. Nevertheless, ongoing advances in its technology and utility standardization hold promise for the broader application of ultrasound in clinical practice. With continued research and validation, ultrasound is positioned to play an increasingly central role in the comprehensive assessment and management of adhesive capsulitis. Full article
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12 pages, 3463 KiB  
Case Report
Immunologic Alteration After Total En-Bloc Spondylectomy with Anterior Spinal Column Reconstruction with Frozen Tumor-Containing Bone Autologous Grafts: A Case Report in a Prospective Study
by Hisaki Aiba, Hiroaki Kimura, Ryu Terauchi, Nobuyuki Suzuki, Kenji Kato, Kiyoshi Yagi, Makoto Yamaguchi, Kiyoka Murakami, Shogo Suenaga, Toshiharu Shirai, Ayano Aso, Costantino Errani and Hideki Murakami
Curr. Oncol. 2025, 32(8), 432; https://doi.org/10.3390/curroncol32080432 (registering DOI) - 31 Jul 2025
Viewed by 65
Abstract
Cryotherapy could stimulate immune responses and induce abscopal effects. A novel technique was developed for treating spinal bone tumors involving the use of frozen tumor-containing autologous bone grafts for anterior spinal reconstruction following total en-bloc spondylectomy, with the aim of activating cryoimmunity. This [...] Read more.
Cryotherapy could stimulate immune responses and induce abscopal effects. A novel technique was developed for treating spinal bone tumors involving the use of frozen tumor-containing autologous bone grafts for anterior spinal reconstruction following total en-bloc spondylectomy, with the aim of activating cryoimmunity. This study focused on analyzing changes in the T-cell receptor (TCR) repertoire after surgery to evaluate T-cell diversity. Blood samples were collected pre- and post-operatively, with subsequent RNA extraction and immunosequencing. Compared to pre-surgery samples, the diversity and abundance of the Complementarity-Determining Region 3, regions of the TCR α and β chains decreased, suggesting that more selective clones may have emerged and influenced immune responses. Through TCR repertoire analysis, this study demonstrated that transplantation of frozen tumor-containing autologous bone impacted the immune system. This study is expected to provide a foundation for developing treatments that may enhance immune activation. Full article
(This article belongs to the Special Issue 2nd Edition: Treatment of Bone Metastasis)
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15 pages, 2594 KiB  
Article
Novel Zwitterionic Hydrogels with High and Tunable Toughness for Anti-Fouling Application
by Kefan Wu, Xiaoyu Guo, Jingyao Feng, Xiaoxue Yang, Feiyang Li, Xiaolin Wang and Hui Guo
Gels 2025, 11(8), 587; https://doi.org/10.3390/gels11080587 - 30 Jul 2025
Viewed by 102
Abstract
Zwitterionic hydrogels have emerged as eco-friendly anti-fouling materials owing to their superior hydration-mediated resistance to biofouling. Nevertheless, their practical utility remains constrained by intrinsically poor mechanical robustness. Herein, this study proposes a novel strategy to develop novel tough zwitterionic hydrogels by freezing the [...] Read more.
Zwitterionic hydrogels have emerged as eco-friendly anti-fouling materials owing to their superior hydration-mediated resistance to biofouling. Nevertheless, their practical utility remains constrained by intrinsically poor mechanical robustness. Herein, this study proposes a novel strategy to develop novel tough zwitterionic hydrogels by freezing the gels’ polymer network. As a proof of concept, a zwitterionic hydrogel was synthesized via copolymerization of hydrophobic monomer phenyl methacrylate (PMA) and hydrophilic cationic monomer N-(3-dimethylaminopropyl) methacrylamide (DMAPMA), followed by post-oxidation to yield a zwitterionic structure. At service temperature, the rigid and hydrophobic PMA segments remain frozen, while the hydrophilic zwitterionic units maintain substantial water content by osmotic pressure. Synergistically, the zwitterionic hydrogel achieves robust toughness and adhesiveness, with high rigidity (66 MPa), strength (4.78 MPa), and toughness (2.53 MJ/m3). Moreover, the hydrogel exhibits a distinct temperature-dependent behavior by manifesting softer and more stretchable behavior after heating, since the thawing of the gel network at high temperatures increases segmental mobility. Therefore, it achieved satisfactory adhesiveness to substrates (80 kPa). Additionally, the hydrogel demonstrated remarkable anti-fouling performance, effectively suppressing biofilm formation and larval attachment. In summary, this work opens up promising prospects for the development of zwitterionic hydrogels with high application potential. Full article
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25 pages, 4184 KiB  
Article
Effects of Partial Freezing and Superchilling Storage on the Quality of Beef: A Kinetic Modelling Approach
by Anjelina William Mwakosya, Graciela Alvarez and Fatou Toutie Ndoye
Foods 2025, 14(15), 2687; https://doi.org/10.3390/foods14152687 - 30 Jul 2025
Viewed by 119
Abstract
The current study explores the changes in beef quality following partial freezing and during superchilled storage, alongside chilled storage comparisons. Kinetic models were developed to predict changes in colour difference (∆E), thiobarbituric acid−reactive substances (TBARS), total volatile basic nitrogen (TVB−N), drip loss and [...] Read more.
The current study explores the changes in beef quality following partial freezing and during superchilled storage, alongside chilled storage comparisons. Kinetic models were developed to predict changes in colour difference (∆E), thiobarbituric acid−reactive substances (TBARS), total volatile basic nitrogen (TVB−N), drip loss and firmness. Beef samples were partially frozen in an air blast freezer at −30 °C for 9 min prior to storage at −5 °C, −4 °C, −2.8 °C, −1.8 °C. Chilled beef samples were directly stored at 2 °C and 6 °C without partial freezing. All samples were stored for 21 days. The lightness (L*), redness (a*), yellowness (b*) and colour difference (∆E) were significantly lower in superchilled storage samples compared to chilled storage samples. The pH of beef samples increased gradually over time (p < 0.05). TBARS, TVB−N and drip loss increased while firmness decreased with the increase in storage time in both storage conditions (p < 0.05). Overall, beef quality was affected by both storage duration and temperature. Firmness followed the first order kinetic model; drip loss, TVB−N, TBARS and colour difference (∆E) fitted the zero−order kinetic model. Temperature dependence was adequately modelled using Arrhenius−type equation with the activation energy values of 110.111, 52.870, 68.553, 119.480, 47.301 kJ/mol for drip loss, firmness, TBARS, TVB−N and colour difference (∆E), respectively. The models demonstrated strong predictive performance, with RMSE and MAPE values within ±10%. The developed kinetic models successfully predicted quality changes within the −5 °C to 6 °C temperature range. Full article
(This article belongs to the Section Food Engineering and Technology)
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16 pages, 1583 KiB  
Article
The Influence of Ultraviolet-C Light Pretreatment on Blackcurrant (Ribes nigrum) Quality During Storage
by Zhuoyu Wang, Andrej Svyantek, Zachariah Miller, Haydon Davis and Ashley Kapus
Appl. Sci. 2025, 15(15), 8452; https://doi.org/10.3390/app15158452 - 30 Jul 2025
Viewed by 175
Abstract
Blackcurrant is a notable superfruit in Europe, and its vitamin C content surpasses the well-known blueberry superfruit. However, due to its short shelf life during storage, consumption is mainly accounted by frozen berries, extracts, and concentrates. This study applied an intensity of 1.2 [...] Read more.
Blackcurrant is a notable superfruit in Europe, and its vitamin C content surpasses the well-known blueberry superfruit. However, due to its short shelf life during storage, consumption is mainly accounted by frozen berries, extracts, and concentrates. This study applied an intensity of 1.2 W/m2 UVC with different durations, including control (non-treated), UVC irradiation for 0.5 h (0.5 h treatment), UVC irradiation for 1 h (1 h treatment), and UVC pretreatment for 2 h (2 h treatment) to blackcurrant berries before storage. Fundamental physical (firmness and weight loss) and physicochemical characteristics (SSC, pH, and acids), microbial population changes, total phenolic content, antioxidant capacity, and specific phenolic compound changes were evaluated every five days over a twenty-day storage period. The results indicated that the longer the UVC pretreatment, the lower the water weight losses during storage. Meanwhile, the UVC pretreatment significantly affected the blackcurrant soluble solid content, resulting in higher soluble solid contents detected in the blackcurrants with the higher doses of UVC. For the mold population control, UVC effects were highly correlated with the pretreatment duration. However, UVC did not have a significant influence on the berry pH and acid contents, but the storage length slightly increased the pH and decreased the acids. At the same time, UVC pretreatment did not affect the berry firmness, polyphenols, ascorbic acid content, or antioxidant capacities, which were primarily influenced by the storage duration. The monophenolic compounds detected before and after storage indicated that more than one hour of UVC radiation influenced most of the phenolic contents largely before storage. The UVC pretreatment has also influenced some phenolic compounds. After storage, half an hour of UVC pretreatment increased cyanidin levels, and two hours of UVC pretreatment increased catechin and epicatechin levels. However, most of the compounds remained at similar amounts during storage in each treatment. Further research is needed to improve the UVC radiation time length or intensity or explore other technology combinations to optimize UVC pretreatments for blackcurrant storage. Full article
(This article belongs to the Section Food Science and Technology)
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12 pages, 1176 KiB  
Article
Effect of Different Extenders on the Oxidative Status and Fertility of Sarda Ram Liquid Semen Stored at 15 °C
by Pasciu Valeria, Charbel Nassif, Maria Dattena, Sara Succu, Francesca Daniela Sotgiu, Antonello Cannas, Ignazio Cossu, Elena Baralla, Fabrizio Chessa, Fiammetta Berlinguer and Laura Mara
Antioxidants 2025, 14(8), 932; https://doi.org/10.3390/antiox14080932 - 30 Jul 2025
Viewed by 166
Abstract
Liquid storage is an important tool used to prolong fresh semen shelf-life while protecting spermatozoa from damage, conserving their overall functionality, and ensuring better fertility than frozen semen from sheep. The increased production of reactive oxygen species (ROS) during sperm storage leads to [...] Read more.
Liquid storage is an important tool used to prolong fresh semen shelf-life while protecting spermatozoa from damage, conserving their overall functionality, and ensuring better fertility than frozen semen from sheep. The increased production of reactive oxygen species (ROS) during sperm storage leads to a decline in sperm quality, particularly with regard to sperm nuclear DNA damage and mitochondrial membrane potential (MMP). This study evaluated the effect of storing Sarda ram semen at 15 °C for 7 h on its redox status, motility, morphology, acrosome integrity, ATP content, mitochondrial potential membrane, and in vivo fertility after artificial insemination. Two different extenders were compared: a lab-made skimmed milk (SM)-based extender and a commercial extender (OviXcell®, IMV-Technologies, France). Lower ROS levels in the SM (p < 0.001) indicated that its oxidative status was better maintained compared to the commercial extender (CE). Antioxidant defenses (total antioxidant capacity, TEAC; superoxide dismutase, SOD; total thiols) were higher in the SM (p < 0.01) than in the CE. SM also had higher MMP (p < 0.05), acrosome integrity (p < 0.05), ATP content (p < 0.01), and in vivo fertilizing capacity (p < 0.05) compared to the CE, which indicated higher semen quality. In conclusion, the SM extender, while maintaining a better oxidative/antioxidant balance, ensured higher semen quality after 7 h of storage at 15 °C in vitro compared to the CE. Full article
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12 pages, 433 KiB  
Article
Cardiac Function in Women with and Without Previous Assisted Reproductive Technology: A Prospective Observational Cohort Study
by Freya Baird, Eleni Kakouri, Iulia Huluta, Ippokratis Sarris, Sesh K. Sunkara, Kypros H. Nicolaides and Nick Kametas
J. Clin. Med. 2025, 14(15), 5366; https://doi.org/10.3390/jcm14155366 - 29 Jul 2025
Viewed by 223
Abstract
Background: Previous research has linked hypertensive disorders of pregnancy (HDP) and long-term cardiovascular disease (CVD) with assisted reproductive technology (ART). It is not clear whether this reflects the background population cardiovascular profiles or whether ART independently increases the long-term risk for CVD [...] Read more.
Background: Previous research has linked hypertensive disorders of pregnancy (HDP) and long-term cardiovascular disease (CVD) with assisted reproductive technology (ART). It is not clear whether this reflects the background population cardiovascular profiles or whether ART independently increases the long-term risk for CVD and alters cardiovascular function. Furthermore, CVD has been associated with pathological cardiovascular function before and after the establishment of the disease. The aim of this study was to compare cardiac function in women attending for ART between those who had previous treatment and those who had not after controlling for demographic characteristics which have been shown to affect cardiovascular function. Methods: This was a prospective observational cohort study at a London fertility clinic. Women were consecutively enrolled between May 2021 and March 2022. Maternal demographics and cardiac function using transthoracic echocardiography were assessed before the current treatment cycle in the mid-luteal phase of the menstrual cycle. Maternal demographics included age, body mass index, smoking, race, and parity. Cardiovascular parameters included blood pressure and indices of left-ventricular systolic and diastolic function. Differences between cardiac variables after controlling for maternal demographics and history of previous ART were assessed by multivariate linear regression. Results: There were 232 healthy women who agreed to participate in the study; of those, 153 (58%) had undergone previous ART. After controlling for maternal demographic characteristics, previous assisted reproductive technology was not an independent predictor of cardiac function. Conclusions: Previous ART is not associated with significant changes in cardiac function. Full article
(This article belongs to the Section Obstetrics & Gynecology)
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14 pages, 1132 KiB  
Article
Phylogenetic Reclassification of Metarhizium granulomatis and Metarhizium viride Species Complex
by Johanna Würf and Volker Schmidt
Pathogens 2025, 14(8), 745; https://doi.org/10.3390/pathogens14080745 - 29 Jul 2025
Viewed by 186
Abstract
Metarhizium (M.) granulomatis and M. viride have previously been described as pathogens causing hyalohyphomycosis in various species of captive chameleons and bearded dragons (Pogona vitticeps). Previous studies yielded different genotypes of M. granulomatis and M. viride based on sequencing of the [...] Read more.
Metarhizium (M.) granulomatis and M. viride have previously been described as pathogens causing hyalohyphomycosis in various species of captive chameleons and bearded dragons (Pogona vitticeps). Previous studies yielded different genotypes of M. granulomatis and M. viride based on sequencing of the internal transcribed spacer 1-5.8S rDNA (ITS-1-5.8S) and a fragment of the large subunit of the 28S rDNA (LSU). The aim of this study was to clarify the relationships between these genotypes and obtain a more accurate phylogenetic classification by sequencing two different loci of the RNA polymerase II second largest subunit (NRPB2), referred to as RPB1 and RPB2, and the translation elongation factor 1 alpha (EF1α). A total of 23 frozen isolates from 21 lizards, including the first isolates of M. granulomatis and M. viride from Parson’s chameleons (Calumma parsonii), were available for phylogenetic analysis. A total of 13 isolates belonged to the M. granulomatis complex and 10 isolates belonged to the M. viride complex. Following the amplification and sequencing of the protein-coding genes, the resulting nucleotide sequences were analyzed, trimmed and assembled. These were further analyzed with regard to differences in single-nucleotide polymorphisms (SNPs) and amino acid structure. In consideration of the results of the present analyses, a phylogenetic reclassification is recommended. Three different genotypes of M. granulomatis can be distinguished, which can be phylogenetically addressed as subspecies. Six subspecies can be distinguished regarding M. viride. Full article
(This article belongs to the Special Issue Filamentous Fungal Pathogens: 2nd Edition)
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16 pages, 957 KiB  
Article
The Influence of Blood Transfusion Indexed to Patient Blood Volume on 5-Year Mortality After Coronary Artery Bypass Grafting—An EuroSCORE II Adjusted Spline Regression Analysis
by Joseph Kletzer, Maximilian Kreibich, Martin Czerny, Tim Berger, Albi Fagu, Laurin Micek, Ulrich Franke, Matthias Eschenhagen, Tau S. Hartikainen, Mirjam Wild and Dalibor Bockelmann
J. Cardiovasc. Dev. Dis. 2025, 12(8), 287; https://doi.org/10.3390/jcdd12080287 - 28 Jul 2025
Viewed by 251
Abstract
Background: While timely blood transfusion is critical for restoring oxygen-carrying capacity after coronary artery bypass grafting (CABG), allogeneic blood product transfusions are independently associated with increased long-term mortality, necessitating a risk-stratified approach to balance oxygen delivery against immunological complications and infection risks. Methods: [...] Read more.
Background: While timely blood transfusion is critical for restoring oxygen-carrying capacity after coronary artery bypass grafting (CABG), allogeneic blood product transfusions are independently associated with increased long-term mortality, necessitating a risk-stratified approach to balance oxygen delivery against immunological complications and infection risks. Methods: We retrospectively analyzed 3376 patients undergoing isolated CABG between 2005 and 2023 at a single tertiary center. Patients who died during their perioperative hospital stay within 30 days were excluded. Transfusion burden was assessed both as the absolute number of blood product units (packed red blood cells, platelet transfusion, fresh frozen plasma) and as a percentage of calculated patient blood volume. The primary outcome was all-cause mortality at 5 years. Flexible Cox regression with penalized smoothing splines, adjusted for EuroSCORE II, was used to model dose–response relationships. Results: From our cohort of 3376 patients, a total of 137 patients (4.05%) received >10 units of packed red blood cells (PRBC) perioperatively. These patients were older (median 71 vs. 68 years, p < 0.001), more often female (29% vs. 15%, p < 0.001), and had higher preoperative risk (EuroSCORE II: 2.53 vs. 1.41, p < 0.001). After 5 years, mortality was 42% in the massive transfusion group versus 10% in controls. Spline regression revealed an exponential increase in mortality with transfused units: 14 units yielded a 1.5-fold higher hazard of death (HR 1.46, 95% CI 1.31–1.64), rising to HR 2.71 (95% CI 2.12–3.47) at 30 units. When transfusion was indexed to blood volume, this relationship became linear and more tightly correlated with mortality, with lower maximum hazard ratios and narrower confidence intervals. Conclusions: Indexing transfusion burden to the percentage of patient blood volume replaced provides a more accurate and clinically actionable predictor of 5-year mortality after CABG than absolute unit counts. Our findings support a shift toward individualized, volume-based transfusion strategies to optimize patient outcomes and resource stewardship in a time of limited availability of blood products. Full article
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19 pages, 3117 KiB  
Article
Feasibility and Accuracy of a Dual-Function AR-Guided System for PSI Positioning and Osteotomy Execution in Pelvic Tumour Surgery: A Cadaveric Study
by Tanya Fernández-Fernández, Javier Orozco-Martínez, Carla de Gregorio-Bermejo, Elena Aguilera-Jiménez, Amaia Iribar-Zabala, Lydia Mediavilla-Santos, Javier Pascau, Mónica García-Sevilla, Rubén Pérez-Mañanes and José Antonio Calvo-Haro
Bioengineering 2025, 12(8), 810; https://doi.org/10.3390/bioengineering12080810 - 28 Jul 2025
Viewed by 236
Abstract
Objectives: Pelvic tumor resections demand high surgical precision to ensure clear margins while preserving function. Although patient-specific instruments (PSIs) improve osteotomy accuracy, positioning errors remain a limitation. This study evaluates the feasibility, accuracy, and usability of a novel dual-function augmented reality (AR) [...] Read more.
Objectives: Pelvic tumor resections demand high surgical precision to ensure clear margins while preserving function. Although patient-specific instruments (PSIs) improve osteotomy accuracy, positioning errors remain a limitation. This study evaluates the feasibility, accuracy, and usability of a novel dual-function augmented reality (AR) system for intraoperative guidance in PSI positioning and osteotomy execution using a head-mounted display (HMD). The system provides dual-function support by assisting both PSI placement and osteotomy execution. Methods: Ten fresh-frozen cadaveric hemipelves underwent AR-assisted internal hemipelvectomy, using customized 3D-printed PSIs and a new in-house AR software integrated into an HMD. Angular and translational deviations between planned and executed osteotomies were measured using postoperative CT analysis. Absolute angular errors were computed from plane normals; translational deviation was assessed as maximum error at the osteotomy corner point in both sagittal (pitch) and coronal (roll) planes. A Wilcoxon signed-rank test and Bland–Altman plots were used to assess intra-workflow cumulative error. Results: The mean absolute angular deviation was 5.11 ± 1.43°, with 86.66% of osteotomies within acceptable thresholds. Maximum pitch and roll deviations were 4.53 ± 1.32 mm and 2.79 ± 0.72 mm, respectively, with 93.33% and 100% of osteotomies meeting translational accuracy criteria. Wilcoxon analysis showed significantly lower angular error when comparing final executed planes to intermediate AR-displayed planes (p < 0.05), supporting improved PSI positioning accuracy with AR guidance. Surgeons rated the system highly (mean satisfaction ≥ 4.0) for usability and clinical utility. Conclusions: This cadaveric study confirms the feasibility and precision of an HMD-based AR system for PSI-guided pelvic osteotomies. The system demonstrated strong accuracy and high surgeon acceptance, highlighting its potential for clinical adoption in complex oncologic procedures. Full article
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17 pages, 5549 KiB  
Article
The Effects of Limonin, Myo-Inositol, and L-Proline on the Cryopreservation of Debao Boar Semen
by Qianhui Feng, Yanyan Yang, Bing Zhang, Wen Shi, Yizhen Fang, Chunrong Xu, Zhuxin Deng, Wanyou Feng and Deshun Shi
Animals 2025, 15(15), 2204; https://doi.org/10.3390/ani15152204 - 27 Jul 2025
Viewed by 254
Abstract
Semen cryopreservation is associated with sperm vulnerability to oxidative stress and ice crystal-induced damage, adversely affecting in vitro fertilization (IVF) success. This study aimed to investigate the effects of freezing diluent supplemented with antioxidant limonin (Lim), myo-inositol (MYO), and the ice crystal formation [...] Read more.
Semen cryopreservation is associated with sperm vulnerability to oxidative stress and ice crystal-induced damage, adversely affecting in vitro fertilization (IVF) success. This study aimed to investigate the effects of freezing diluent supplemented with antioxidant limonin (Lim), myo-inositol (MYO), and the ice crystal formation inhibitor L-proline (LP) through sperm motility, morphological integrity, and antioxidant capacity. The Lim (150 mM), MYO (90 mM), and LP (100 mM) significantly ameliorated the quality of post-thaw sperm in Debao boar, and combined treatment of these agents significantly enhanced sperm motility, structural integrity, and antioxidant capacity compared with individual agents (p < 0.05). Notably, the combined use of these agents reduced glycerol concentration in the freezing diluent from 3% to 2%. Meanwhile, the integrity of the sperm plasma membrane, acrosome membrane, and mitochondrial membrane potential was significantly improved (p < 0.05), and the result of IVF revealed the total cell count of the blastocysts was also greater in the 2% glycerol group (p < 0.05). In conclusion, the newly developed freezing diluent for semen, by adding Lim (150 mM), MYO (90 mM), and LP (100 mM), can enhance the quality of frozen–thawed Debao boar sperm and reduce the concentration of glycerol from 3% to 2% as high concentrations of glycerol can impair the quality of thawed sperm and affect in vitro fertilization outcomes. In conclusion, the improved dilution solution formulated demonstrated efficacy in enhancing the quality of porcine spermatozoa following cryopreservation and subsequent thawing. Full article
(This article belongs to the Section Pigs)
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17 pages, 4007 KiB  
Article
Variations in Soil Salt Ions and Salinization Degree in Shallow Groundwater Areas During the Freeze–Thaw Period
by Chao Han, Qiang Meng, Junfeng Chen, Lihong Cui, Jing Xue, Hongwu Liu and Rong Yan
Water 2025, 17(15), 2234; https://doi.org/10.3390/w17152234 - 26 Jul 2025
Viewed by 380
Abstract
In shallow groundwater areas, the freeze–thaw process can easily exacerbate soil salinization. The variations and migrations of Na+, K+, Ca2+, Mg2+, Cl, SO42−, and HCO3 at the depth [...] Read more.
In shallow groundwater areas, the freeze–thaw process can easily exacerbate soil salinization. The variations and migrations of Na+, K+, Ca2+, Mg2+, Cl, SO42−, and HCO3 at the depth of 0–100 cm under shallow groundwater depth (2.63–2.87 m) during the freeze–thaw period were analyzed. And a multi-index comprehensive evaluation method based on factor analysis was employed to investigate the soil salinization degree. The results show that K+, Mg2+, and HCO3 exhibited surface enrichment during the freeze–thaw period, while Na+, Cl, and SO42− accumulated in the frozen layer during the freezing stage. However, there is no surface enrichment of Ca2+. During the freezing stage, Mg2+ and Cl exhibited the strongest migration capabilities among cations and anions, respectively. During the thawing stage, K+ and HCO3 were the cation and anion with the highest ionic migration capabilities, respectively. Total salinity (TS), Cl, SO42−, HCO3, Na+, K+, Mg2+, and residual sodium carbonate (RSC) were identified as the dominant factors influencing the salinization degree during the freeze–thaw period. During the freezing stage, soil salt ions predominantly migrated from the unfrozen to the frozen layer, and the salinization degree in the frozen layer increased with the development of the frozen layer. In the thawing stage, soil salt ions migrated upward from the thawing front, and the salinization degree at the depth of 0–30 cm increased. This study provides insights for the prevention and control of soil salinization in arid regions. Full article
(This article belongs to the Special Issue Advances in Soil Water Dynamics Research)
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