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Search Results (1,228)

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17 pages, 1546 KiB  
Article
Design and Optimization of Valve Lift Curves for Piston-Type Expander at Different Rotational Speeds
by Yongtao Sun, Qihui Yu, Zhenjie Han, Ripeng Qin and Xueqing Hao
Fluids 2025, 10(8), 204; https://doi.org/10.3390/fluids10080204 (registering DOI) - 1 Aug 2025
Abstract
The piston-type expander (PTE), as the primary output component, significantly influences the performance of an energy storage system. This paper proposes a non-cam variable valve actuation system for the PTE, supported by a mathematical model. An enhanced S-curve trajectory planning method is used [...] Read more.
The piston-type expander (PTE), as the primary output component, significantly influences the performance of an energy storage system. This paper proposes a non-cam variable valve actuation system for the PTE, supported by a mathematical model. An enhanced S-curve trajectory planning method is used to design the valve lift curve. The study investigates the effects of various valve lift design parameters on output power and efficiency at different rotational speeds, employing orthogonal design and SPSS Statistics 27 (Statistical Product and Service Solutions) simulations. A grey comprehensive evaluation method is used to identify optimal valve lift parameters for each speed. The results show that valve lift parameters influence PTE performance to varying degrees, with intake duration having the greatest effect, followed by maximum valve lift, while intake end time has the least impact. The non-cam PTE outperforms the cam-based PTE. At 800 rpm, the optimal design yields 7.12 kW and 53.5% efficiency; at 900 rpm, 8.17 kW and 50.6%; at 1000 rpm, 9.2 kW and 46.8%; and at 1100 rpm, 12.09 kW and 41.2%. At these speeds, output power increases by 18.37%, 11.42%, 11.62%, and 9.82%, while energy efficiency improves by 15.01%, 15.05%, 14.24%, and 13.86%, respectively. Full article
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16 pages, 1651 KiB  
Article
Modular Pipeline for Text Recognition in Early Printed Books Using Kraken and ByT5
by Yahya Momtaz, Lorenza Laccetti and Guido Russo
Electronics 2025, 14(15), 3083; https://doi.org/10.3390/electronics14153083 (registering DOI) - 1 Aug 2025
Abstract
Early printed books, particularly incunabula, are invaluable archives of the beginnings of modern educational systems. However, their complex layouts, antique typefaces, and page degradation caused by bleed-through and ink fading pose significant challenges for automatic transcription. In this work, we present a modular [...] Read more.
Early printed books, particularly incunabula, are invaluable archives of the beginnings of modern educational systems. However, their complex layouts, antique typefaces, and page degradation caused by bleed-through and ink fading pose significant challenges for automatic transcription. In this work, we present a modular pipeline that addresses these problems by combining modern layout analysis and language modeling techniques. The pipeline begins with historical layout-aware text segmentation using Kraken, a neural network-based tool tailored for early typographic structures. Initial optical character recognition (OCR) is then performed with Kraken’s recognition engine, followed by post-correction using a fine-tuned ByT5 transformer model trained on manually aligned line-level data. By learning to map noisy OCR outputs to verified transcriptions, the model substantially improves recognition quality. The pipeline also integrates a preprocessing stage based on our previous work on bleed-through removal using robust statistical filters, including non-local means, Gaussian mixtures, biweight estimation, and Gaussian blur. This step enhances the legibility of degraded pages prior to OCR. The entire solution is open, modular, and scalable, supporting long-term preservation and improved accessibility of cultural heritage materials. Experimental results on 15th-century incunabula show a reduction in the Character Error Rate (CER) from around 38% to around 15% and an increase in the Bilingual Evaluation Understudy (BLEU) score from 22 to 44, confirming the effectiveness of our approach. This work demonstrates the potential of integrating transformer-based correction with layout-aware segmentation to enhance OCR accuracy in digital humanities applications. Full article
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14 pages, 1726 KiB  
Systematic Review
Mucous Fistula Refeeding in Newborns: Why, When, How, and Where? Insights from a Systematic Review
by Layla Musleh, Ilaria Cozzi, Anteo Di Napoli and Fabio Fusaro
Nutrients 2025, 17(15), 2490; https://doi.org/10.3390/nu17152490 - 30 Jul 2025
Viewed by 110
Abstract
Background/Objectives: Infants with high-output enterostomies often require prolonged parenteral nutrition (PN), increasing risks of infections, liver dysfunction, and impaired growth. Mucous fistula refeeding (MFR) is proposed to enhance intestinal adaptation, weight gain, and distal bowel maturation. This systematic review and meta-analysis assessed [...] Read more.
Background/Objectives: Infants with high-output enterostomies often require prolonged parenteral nutrition (PN), increasing risks of infections, liver dysfunction, and impaired growth. Mucous fistula refeeding (MFR) is proposed to enhance intestinal adaptation, weight gain, and distal bowel maturation. This systematic review and meta-analysis assessed its effectiveness, safety, and technical aspects. Methods: Following PRISMA guidelines, studies reporting MFR-related outcomes were included without data or language restrictions. Data sources included PubMed, EMBASE, CINAHL, Scopus, Web of Science, Cochrane Library, and UpToDate. Bias risk was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Meta-analysis employed random- and fixed-effects models, with outcomes reported as odds ratios (ORs) and 95% confidence interval (CI). Primary outcomes assessed were weight gain, PN duration, and complications and statistical comparisons were made between MFR and non-MFR groups. Results: Seventeen studies involving 631 infants were included; 482 received MFR and 149 did not. MFR started at 31 postoperative days and lasted for 50 days on average, using varied reinfusion methods, catheter types, and fixation strategies. MFR significantly improved weight gain (4.7 vs. 24.2 g/day, p < 0.05) and reduced PN duration (60.3 vs. 95 days, p < 0.05). Hospital and NICU stays were also shorter (160 vs. 263 days, p < 0.05; 122 vs. 200 days, p < 0.05). Cholestasis risk was lower (OR 0.151, 95% CI 0.071–0.319, p < 0.0001), while effects on bilirubin levels were inconsistent. Complications included sepsis (3.5%), intestinal perforation (0.83%), hemorrhage (0.62%), with one MFR-related death (0.22%). Conclusions: Despite MFR benefits neonatal care, its practices remain heterogeneous. Standardized protocols are required to ensure MFR safety and efficacy. Full article
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20 pages, 1426 KiB  
Article
Hybrid CNN-NLP Model for Detecting LSB Steganography in Digital Images
by Karen Angulo, Danilo Gil, Andrés Yáñez and Helbert Espitia
Appl. Syst. Innov. 2025, 8(4), 107; https://doi.org/10.3390/asi8040107 - 30 Jul 2025
Viewed by 75
Abstract
This paper proposes a hybrid model that combines convolutional neural networks with natural language processing techniques for least significant bit-based steganography detection in grayscale digital images. The proposed approach identifies hidden messages by analyzing subtle alterations in the least significant bits and validates [...] Read more.
This paper proposes a hybrid model that combines convolutional neural networks with natural language processing techniques for least significant bit-based steganography detection in grayscale digital images. The proposed approach identifies hidden messages by analyzing subtle alterations in the least significant bits and validates the linguistic coherence of the extracted content using a semantic filter implemented with spaCy. The system is trained and evaluated on datasets ranging from 5000 to 12,500 images per class, consistently using an 80% training and 20% validation partition. As a result, the model achieves a maximum accuracy and precision of 99.96%, outperforming recognized architectures such as Xu-Net, Yedroudj-Net, and SRNet. Unlike traditional methods, the model reduces false positives by discarding statistically suspicious but semantically incoherent outputs, which is essential in forensic contexts. Full article
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20 pages, 4256 KiB  
Article
Design Strategies for Stack-Based Piezoelectric Energy Harvesters near Bridge Bearings
by Philipp Mattauch, Oliver Schneider and Gerhard Fischerauer
Sensors 2025, 25(15), 4692; https://doi.org/10.3390/s25154692 - 29 Jul 2025
Viewed by 105
Abstract
Energy harvesting systems (EHSs) are widely used to power wireless sensors. Piezoelectric harvesters have the advantage of producing an electric signal directly related to the exciting force and can thus be used to power condition monitoring sensors in dynamically loaded structures such as [...] Read more.
Energy harvesting systems (EHSs) are widely used to power wireless sensors. Piezoelectric harvesters have the advantage of producing an electric signal directly related to the exciting force and can thus be used to power condition monitoring sensors in dynamically loaded structures such as bridges. The need for such monitoring is exemplified by the fact that the condition of close to 25% of public roadway bridges in, e.g., Germany is not satisfactory. Stack-based piezoelectric energy harvesting systems (pEHSs) installed near bridge bearings could provide information about the traffic and dynamic loads on the one hand and condition-dependent changes in the bridge characteristics on the other. This paper presents an approach to co-optimizing the design of the mechanical and electrical components using a nonlinear solver. Such an approach has not been described in the open literature to the best of the authors’ knowledge. The mechanical excitation is estimated through a finite element simulation, and the electric circuitry is modeled in Simulink to account for the nonlinear characteristics of rectifying diodes. We use real traffic data to create statistical randomized scenarios for the optimization and statistical variation. A main result of this work is that it reveals the strong dependence of the energy output on the interaction between bridge, harvester, and traffic details. A second result is that the methodology yields design criteria for the harvester such that the energy output is maximized. Through the case study of an actual middle-sized bridge in Germany, we demonstrate the feasibility of harvesting a time-averaged power of several milliwatts throughout the day. Comparing the total amount of harvested energy for 1000 randomized traffic scenarios, we demonstrate the suitability of pEHS to power wireless sensor nodes. In addition, we show the potential sensory usability for traffic observation (vehicle frequency, vehicle weight, axle load, etc.). Full article
(This article belongs to the Special Issue Energy Harvesting Technologies for Wireless Sensors)
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25 pages, 1599 KiB  
Article
Climate-Regulating Industrial Ecosystems: An AI-Optimised Framework for Green Infrastructure Performance
by Shamima Rahman, Ali Ahsan and Nazrul Islam Pramanik
Sustainability 2025, 17(15), 6891; https://doi.org/10.3390/su17156891 - 29 Jul 2025
Viewed by 115
Abstract
This paper presents an Industrial–Ecological Symbiosis Framework that enables industrial operations to achieve quantifiable ecological gains without compromising operational efficiency. The model integrates Mixed-Integer Linear Programming (MILP) with AI-optimised forecasting to allow real-time adjustments to production and resource use. It was tested across [...] Read more.
This paper presents an Industrial–Ecological Symbiosis Framework that enables industrial operations to achieve quantifiable ecological gains without compromising operational efficiency. The model integrates Mixed-Integer Linear Programming (MILP) with AI-optimised forecasting to allow real-time adjustments to production and resource use. It was tested across the apparel manufacturing, metalworking, and mining sectors using publicly available benchmark datasets. The framework delivered consistent improvements: fabric waste was reduced by 10.8%, energy efficiency increased by 15%, and carbon emissions decreased by 14%. These gains were statistically validated and quantified using ecological equivalence metrics, including forest carbon sequestration rates and wetland restoration values. Outputs align with national carbon accounting systems, SDG reporting, and policy frameworks—specifically contributing to SDGs 6, 9, and 11–13. By linking industrial decisions directly to verified environmental outcomes, this study demonstrates how adaptive optimisation can support climate goals while maintaining productivity. The framework offers a reproducible, cross-sectoral solution for sustainable industrial development. Full article
(This article belongs to the Section Environmental Sustainability and Applications)
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27 pages, 6584 KiB  
Article
Evaluating Geostatistical and Statistical Merging Methods for Radar–Gauge Rainfall Integration: A Multi-Method Comparative Study
by Xuan-Hien Le, Naoki Koyama, Kei Kikuchi, Yoshihisa Yamanouchi, Akiyoshi Fukaya and Tadashi Yamada
Remote Sens. 2025, 17(15), 2622; https://doi.org/10.3390/rs17152622 - 28 Jul 2025
Viewed by 157
Abstract
Accurate and spatially consistent rainfall estimation is essential for hydrological modeling and flood risk mitigation, especially in mountainous tropical regions with sparse observational networks and highly heterogeneous rainfall. This study presents a comparative analysis of six radar–gauge merging methods, including three statistical approaches—Quantile [...] Read more.
Accurate and spatially consistent rainfall estimation is essential for hydrological modeling and flood risk mitigation, especially in mountainous tropical regions with sparse observational networks and highly heterogeneous rainfall. This study presents a comparative analysis of six radar–gauge merging methods, including three statistical approaches—Quantile Adaptive Gaussian (QAG), Empirical Quantile Mapping (EQM), and radial basis function (RBF)—and three geostatistical approaches—external drift kriging (EDK), Bayesian Kriging (BAK), and Residual Kriging (REK). The evaluation was conducted over the Huong River Basin in Central Vietnam, a region characterized by steep terrain, monsoonal climate, and frequent hydrometeorological extremes. Two observational scenarios were established: Scenario S1 utilized 13 gauges for merging and 7 for independent validation, while Scenario S2 employed all 20 stations. Hourly radar and gauge data from peak rainy months were used for the evaluation. Each method was assessed using continuous metrics (RMSE, MAE, CC, NSE, and KGE), categorical metrics (POD and CSI), and spatial consistency indicators. Results indicate that all merging methods significantly improved the accuracy of rainfall estimates compared to raw radar data. Among them, RBF consistently achieved the highest accuracy, with the lowest RMSE (1.24 mm/h), highest NSE (0.954), and strongest spatial correlation (CC = 0.978) in Scenario S2. RBF also maintained high classification skills across all rainfall categories, including very heavy rain. EDK and BAK performed better with denser gauge input but required recalibration of variogram parameters. EQM and REK yielded moderate performance and had limitations near basin boundaries where gauge coverage was sparse. The results highlight trade-offs between method complexity, spatial accuracy, and robustness. While complex methods like EDK and BAK offer detailed spatial outputs, they require more calibration. Simpler methods are easier to apply across different conditions. RBF emerged as the most practical and transferable option, offering strong generalization, minimal calibration needs, and computational efficiency. These findings provide useful guidance for integrating radar and gauge data in flood-prone, data-scarce regions. Full article
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26 pages, 2330 KiB  
Article
Enhanced Dung Beetle Optimizer-Optimized KELM for Pile Bearing Capacity Prediction
by Bohang Chen, Mingwei Hai, Gaojian Di, Bin Zhou, Qi Zhang, Miao Wang and Yanxiu Guo
Buildings 2025, 15(15), 2654; https://doi.org/10.3390/buildings15152654 - 27 Jul 2025
Viewed by 194
Abstract
The safety associated with the bearing capacity of pile foundations is intrinsically linked to the overall safety, stability, and economic viability of structural systems. In response to the need for rapid and precise predictions of pile bearing capacity, this study introduces a kernel [...] Read more.
The safety associated with the bearing capacity of pile foundations is intrinsically linked to the overall safety, stability, and economic viability of structural systems. In response to the need for rapid and precise predictions of pile bearing capacity, this study introduces a kernel extreme learning machine (KELM) prediction model optimized through a multi-strategy improved beetle optimization algorithm (IDBO), referred to as the IDBO-KELM model. The model utilizes the pile length, pile diameter, average effective vertical stress, and undrained shear strength as input variables, with the bearing capacity serving as the output variable. Initially, experimental data on pile bearing capacity was gathered from the existing literature and subsequently normalized to facilitate effective integration into the model training process. A detailed introduction of the multi-strategy improved beetle optimization algorithm (IDBO) is provided, with its superior performance validated through 23 benchmark functions. Furthermore, the Wilcoxon rank sum test was employed to statistically assess the experimental outcomes, confirming the IDBO algorithm’s superiority over other prevalent metaheuristic algorithms. The IDBO algorithm was then utilized to optimize the hyperparameters of the KELM model for predicting pile bearing capacity. In conclusion, the statistical metrics for the IDBO-KELM model demonstrated a root mean square error (RMSE) of 4.7875, a coefficient of determination (R2) of 0.9313, and a mean absolute percentage error (MAPE) of 10.71%. In comparison, the baseline KELM model exhibited an RMSE of 6.7357, an R2 of 0.8639, and an MAPE of 18.47%. This represents an improvement exceeding 35%. These findings suggest that the IDBO-KELM model surpasses the KELM model across all evaluation metrics, thereby confirming its superior accuracy in predicting pile bearing capacity. Full article
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16 pages, 3470 KiB  
Article
Performance Analysis of Multi-Source Heat Pumps: A Regression-Based Approach to Energy Performance Estimation
by Reza Alijani and Fabrizio Leonforte
Sustainability 2025, 17(15), 6804; https://doi.org/10.3390/su17156804 - 26 Jul 2025
Viewed by 275
Abstract
The growing demand for energy-efficient heating, ventilation, and air conditioning (HVAC) systems has increased interest in multi-source heat pumps as a sustainable solution. While extensive research has been conducted on heat pump performance prediction, there is still a lack of practical tools for [...] Read more.
The growing demand for energy-efficient heating, ventilation, and air conditioning (HVAC) systems has increased interest in multi-source heat pumps as a sustainable solution. While extensive research has been conducted on heat pump performance prediction, there is still a lack of practical tools for early-stage system evaluation. This study addresses that gap by developing regression-based models to estimate the performance of various heat pump configurations, including air-source, ground-source, and dual-source systems. A simplified performance estimation model was created, capable of delivering results with accuracy levels comparable to TRNSYS simulation outputs, making it a valuable and accessible tool for system evaluation. The analysis was conducted across nine climatic zones in Italy, considering key environmental factors such as air temperature, ground temperature, and solar irradiance. Among the tested configurations, hybrid systems like Solar-Assisted Ground-Source Heat Pumps (SAGSHP) achieved the highest performance, with SCOP values up to 4.68 in Palermo and SEER values up to 5.33 in Milan. Regression analysis confirmed strong predictive accuracy (R2 = 0.80–0.95) and statistical significance (p < 0.05), emphasizing the models’ reliability across different configurations and climatic conditions. By offering easy-to-use regression formulas, this study enables engineers and policymakers to estimate heat pump performance without relying on complex simulations. Full article
(This article belongs to the Special Issue Sustainability and Energy Performance of Buildings)
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26 pages, 3625 KiB  
Article
Deep-CNN-Based Layout-to-SEM Image Reconstruction with Conformal Uncertainty Calibration for Nanoimprint Lithography in Semiconductor Manufacturing
by Jean Chien and Eric Lee
Electronics 2025, 14(15), 2973; https://doi.org/10.3390/electronics14152973 - 25 Jul 2025
Viewed by 237
Abstract
Nanoimprint lithography (NIL) has emerged as a promising sub-10 nm patterning at low cost; yet, robust process control remains difficult because of time-consuming physics-based simulators and labeled SEM data scarcity. We propose a data-efficient, two-stage deep-learning framework here that directly reconstructs post-imprint SEM [...] Read more.
Nanoimprint lithography (NIL) has emerged as a promising sub-10 nm patterning at low cost; yet, robust process control remains difficult because of time-consuming physics-based simulators and labeled SEM data scarcity. We propose a data-efficient, two-stage deep-learning framework here that directly reconstructs post-imprint SEM images from binary design layouts and delivers calibrated pixel-by-pixel uncertainty simultaneously. First, a shallow U-Net is trained on conformalized quantile regression (CQR) to output 90% prediction intervals with statistically guaranteed coverage. Moreover, per-level errors on a small calibration dataset are designed to drive an outlier-weighted and encoder-frozen transfer fine-tuning phase that refines only the decoder, with its capacity explicitly focused on regions of spatial uncertainty. On independent test layouts, our proposed fine-tuned model significantly reduces the mean absolute error (MAE) from 0.0365 to 0.0255 and raises the coverage from 0.904 to 0.926, while cutting the labeled data and GPU time by 80% and 72%, respectively. The resultant uncertainty maps highlight spatial regions associated with error hotspots and support defect-aware optical proximity correction (OPC) with fewer guard-band iterations. Extending the current perspective beyond OPC, the innovatively model-agnostic and modular design of the pipeline here allows flexible integration into other critical stages of the semiconductor manufacturing workflow, such as imprinting, etching, and inspection. In these stages, such predictions are critical for achieving higher precision, efficiency, and overall process robustness in semiconductor manufacturing, which is the ultimate motivation of this study. Full article
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19 pages, 1307 KiB  
Article
Three-Dimensional Non-Stationary MIMO Channel Modeling for UAV-Based Terahertz Wireless Communication Systems
by Kai Zhang, Yongjun Li, Xiang Wang, Zhaohui Yang, Fenglei Zhang, Ke Wang, Zhe Zhao and Yun Wang
Entropy 2025, 27(8), 788; https://doi.org/10.3390/e27080788 - 25 Jul 2025
Viewed by 149
Abstract
Terahertz (THz) wireless communications can support ultra-high data rates and secure wireless links with miniaturized devices for unmanned aerial vehicle (UAV) communications. In this paper, a three-dimensional (3D) non-stationary geometry-based stochastic channel model (GSCM) is proposed for multiple-input multiple-output (MIMO) communication links between [...] Read more.
Terahertz (THz) wireless communications can support ultra-high data rates and secure wireless links with miniaturized devices for unmanned aerial vehicle (UAV) communications. In this paper, a three-dimensional (3D) non-stationary geometry-based stochastic channel model (GSCM) is proposed for multiple-input multiple-output (MIMO) communication links between the UAVs in the THz band. The proposed channel model considers not only the 3D scattering and reflection scenarios (i.e., reflection and scattering fading) but also the atmospheric molecule absorption attenuation, arbitrary 3D trajectory, and antenna arrays of both terminals. In addition, the statistical properties of the proposed GSCM (i.e., the time auto-correlation function (T-ACF), space cross-correlation function (S-CCF), and Doppler power spectrum density (DPSD)) are derived and analyzed under several important UAV-related parameters and different carrier frequencies, including millimeter wave (mmWave) and THz bands. Finally, the good agreement between the simulated results and corresponding theoretical ones demonstrates the correctness of the proposed GSCM, and some useful observations are provided for the system design and performance evaluation of UAV-based air-to-air (A2A) THz-MIMO wireless communications. Full article
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16 pages, 803 KiB  
Article
Temporal Decline in Intravascular Albumin Mass and Its Association with Fluid Balance and Mortality in Sepsis: A Prospective Observational Study
by Christian J. Wiedermann, Arian Zaboli, Fabrizio Lucente, Lucia Filippi, Michael Maggi, Paolo Ferretto, Alessandro Cipriano, Antonio Voza, Lorenzo Ghiadoni and Gianni Turcato
J. Clin. Med. 2025, 14(15), 5255; https://doi.org/10.3390/jcm14155255 - 24 Jul 2025
Viewed by 335
Abstract
Background: Intravascular albumin mass represents the total quantity of albumin circulating within the bloodstream and may serve as a physiologically relevant marker of vascular integrity and fluid distribution in sepsis. While low serum albumin levels are acknowledged as prognostic indicators, dynamic assessments [...] Read more.
Background: Intravascular albumin mass represents the total quantity of albumin circulating within the bloodstream and may serve as a physiologically relevant marker of vascular integrity and fluid distribution in sepsis. While low serum albumin levels are acknowledged as prognostic indicators, dynamic assessments based on albumin mass remain insufficiently explored in patients outside the intensive care unit. Objectives: To describe the temporal changes in intravascular albumin mass in patients with community-acquired sepsis and to examine its relationship with fluid balance and thirty-day mortality. Methods: This prospective observational study encompassed 247 adults diagnosed with community-acquired sepsis who were admitted to a high-dependency hospital ward specializing in acute medical care. The intravascular albumin mass was calculated daily for a duration of up to five days, utilizing plasma albumin concentration and estimated plasma volume derived from anthropometric and hematologic data. Net albumin leakage was defined as the variation in intravascular albumin mass between consecutive days. Fluid administration and urine output were documented to ascertain cumulative fluid balance. Repeated-measures statistical models were employed to evaluate the associations between intravascular albumin mass, fluid balance, and mortality, with adjustments made for age, comorbidity, and clinical severity scores. Results: The intravascular albumin mass exhibited a significant decrease during the initial five days of hospitalization and demonstrated an inverse correlation with the cumulative fluid balance. A greater net leakage of albumin was associated with a positive fluid balance and elevated mortality rates. Furthermore, a reduced intravascular albumin mass independently predicted an increased risk of mortality at thirty days. Conclusions: A reduction in intravascular albumin mass may suggest ineffective fluid retention and the onset of capillary leak syndrome. This parameter holds promise as a clinically valuable, non-invasive indicator for guiding fluid resuscitation in cases of sepsis. Full article
(This article belongs to the Section Intensive Care)
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14 pages, 1209 KiB  
Article
Investigation of Growth Differentiation Factor 15 as a Prognostic Biomarker for Major Adverse Limb Events in Peripheral Artery Disease
by Ben Li, Farah Shaikh, Houssam Younes, Batool Abuhalimeh, Abdelrahman Zamzam, Rawand Abdin and Mohammad Qadura
J. Clin. Med. 2025, 14(15), 5239; https://doi.org/10.3390/jcm14155239 - 24 Jul 2025
Viewed by 274
Abstract
Background/Objectives: Peripheral artery disease (PAD) impacts more than 200 million individuals globally and leads to mortality and morbidity secondary to progressive limb dysfunction and amputation. However, clinical management of PAD remains suboptimal, in part because of the lack of standardized biomarkers to predict [...] Read more.
Background/Objectives: Peripheral artery disease (PAD) impacts more than 200 million individuals globally and leads to mortality and morbidity secondary to progressive limb dysfunction and amputation. However, clinical management of PAD remains suboptimal, in part because of the lack of standardized biomarkers to predict patient outcomes. Growth differentiation factor 15 (GDF15) is a stress-responsive cytokine that has been studied extensively in cardiovascular disease, but its investigation in PAD remains limited. This study aimed to use explainable statistical and machine learning methods to assess the prognostic value of GDF15 for limb outcomes in patients with PAD. Methods: This prognostic investigation was carried out using a prospectively enrolled cohort comprising 454 patients diagnosed with PAD. At baseline, plasma GDF15 levels were measured using a validated multiplex immunoassay. Participants were monitored over a two-year period to assess the occurrence of major adverse limb events (MALE), a composite outcome encompassing major lower extremity amputation, need for open/endovascular revascularization, or acute limb ischemia. An Extreme Gradient Boosting (XGBoost) model was trained to predict 2-year MALE using 10-fold cross-validation, incorporating GDF15 levels along with baseline variables. Model performance was primarily evaluated using the area under the receiver operating characteristic curve (AUROC). Secondary model evaluation metrics were accuracy, sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV). Prediction histogram plots were generated to assess the ability of the model to discriminate between patients who develop vs. do not develop 2-year MALE. For model interpretability, SHapley Additive exPlanations (SHAP) analysis was performed to evaluate the relative contribution of each predictor to model outputs. Results: The mean age of the cohort was 71 (SD 10) years, with 31% (n = 139) being female. Over the two-year follow-up period, 157 patients (34.6%) experienced MALE. The XGBoost model incorporating plasma GDF15 levels and demographic/clinical features achieved excellent performance for predicting 2-year MALE in PAD patients: AUROC 0.84, accuracy 83.5%, sensitivity 83.6%, specificity 83.7%, PPV 87.3%, and NPV 86.2%. The prediction probability histogram for the XGBoost model demonstrated clear separation for patients who developed vs. did not develop 2-year MALE, indicating strong discrimination ability. SHAP analysis showed that GDF15 was the strongest predictive feature for 2-year MALE, followed by age, smoking status, and other cardiovascular comorbidities, highlighting its clinical relevance. Conclusions: Using explainable statistical and machine learning methods, we demonstrated that plasma GDF15 levels have important prognostic value for 2-year MALE in patients with PAD. By integrating clinical variables with GDF15 levels, our machine learning model can support early identification of PAD patients at elevated risk for adverse limb events, facilitating timely referral to vascular specialists and aiding in decisions regarding the aggressiveness of medical/surgical treatment. This precision medicine approach based on a biomarker-guided prognostication algorithm offers a promising strategy for improving limb outcomes in individuals with PAD. Full article
(This article belongs to the Special Issue The Role of Biomarkers in Cardiovascular Diseases)
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13 pages, 2474 KiB  
Article
Renal Effects and Nitric Oxide Response Induced by Bothrops atrox Snake Venom in an Isolated Perfused Kidney Model
by Terentia Batista Sa Norões, Antonio Rafael Coelho Jorge, Helena Serra Azul Monteiro, Ricardo Parente Garcia Vieira and Breno De Sá Barreto Macêdo
Toxins 2025, 17(8), 363; https://doi.org/10.3390/toxins17080363 - 24 Jul 2025
Viewed by 249
Abstract
The snakes from the genus Bothrops are responsible for most of the ophidic accidents in Brazil, and Bothrops atrox represents one of these species. Envenomation by these snakes results in systemic effects and is often associated with early mortality following snakebite incidents. The [...] Read more.
The snakes from the genus Bothrops are responsible for most of the ophidic accidents in Brazil, and Bothrops atrox represents one of these species. Envenomation by these snakes results in systemic effects and is often associated with early mortality following snakebite incidents. The present study investigates the pharmacological properties of Bothrops atrox venom (VBA), focusing specifically on its impact on renal blood flow. Following the renal perfusion procedure, kidney tissues were processed for histopathological examination. Statistical analysis of all evaluated parameters was conducted using ANOVA and Student’s t-test, with significance set at p < 0.005. Administration of VBA resulted in a marked reduction in both perfusion pressure and renal vascular resistance. In contrast, there was a significant elevation in urinary output and glomerular filtration rate. Histological changes observed in the perfused kidneys were mild. The involvement of nitric oxide in the pressor effects of Bothrops atrox venom was not investigated in renal perfusion systems or in in vivo models. Treatment with VBA led to elevated nitrite levels in the bloodstream of the experimental animals. This effect was completely inhibited following pharmacological blockade with L-NAME. Based on these findings, we conclude that VBA alters renal function and promotes increased nitric oxide production. Full article
(This article belongs to the Special Issue Clinical Evidence for Therapeutic Effects and Safety of Animal Venoms)
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19 pages, 642 KiB  
Article
A Quantitative Study on the Interactive Changes Between China’s Final Demand Structure and Forestry Industry Production Structure
by Wenting Jia, Fuliang Cao and Xiaofeng Jia
Forests 2025, 16(8), 1212; https://doi.org/10.3390/f16081212 - 23 Jul 2025
Viewed by 165
Abstract
The effects of changes in China’s final demand structure on its forestry sector and associated supply chains have not been thoroughly examined. This study aims to provide a detailed analysis of the quantitative relationships and underlying mechanisms between these interactive changes. Using China’s [...] Read more.
The effects of changes in China’s final demand structure on its forestry sector and associated supply chains have not been thoroughly examined. This study aims to provide a detailed analysis of the quantitative relationships and underlying mechanisms between these interactive changes. Using China’s 153-sector input–output tables from the National Bureau of Statistics and applying a Leontief-based input–output model, we conducted scenario simulations through three distinct schemes, generating both quantitative and qualitative results. Our findings indicate that (1) For China’s forestry sector and its entire value chain to thrive, policymakers should boost consumer demand. This can better stimulate the development of forestry and the “agriculture-forestry-animal husbandry-fishery services” sector and related service industries; (2) Increased investment demand effectively stimulates the development of tertiary industries and secondary industries within the forestry supply chain and boosts the demand and production of intermediate products; (3) Changes in net exports have a significant impact on forestry and the forestry industry chain. To reduce dependence on foreign timber resources, China should strategically expand commercial plantation development; (4) Regarding intermediate product production, investment has a more pronounced effect on increasing total volume compared to consumption. Additionally, the Sino–US tariff disputes negatively impact the forestry industries of both countries. China needs to accelerate import substitution strategies for timber products, adjust international trade markets, and expand domestic consumption and investment to ensure the healthy and stable development of its forestry sector. Full article
(This article belongs to the Section Forest Economics, Policy, and Social Science)
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