Search Results (7,373)

Background and Objectives: Access-site complications (ASCs) remain clinically relevant after peripheral endovascular procedures, particularly with large femoral sheaths and complex anatomy. While randomized coronary trials show non-inferiority of vascular closure devices (VCDs) versus manual compression (MC), real-world data in peripheral interventions performed under systematic ultrasound-guided access are limited. Materials and Methods: This retrospective single-center cohort included consecutive peripheral arterial revascularizations (2010–2023) performed via common femoral access under real-time ultrasound guidance. Hemostasis was achieved using MC or VCDs, categorized as collagen plug-based, suture-mediated, or clip-based systems. The primary endpoint was 30-day ASCs, defined as hematoma requiring management, pseudoaneurysm, bleeding requiring transfusion, access-site thrombosis/occlusion, arteriovenous fistula, or infection. The secondary endpoint was VCD failure, defined as unsuccessful hemostasis requiring adjunctive measures. Multivariable logistic regression adjusted for prespecified anatomical and procedural covariates, including sheath size > 6 Fr and puncture-site calcification. Results: Among 231 procedures, VCDs were used in 139 (60.2%) and MC in 92 (39.8%). ASC occurred in 28 cases (12.1%), with higher rates in the MC group compared with VCDs (18.5% vs. 9–14% across device types; p = 0.044). In adjusted analyses, MC (vs any VCD) (odds ratio [OR] 2.41, 95% confidence interval [CI] 1.06–5.47; p = 0.035), sheath size > 6 Fr, and puncture-site calcification were independently associated with ASCs. VCD failure occurred in 5 cases (3.6%) and was not observed with collagen plug-based devices. Conclusions: In this ultrasound-guided real-world peripheral cohort, VCD use was associated with lower 30-day ASC rates and low device failure rates compared with MC. Given the retrospective and non-randomized design, these findings should be considered hypothesis-generating and support individualized, imaging-guided strategies for femoral closure in peripheral interventions. Full article

Controlling the rheological properties of liquids allows for the regulation of effective movement, transport of substances, and processes in biological systems. This work presents an experimental investigation into the influence of the proton-exchange polymer membrane Nafion on the surface tension coefficient (STC) of distilled water, aqueous solutions of two methylene blue (MB) forms, and ascorbic acid (AA). Immediately upon membrane immersion in the solutions, a sharp decrease in the surface tension of distilled water, as well as of the oxidized and reduced forms of MB, occurs. The observed narrow time interval is associated with the formation of an exclusion zone near the membrane–solution interface, containing dissociated sulfonate groups $\left(\mathrm{S}{\mathrm{O}}_3^{-}\right)$. The value of the time interval depends on the type of aqueous solution. At long soaking of the membrane in solutions, we obtained: for the aqueous solution of Mb⁺ (blue-coloured solution) the STC value eventually increases by about 5%, and for the reduced form of methylene blue MbH⁰-colourless solution, the STC value decreases by 4%. The STC value of the solutions formed during diffusion into the membrane has a significantly lower value compared to the STC of distilled water by 20% for the Mb⁺ form and by 24% for the MbH⁰ form of MB. The presence of the membrane in the aqueous AA solution causes only an increase in the STC value of the solution. Ultimately, for the solution with a concentration of 5 g/L, this increase reached 15% relative to the STC value of the original AA solution. The change in surface tension of the investigated solutions in the presence of the membrane is due to their adsorption onto the membrane surface. Fourier-transform infrared (FTIR) spectroscopy investigation of distilled water, MB, and AA solution diffusion into the membrane across the range (370–7800) cm⁻¹ confirms the process nonlinearity and enables identification of distinct time intervals corresponding to membrane swelling stages. The positions of IR transmission minima for membranes containing water and solution components remain unchanged; only the numerical values of the transmission coefficients vary. Using spectrophotometry, absorption lines of the membrane with adsorbed components of MB and AA solutions were identified in the range of (190–900) nm. The absorption spectra of dried membranes with adsorbed Mb⁺ and AA solutions show a redshift to the IR region for the Nafion with Mb⁺ and a shift to the UV region for the Nafion soaked in an aqueous ascorbic acid solution. A surface tension gradient at the membrane–solution interface can induce concentration-capillary convection in the liquid. Full article

Background/Objective: Gliomas are the most common primary brain tumors in adults, with recurrence rates varying by tumor grade and initial treatment. Reoperation is a key strategy for managing recurrence; however, its impact on functional status and health-related quality of life (HRQoL) remains insufficiently defined. While HRQoL and neurocognitive outcomes have been described after primary treatment, far less is known following reoperation. This systematic review synthesizes available evidence on postoperative functional outcomes and summarizes HRQoL reporting in the reoperation literature. Methods: A systematic search of PubMed and Google Scholar retrieved 1336 articles. After removing duplicates (n = 76) and screening full texts (n = 42), 15 studies (total n = 1934; reoperation group n = 947) met the inclusion criteria. Studies were eligible if they employed validated functional or HRQoL instruments (e.g., Karnofsky Performance Status [KPS], FACT-G, SF-36, and EQ-5D-L). Due to limited and heterogeneous HRQoL reporting, only KPS could be aggregated for meta-analysis, and HRQoL measures were descriptively summarized. Results: Fixed-effect meta-analysis demonstrated a modest decline in postoperative KPS compared with preoperative scores (−3.28, 95% CI: −3.69 to −2.86; p < 0.001), though heterogeneity was high (I² ≈ 97%). The random-effects model, accounting for interstudy variability, showed no significant overall change (+0.16 KPS, 95% CI: −4.04 to +4.35; p = 0.94; I² ≈ 48%). The 95% prediction interval (−14.1 to +14.4) indicated that individual centers may observe either improvement or decline. Sensitivity analyses identified a small outlier study as a major contributor to heterogeneity; its exclusion did not materially alter the results. Conclusions: Across heterogeneous observational cohorts, reoperation for recurrent glioma was not associated with a consistent decline in functional status as measured by KPS, although substantial variability and uncertainty in outcomes remain. HRQoL reporting remains sparse and inconsistent, underscoring the need for prospective, multicenter studies employing standardized HRQoL instruments to better define quality-of-life trajectories after reoperation. Full article

Background: Optical coherence tomography angiography (OCT-A) provides quantitative assessment of retinal and peripapillary microvasculature and has emerged as a promising tool for glaucoma diagnostics. However, its sensitivity for detecting early glaucomatous progression over short intervals remains uncertain. This study evaluated cross-sectional and short-term longitudinal OCT-A vessel density (VD) metrics in primary open-angle glaucoma (POAG) and explored their relationships with structural (RNFL) and functional (MD) measures. Methods: Sixty eyes (30 POAG, 30 controls) underwent baseline and 6-month examinations including intraocular pressure (IOP), standard automated perimetry (SAP), structural OCT, and OCT-A (RTVue XR Avanti; AngioVue). Parameters analyzed included peripapillary VD (PP-VD), parafoveal VD (PF-VD), foveal avascular zone (FAZ) metrics, FD-300, and RNFL thickness. Between-group comparisons used t-tests or Mann–Whitney U tests. Effect sizes (Cohen’s d), 95% confidence intervals (CI), and ANCOVA models (adjusted for baseline, age, and sex) were included. Longitudinal change was defined as Δ = 6 months − baseline. Pearson correlations evaluated structure–vascular associations. Results: At baseline, POAG eyes showed significantly lower PP-VD, PF-VD, thinner RNFL, and worse MD (all p < 0.001). Strong correlations were observed between RNFL and PP-VD (r ≈ 0.7). Over 6 months, glaucoma eyes showed small but statistically significant reductions in RNFL (Δ = −1.04 µm), MD (Δ = −0.10 dB), and PP-VD (Δ = −0.57%), whereas controls remained stable. However, the absolute OCT-A changes were small and largely within the known range of test–retest variability. ANCOVA demonstrated a significant adjusted group effect only for PP-VD (B = −1.22%, 95% CI −1.53 to −0.90; p < 0.001). Conclusions: OCT-A demonstrated clear cross-sectional differences between POAG and controls and strong structure–vascular associations. However, with only two measurements over a 6-month interval, the study cannot distinguish true glaucomatous progression from physiological or device-related variability. Short-term changes should therefore be interpreted cautiously. PP-VD remains the most robust and consistent OCT-A parameter, but larger, longer, and prospectively powered studies are required to validate OCT-A as a reliable biomarker for progression. Full article

Bio-based fertilisers (BBFs), produced from various types of biological waste using different processing methods, have demonstrated encouraging levels of agronomic efficiency and environmental benefits, consistent with the principles of sustainable development (SD). Nevertheless, bringing these newly developed products to market remains difficult due to limited farmer awareness, perceived risks, and regulatory uncertainties. In this paper, we examine the attitudes, opinions, and awareness of farmers regarding the use of various BBFs in their fertilisation practices. We applied a survey research method, using the Paper and Pen Personal Interview (PAPI), and answers were collected by agricultural advisors. A questionnaire, consisting of open, closed, and Likert scale questions, focusing on general information about farmers, current practices regarding fertiliser use, and the determinants of fertiliser choice, was used. Descriptive statistics, cross-tabulations, chi-square tests, Cramer’s V coefficients, 95% confidence intervals, and McNemar’s test were used to analyse the data. This study was conducted in all 16 voivodeships in Poland, collecting a total of 800 responses. Factors influencing the negative or positive attitude of farmers toward this practice were identified. Currently, mineral fertilisers remain the dominant choice among Polish farmers due to their accessibility, cost-effectiveness, and agronomic performance. There is observed growing, albeit cautious, interest in alternative fertilisation strategies and the correct understanding of sustainable agriculture practices. About half of farmers expressed willingness to partially replace mineral fertilisers with organic options, but only a minority showed interest in adopting BBFs. The findings indicate that concerns about contaminants, heterogeneous quality, limited availability, and regulatory uncertainty continue to constrain interest in BBFs. Although respondents recognised potential environmental benefits, economic and agronomic considerations remained the primary drivers of decision-making. As the survey was conducted in late 2021, the results reflect pre-2022 market conditions and should be interpreted as a baseline rather than a direct indication of current attitudes. Overall, this study provides insights into behavioural and structural factors influencing fertiliser use in Poland and highlights areas where further policy, advisory, and market developments may help support more sustainable nutrient management. Full article

The effects of extreme heat events on Surface Urban Heat Island Intensity (SUHII) were investigated in Lecce (southern Italy) during the summer months (June–August) from 2018 to 2025. The analysis began with the identification of heatwave frequency, duration, and intensity using the Warm Spell Duration Index (WSDI), based on a homogenized long-term temperature record, which indicated a progressive increase in persistent extreme events in recent years. High-resolution ECOSTRESS land surface temperature (LST) data were then processed and combined with CORINE Land Cover (CLC) information to examine the thermal response of different urban fabrics, compact residential areas, continuous/discontinuous urban fabric, and industrial–commercial zones. SUHII was derived from each ECOSTRESS acquisition and evaluated across multiple diurnal intervals to assess temporal variability under both normal and WSDI conditions. The results show a consistent diurnal asymmetry: daytime SUHII becomes more negative during WSDI periods, reflecting enhanced rural warming under dry and highly irradiated conditions, despite overall higher absolute LST during heatwaves, whereas nighttime SUHII intensifies, particularly in dense urban areas where higher thermal inertia promotes persistent heat retention. Statistical analyses confirm significant differences between normal and extreme conditions across all classes and time intervals. These findings demonstrate that extreme heat events alter the urban–rural thermal contrast by amplifying nighttime heat accumulation and reinforcing daytime negative SUHII values. The integration of WSDI-derived heatwave characterization with multi-year ECOSTRESS observations highlights the increasing thermal vulnerability of compact urban environments under intensifying summer extremes. Full article

The practical applications of breed identification are numerous and diverse, and they include breed conservation and breeding program design. However, distinguishing between breeds remains challenging and costly, especially for phenotypically similar chicken populations. Continued research is necessary to develop more accessible and optimized methodologies. To address these challenges, machine learning (ML) offers promising tools for analyzing complex genetic data. The capabilities of machine learning, especially the random forest (RF) model, to enhance various fields, including bioinformatics, have recently been demonstrated. In this study, microsatellite genotype data from 651 individuals across 30 chicken populations filtered from a larger initial dataset for consistency were used to classify breeds using an RF model. Cross-validation techniques, including 10-fold cross-validation and leave-one-out cross-validation, were employed to assess the performance of the model. The model performance was evaluated using metrics such as accuracy, Cohen’s Kappa, 95% confidence interval, and F1-score. Results showed that the RF model achieved a 95.38% accuracy on the testing dataset. Accuracies of 91.44% and 90.99% were observed for 10-fold cross-validation and leave-one-out cross-validation, respectively. It is believed that larger datasets will significantly improve outcomes for other breeds. Because of its generalizability, the trained model can serve as a straightforward and modern method for chicken breed determination using machine learning. This study demonstrates that ML, particularly automated approaches like AutoGluon, provides a robust and accessible framework for chicken breed identification using cost-effective microsatellite data. Full article

Background: Facial atrophic acne scars have a significant impact on patients’ psychosocial well-being and remain a therapeutic challenge. Existing treatments options are frequently limited by modest efficacy and adverse effects. The combination of Polynucleotide High-Purification Technology (PN HPT™) and hyaluronic acid (HA) represents a novel bioregenerative strategy aimed at improving dermal remodelling and overall skin quality. Methods: This six-month, prospective, real-world study evaluated the efficacy and safety of Newest^® (Mastelli S.r.l., Sanremo, Italy), a sterile intradermal gel containing highly purified polynucleotides (10 mg/mL) and HA (10 mg/mL). Eligible participants, aged 20–60 years with moderate-to-severe atrophic facial post-acne scars, underwent four treatment sessions in two-week intervals. Efficacy was assessed using the Acne Scar Assessment Scale (ASAS) and Global Aesthetic Improvement Scale (GAIS) at three and six months, while safety was monitored throughout the study. Results: A total of 62 patients (32 Caucasian, 30 Asian; 19 males, 43 females; mean age: 36.6 years) completed the study. At three and six months, 46.8% showed at least a one-grade reduction in ASAS score with respect to the baseline. Patient-reported GAIS indicated that 54.8% perceived an improvement in scar appearance, aligning with investigator assessments. Only one mild, transient adverse event (wheal formation) occurred, which resolved spontaneously without intervention. Conclusions: In this real-world study, treatment with Polynucleotide High-Purification Technology (10 mg/mL) combined with HA (10 mg/mL) was associated with observable improvementin atrophic facial acne scars, with an excellent safety and tolerability profile. These findings support the potential of polynucleotide-based therapies for use as well-tolerated options for managing moderate-to-severe atrophic acne scarring, while the need for further controlled studies to confirm efficacy is also acknowledged. Full article

The validity and accuracy of photoplethysmography (PPG)-based wearable heart rate (HR) monitors remain debatable. This study aimed to determine the concurrent validity of HR records from a wide range of contemporary PPG monitors across the full spectrum of exercise intensities and running conditions. Ten well-trained male endurance athletes performed several incremental maximal aerobic (IMA) tests and high-intensity interval training (HIIT) sessions while wearing a Polar H9 chest strap, as the reference criterion; 16 PPG-based heart rate monitors were tested (Amazfit Fit5; Apple Ultra and SE; Garmin 35, 45, 235, and 935; Polar M200, M430, OH1, Vantage M, Vantage V, Vantage V3, and Verity Sense; Galaxy Watch 5, Suunto 3 Fitness). The results showed excellent ICC (>0.90) versus the reference device across IMA and HIIT tests. Overall, the ICC decreased, and magnitudes of error increased (BIAS, SEM, and CV) as the intensity increased. Moreover, lower ICC values and greater BIAS, SEM, and CV were observed during the HIIT compared to the IMA test. Nevertheless, notable differences between devices were observed in magnitude of errors, accuracy, data loss, and read failures. In conclusion, PPG-based HR monitor validity is device-dependent and therefore exercise data from running training and competitions should be interpreted with caution. Full article

Objective: Restless legs syndrome (RLS) is a highly prevalent neurological complication in end-stage renal disease (ESRD) patients. This study aimed to explore the transcranial sonography (TCS) characteristics of the substantia nigra (SN) and brainstem raphe (BR) in ESRD patients with and without RLS and to evaluate the diagnostic value of SN echogenicity for ESRD-related RLS. Methods: A total of 65 ESRD patients (45 with RLS [ESRD + RLS] and 20 without RLS [ESRD − RLS]) from the dialysis center and 30 age- and gender-matched healthy controls (NC) from the health management center were enrolled between January 2017 and December 2022. All participants underwent TCS to measure the bilateral SN echogenic area, and the total SN echogenic area (SNsA) was calculated. BR echogenicity was assessed using a semiquantitative scale. Receiver operating characteristic (ROC) curves were plotted to determine the optimal SNsA cutoff for diagnosing ESRD + RLS. Results: The SNsA in the ESRD + RLS group [0.15 (0.13–0.22) cm²] was significantly smaller than that in the ESRD − RLS group [0.27 (0.23–0.31) cm²] and the NC group [0.27 (0.22–0.30) cm²] (both p < 0.001). ROC curve analysis showed that SNsA had the highest diagnostic efficacy for ESRD + RLS, with an area under the curve (AUROC) of 0.823 (95% confidence interval [CI]: 0.722–0.924). At a cutoff of 0.22 cm², SNsA yielded a sensitivity of 85.0%, specificity of 73.3%, accuracy of 76.92%, positive predictive value (PPV) of 58.6%, and negative predictive value (NPV) of 91.7%. The prevalence of BR hypoechogenicity was significantly higher in ESRD + RLS (33.33%) and ESRD − RLS (35.00%) groups than in the NC group (10.00%) (both p < 0.05), but no difference was observed between the two ESRD subgroups (p > 0.05). No significant differences in third ventricle (TV) width or bilateral middle cerebral artery peak systolic velocity (MCA-PSV) were found among the three groups (all p > 0.05). Conclusions: ESRD + RLS patients exhibit significant SN hypoechogenicity compared with ESRD − RLS patients and healthy controls. SNsA with a cutoff of 0.22 cm² serves as a reliable imaging biomarker for diagnosing ESRD + RLS, and TCS is a valuable noninvasive tool to assist clinical decision-making in this population. Full article

To extend the drilling limit of horizontal sections, the demand for utilizing multiple hydraulic oscillators at intervals has become increasingly prominent. However, current research on the operating range of multiple oscillators, their mutual interference characteristics, and the impact of oscillation on drill string fatigue damage remains scarce. The results indicate that when the vibration ranges of multiple oscillators overlap, the overlapping segment experiences negative effects under identical excitation frequencies. If the oscillators operate at different frequencies, the displacement envelope of the drill string tends to become irregular. Within the normal amplitude range of oscillators, no significant fatigue damage is generally observed in adjacent sections of the drill string. However, when minor initial cracks exist in the drill string, an increase in oscillator amplitude leads to accelerated crack propagation, significantly hastening the fatigue failure process. In field operations, the parameters of multiple oscillators should be optimized according to specific working conditions, and timely non-destructive inspection of the drill string sections within the effective range of the oscillators must be conducted. The study provides novel insights into vibration wave propagation and fatigue damage in drill strings under multi-point excitation. Full article

Background/Objectives: Individuals with arrhythmia who survived COVID-19 could be susceptible to long-term cardiovascular complications and clinical outcomes. Methods: We performed a retrospective cohort study of adults with a history of arrhythmia in the Montefiore Health System (1 January 2016–17 August 2024). COVID-19 status was determined by a positive or negative polymerase-chain-reaction test. Outcomes included all-cause mortality, first-time myocardial infarction (MI), heart failure (HF), ischemic or hemorrhagic stroke, and major adverse cardiovascular events (MACE: defined as MI, HF, stroke, or death) > 30 days post-index date. Cox proportional hazards and Fine–Gray competing risk models, adjusted for demographic, clinical, socioeconomic, and COVID-19 vaccination variables, were employed. The association of outcomes with blood biomarkers taken at time of infection were also assessed in hospitalized COVID-19 patients. Results: Among the 6830 arrhythmia patients, 985 were hospitalized for COVID-19, 1591 were not hospitalized for COVID-19, and 4254 did not have COVID-19. Patients hospitalized for COVID-19 had a higher risk of all-cause mortality (adjusted hazard ratio = 2.90, 95% confidence-interval [2.08, 4.04]), first-time MI, HF, and MACE compared to controls without COVID-19. No increased risk was observed among non-hospitalized COVID-19-positive patients compared to controls, except for all-cause mortality. Older age, male sex, Medicaid, and significant comorbidities were associated with the risk of MACE. Elevated levels of creatinine, lactate dehydrogenase, D-dimer, neutrophil-to-lymphocyte ratio, low hemoglobin, and low left ventricular ejection fraction during infection were associated with higher future MACE risk. Conclusions. In individuals with arrhythmia, severe COVID-19 is associated with increased long-term risks of mortality and new-onset cardiovascular complications, while mild infection with mortality risk. These findings highlight the need for long-term cardiovascular monitoring in this population. Full article

Background/Objectives: No effective intervention currently exists for non-compressible pulmonary injury, especially in a prehospital setting. Visco-liquids like trisilanol i-octyl POSS could remedy this. POSS resists hemorrhage and activates clotting; this can be augmented with kaolin (22.5%; PK) or chitin (10%; PC). Methods: We tested the efficacy of POSS, PK, and PC in treating incisional lung wounds in swine (39 ± 1 kg; n = 10). An incisional wound was made in the lung via a left thoracotomy, allowed to bleed freely for 30 s, and then no treatment (UNT), gauze with compression (GC), or POSS, PK, or PC was applied (1.5 mL). Each treatment was applied once per animal for a total of 5 wounds. Wounds were observed for 10 min for hemostasis and pneumostasis; GC treatments were assessed at 3 min intervals. Results: POSS and PC produced hemostasis in 8 of 10 wounds; GC: 7 (all significant from UNT); PK: 5 and UNT: 1. PK was not different from any group. POSS (2 ± 0.3 min) and PC (1.4 ± 0.4 min) clotted more quickly than GC (8 ± 3 min); PK was intermediate (3.8 ± 2 min) and not different from any other group. Pneumostasis was achieved in all POSS, PC, and PK, and only after hemostasis in the GC group. Conclusions: Because both POSS and PC provided quick and lasting hemorrhage and pneumatic control in this model, without need for compression, these results support the concept that these types of liquid POSS compounds could prove to be efficacious in prehospital treatment of non-compressible trauma wounds. Full article

Background: Cyproheptadine-based appetite stimulants (CAS) have been safely used in Korea for over 30 years. However, in older adults who are vulnerable to malnutrition, sarcopenia, and fall-related morbidity, safety of CAS in nutrition care remains uncertain due to limited evidence and its antihistaminic effects. This study aimed to assess the real-world safety of CAS compared with megestrol and other antihistamines to inform safe pharmacologic support within clinical nutrition practice. Methods: A retrospective observational study was conducted using Seoul National University Hospital’s common data model. Patients who were prescribed CAS, megestrol, or antihistamines between 2004 and 2022 were enrolled. To balance covariates, propensity score matching was applied. The primary outcomes—dizziness, sedation, and hypotension—were evaluated within 30 days of drug administration. Additionally, sensitivity analyses and subgroup assessments by age and duration of use were performed to evaluate robustness of the findings. Results: No significant differences were observed in the risk of dizziness, sedation, or hypotension when CAS was compared to megestrol, with adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) of 1.02 (0.70–1.50) for dizziness, 0.53 (0.19–1.54) for sedation, and 0.70 (0.34–1.44) for hypotension. Similar findings were noted in the comparison with antihistamines, where the aHRs for dizziness, sedation, or hypotension of 0.56 (0.41–0.78), 1.05 (0.46–2.38), and 0.65 (0.36–1.17), respectively. Conclusions: CAS demonstrated an acceptable safety profile in older adults, with safety comparable to both megestrol and antihistamines. Full article

Subglacial topography is a critical boundary condition for ice sheet models projecting past and future ice sheet–climate interactions. Contemporary ice-sheet-wide bed topography datasets are partially derived using mass conservation, but approximately 75% of the most widely used Greenland Ice Sheet (GrIS) dataset is based on simple interpolation of airborne radio-echo sounding (RES) measurements, such as kriging or streamline diffusion. Due to limited independent validation data, the errors and biases in this approach are poorly understood, creating largely unknown uncertainties in subglacial topography. Here, we interpolated synthetic RES observations of bed topography over ice-free areas with a known topography at a 5 m spatial resolution and quantify discrepancies. We found that the absolute error in kriged bed topography increases with distance from the input data, though at a reduced rate than previously estimated. The difference between an interpolated elevation estimate and the local mean elevation is a strong predictor of real bed errors (R² = 0.72), with further improvement as input observation sparsity increases (R² > 0.82). We propose a method to quantify and reduce uncertainty in kriged bed topography in sparsely surveyed regions, reducing uncertainty for at least 56% of the kriged interior at a 99% confidence interval. Our results suggest that subglacial depth is on average 5 m deeper than previous estimates, though individual areas may be shallower or deeper (σ = 41 m). Consequently, the area grounded below sea level is likely underestimated by 2%, increasing to 29% for regions deeper than 200 m. These findings have potential implications for the future stability of the GrIS under climate change. Full article