Search Results (4,089)

Rapid urbanization has intensified nitrate pollution in megacity rivers, posing severe challenges to urban water governance and sustainable nitrate management. This study presents nitrate dual-isotope signatures (δ¹⁵N-NO₃⁻ and δ¹⁸O-NO₃⁻) from surface water samples collected during the wet season from the Yongding River (YDR) and Chaobai River (CBR) in the Beijing–Tianjin–Hebei megacity region of North China. Average concentrations of nitrate (as NO₃⁻) were 8.5 mg/L in YDR and 12.7 mg/L in CBR. The δ¹⁵N-NO₃⁻ and δ¹⁸O-NO₃⁻ values varied from 6.1‰ to 19.1‰ and −1.1‰ to 10.6‰, respectively. The spatial distribution of NO₃⁻/Cl⁻ ratios and isotopic data indicated mixed sources, primarily sewage and manure in downstream sections and agricultural inputs in upstream areas. Isotopic evidence revealed widespread nitrification processes and could have potentially localized denitrification under low-oxygen conditions in the lower YDR. Bayesian mixing model (MixSIAR) results indicated that sewage and manure constituted the main nitrate sources (49.4%), followed by soil nitrogen (23.7%), chemical fertilizers (19.2%), and atmospheric deposition from rainfall (7.7%). The self-organizing map (SOM) further revealed three nitrate regimes, including natural and agricultural, mixed, and sewage dominated conditions, indicating a clear downstream gradient of increasing anthropogenic influence. The results suggest that efficient nitrogen management in megacity rivers requires improving biological nutrient removal in wastewater treatment, regulating fertilizer application in upstream areas, and maintaining ecological base flow for natural denitrification. This integrated framework provides a quantitative basis for nitrate control and supports sustainable water governance in highly urbanized watersheds. Full article

(1) Background: Wound healing is a highly coordinated process encompassing hemostasis, inflammation, angiogenesis, keratinocyte migration, collagen deposition, and extracellular matrix remodeling. Successful repair also requires adequate nutrient and oxygen delivery through a well-developed vascular supply. Disruption of these processes can occur through aberrations in diverse biological pathways, including extracellular matrix organization, cellular adhesions, angiogenesis, and immune regulation. (2) Methods: We reviewed mechanisms of impaired tissue repair in monogenic disorders by focusing on three categories—connective tissue, hematological/immunological, and aging-related disorders—to illustrate how single-gene defects disrupt inflammation, cellular proliferation, and matrix remodeling. Additionally, we reviewed various polygenic disorders—chronic kidney disease, diabetes mellitus, hypertension, and obesity—to contrast complex multifactorial pathologies with single-gene defects. (3) Results: This review establishes that genetic impediments, despite their distinct etiologies, monogenic and polygenic disorders share critical downstream failures in the wound healing cascade. While monogenic diseases illustrate direct causal links between specific protein deficits and repair failure, polygenic diseases demonstrate how multifactorial stressors overwhelm the body’s regenerative capacity. (4) Conclusions: This review synthesizes current evidence on both monogenic diseases and polygenic contributions to impaired wound healing. These findings highlight that genetic susceptibility is a decisive factor in the ability to restore tissue homeostasis. This underscores the profound impact of genetic background on the efficacy of hemostasis, inflammation, and remodeling. Full article

Islet encapsulation has the potential to enable transplantation without requirement for life-long immunosuppression. The period between implantation and revascularisation is most harmful for encapsulated islets as they receive nutrients and oxygen exclusively via diffusion. This critical time gap must be bridged with a temporary oxygen supply to prevent inflammation and apoptosis. Hence, we compared the efficiency of individual components of an oxygen-delivering matrix (hyaluronic acid (HA); HA + perfluorodecalin nanoemulsion; HA + perfluorodecalin nanoemulsion + oxygen) to provide a substitute for the extracellular matrix and to facilitate human islet survival. The islets were loaded into silicone-based macroencapsulation devices with multi-scale porous membranes designed to optimise revascularisation. Four to five days of normoxic culture revealed that non-oxygen-charged nanoemulsion prevented islet disintegration but did not reduce necrosis or apoptosis. Oxygen supply decreased the generation of reactive oxygen species and chemokines, thereby increasing islet yield. Stimulated insulin secretion of encapsulated islets was marginal and severely delayed. Islets incubated in oxygen-precharged nanoemulsion were characterised by the highest stimulation index. These data suggest that islet survival in macroencapsulation devices can be optimised with a multi-functional matrix providing mechanical support and temporary oxygen supply to reduce the production of pro-inflammatory mediators. Suitable oxygen delivery systems with an extended life span must identified before in vivo experiments can be undertaken. Full article

To investigate the regulatory effects of miR-16-5p and miR-142-3p on inflammation and autophagy in human corneal epithelial cells (HCEpiCs) exposed to hyperosmotic stress, a key pathogenic condition in dry eye disease, HCEpiCs were cultured under NaCl-induced hyperosmotic conditions (450 mOsm, 24 h) and transfected with miR-16-5p or miR-142-3p mimics. Expression of inflammatory cytokines (IL-1β, IL-6, TNF-α, IRAK1), autophagy-related genes (ATG5, Beclin-1, ATG16L1, p62), and apoptotic markers (Bax, Bcl-2, caspase-3) was analyzed by qRT-PCR and Western blot. Reactive oxygen species (ROS), autophagic vesicles, and apoptosis were evaluated using DCFH-DA, DAPRed, and Annexin V assays. The expression levels of antioxidant proteins (SOD1, catalase, NRF2) were also measured. Hyperosmotic stress induces marked inflammatory activation and excessive autophagy in HCEpiCs, accompanied by increased ROS generation and apoptosis. Overexpression of miR-16-5p or miR-142-3p significantly attenuated these effects by suppressing NF-κB-mediated cytokine expression and downregulating ATG5 and ATG16L1 expression, while restoring p62 expression. Both miRNAs reduced oxidative stress and COX-2 expression, enhanced antioxidant defenses, and normalized the expression of apoptotic markers. miR-16-5p and miR-142-3p are important regulators of inflammation and autophagy under hyperosmotic stress. Our findings suggest that modulating intracellular miR-16-5p and miR-142-3p levels in corneal epithelial cells may represent a potential approach to protect the ocular surface under hyperosmotic stress, although their systemic roles in autoimmune dry eye require further clarification. Full article

The Southwire Continuous Rod (SCR) process is widely used for producing low-oxygen copper rods, yet pore defects remain a significant challenge, affecting the performance and drawability of copper wire. In this study, the influence of casting speed on solidification behavior and porosity formation in low-oxygen copper casting rods was investigated by combining numerical simulation and plant trials. The simulation results indicate that increasing the casting speed elevates the flow velocity and impact depth of molten copper in the casting wheel. Simultaneously, higher casting speeds could raise the temperature of the casting rod and extend the liquid phase region, which suppresses the precipitation of dissolved gases from the melt. However, when the casting speed exceeds 26 t/h, the center temperature of the casting rod at the outlet remains close to the melting point of copper, retaining 10–20% liquid fraction. This predisposes the rod to remelting and the formation of remelt holes, and thus it fails to meet the design requirement for complete solidification of the SCR technology. Further industrial trials confirm that a casting speed of 23 t/h is optimal under current process conditions, yielding the lowest size and number of porosity defects in the casting rod. Full article

Background: Serum lactate is a key biomarker of tissue hypoperfusion and metabolic stress in sepsis. Although lactate clearance is widely recognized, many intensive care units record only a peak lactate within 24 h (pLac-24h). The prognostic value of pLac-24h among patients receiving blood purification therapy remains unclear in Asian intensive care settings. Methods: We retrospectively analyzed the 2018–2020 ICU dataset from MacKay Memorial Hospital, Taiwan. Among 16,693 adult ICU admissions, 2506 patients received continuous renal replacement therapy (CRRT) as blood purification for severe sepsis or septic shock. Of these, 1264 (50.4%) had available pLac-24h data, and 27 (1.1%) also required extracorporeal membrane oxygenation (ECMO). The primary outcome was 28-day all-cause mortality. Multivariate logistic regression adjusted for age, sex, APACHE II score, infection source, and CRRT/ECMO use. Discrimination was evaluated by receiver operating characteristic (ROC) curves and decision-curve analysis. This analysis was conducted as a predefined sub-analysis of an institutional ICU database. Results: The mean age of the cohort was 65.7 ± 13.4 years, and 64.8% were male. Median pLac-24h was 5.1 mmol/L (IQR 3.2–8.6). The overall 28-day mortality among CRRT patients was 47.3%. Mortality rose progressively across pLac-24h quartiles (Q1–Q4: 28.9%, 39.4%, 54.7%, and 68.1%; p < 0.001). Each 1 mmol/L increase in pLac-24h independently predicted higher mortality (adjusted OR 1.18, 95% CI 1.10–1.26, p < 0.001). The area under the ROC curve for pLac-24h predicting 28-day mortality was 0.78 (95% CI 0.74–0.82), outperforming the APACHE II score (AUC 0.69, p = 0.02). Conclusions: In critically ill patients with septic shock undergoing CRRT, peak lactate within 24 h was a strong, independent predictor of 28-day mortality. pLac-24h offers a pragmatic, readily available prognostic indicator when serial lactate measurements are unavailable, supporting its integration into bedside risk assessment in real-world Asian ICU practice. Full article

The electrochemical water splitting process represents a promising and sustainable route for generating high-purity hydrogen with minimal environmental impact. The development of efficient and economically viable electrocatalysts is crucial for enhancing the kinetics of the oxygen evolution reaction (OER), which is a major bottleneck in overall water splitting. In this study, a Co₃V₂O₈/PEG-CTAB electrocatalyst was synthesized and systematically evaluated for its OER activity in alkaline conditions. The nanosheet-like architecture of the PEG-CTAB-assisted Co₃V₂O₈ electrocatalyst facilitates effective interfacial contact, thereby improving charge transport and catalytic accessibility. Among the examined compositions, the Co₃V₂O₈/PEG-CTAB catalyst exhibited superior OER performance, requiring a low overpotential of 298 mV to deliver a current density of 10 mA cm⁻² and displaying a Tafel slope of 90 mV dec⁻¹ in 1 M KOH. Furthermore, the catalyst demonstrated outstanding durability, retaining its electrocatalytic activity after 5000 consecutive CV cycles and prolonged chronopotentiometric testing. The Co₃V₂O₈/PEG-CTAB || Pt-C asymmetric cell required a cell voltage of 1.83 V to reach the threshold current density, confirming its ability to efficiently sustain overall water splitting under alkaline conditions. The enhanced performance is attributed to the synergistic effect of the electrocatalyst, which promotes active site exposure and structural stability. These findings highlight the potential of the Co₃V₂O₈/PEG-CTAB system as a cost-effective and robust electrocatalyst for practical water oxidation applications. Full article

The development of safer, more effective, and tumor-specific therapeutic strategies remains a major challenge in oncology. Conventional treatments such as chemotherapy and radiotherapy often cause severe side effects and are limited in their ability to target deep-seated or resistant tumors. In this context, sonodynamic therapy (SDT) has emerged as a promising, non-invasive option, harnessing low-intensity ultrasound to activate sonosensitizers deep within tissues and generate cytotoxic reactive oxygen species (ROS) that selectively induce cancer cell death. Interestingly, SDT can also be combined with other therapies to achieve synergistic effects. However, despite encouraging preclinical results, SDT clinical translation is hindered by the poor aqueous solubility, instability, and low tumor specificity of traditional sonosensitizers. To overcome these limitations, recent studies have focused on employing extracellular vesicles (EVs), especially exosomes, as natural, biomimetic nanocarriers for sonosensitizer delivery. EVs offer unique advantages, including high biocompatibility, low immunogenicity, and intrinsic tumor-targeting ability, which make them ideal platforms for improving the therapeutic precision of SDT. Although several delivery strategies have been proposed, a comprehensive and focused overview of approaches specifically designed to enhance SDT performance using EVs is currently lacking. This review summarizes recent advances in integrating EVs with SDT for cancer treatment. It discusses the mechanisms underlying SDT, the engineering strategies developed to enhance exosome functionality, and the synergistic effects achieved through this combination. Furthermore, this review emphasizes that EV-based SDT not only enhances tumor accumulation of the therapeutic nanoplatforms, but also actively remodels the tumor microenvironment by improving oxygen availability, reversing immunosuppressive conditions, and triggering durable antitumor responses. Finally, the review addresses the translational challenges and outlines the critical future directions required to advance this promising therapeutic approach toward clinical application. Full article

Extracorporeal membrane oxygenation (ECMO) is a vital intervention for patients with severe respiratory failure, particularly in unresponsive acute respiratory distress syndrome (ARDS) cases. However, patient selection for ECMO remains a significant challenge. This study aims to identify novel immune-based biomarkers to improve eligibility assessment and predict outcomes in critically ill COVID-19 patients undergoing ECMO. This monocentric observational retrospective cohort study included 80 patients with severe COVID-19-related pneumonia who required ECMO support due to unresponsive ARDS. The patients were admitted to the intensive care unit (ICU) of IRCCS-ISMETT Hospital between September 2020 and April 2021, before the availability of COVID-19 vaccines. All patients were infected with the original SARS-CoV-2 Wuhan strain. Using machine learning approaches, the study analyzed clinical and laboratory data, cytokine levels, RNA sequencing (RNA-seq), and immune cell profiles collected within two days of hospitalization. The analysis identified a 5.56-fold increased mortality risk in patients presenting with a combination of immune factors: a T cell exhaustion profile, low interferon-alpha (IFNα) levels, and high calprotectin levels. These immune markers were strongly associated with poorer outcomes in patients undergoing ECMO. Our findings highlight the critical role of immune profiling in ECMO patient selection and outcome prediction. Incorporating immune-based biomarkers into clinical assessments may enhance the evaluation of ECMO eligibility and guide treatment decisions, ultimately improving patient outcomes. Full article

This study investigates coke formation, structure, and combustion behaviors in paraffin-based Menggulin and naphthenic-based Xinjiang heavy oils under simulated in-situ combustion (ISC) conditions (350 °C, 450 °C), utilizing GC-MS, SEM, ¹³C ss-NMR, and TG-DSC. The results indicate that the crude oil composition determines the coking mechanisms: Xinjiang oil, rich in cyclic hydrocarbons and O/N/S heteroatoms, forms high-yield, compact, sheet- or block-like coke at 350 °C via π–π stacking. In contrast, Menggulin oil, composed primarily of long-chain alkanes, yields loose coke at 350 °C but produces dense, highly aromatized coke at 450 °C, which corresponds to the critical alkane cracking temperature, through intense cracking–polymerization. Temperature differentially regulates oxidative processes, thereby shaping the divergent functional group distributions. Correlations between coke structure and combustion properties reveal that oxygenated/aliphatic-rich cokes exhibit high reactivity, whereas aromatized cokes release more heat. These findings provide guidance for ISC optimization, suggesting that sufficient high-temperature energy is required for paraffinic oils while medium-temperature oxidation regulation is suitable for naphthenic oils. This work advances the theory of ISC coke formation and supports enhanced recovery of heavy oils. Full article

Background: Durvalumab, a PD-L1 inhibitor used as consolidation therapy after chemoradiation in unresectable stage III non–small cell lung cancer (NSCLC), can induce immune-related adverse events, among which immune-mediated pneumonitis represents one of the most severe. Differentiating checkpoint inhibitor pneumonitis (CIP) from infectious pneumonia is challenging due to overlapping clinical and radiologic findings. Case presentation: We describe a 67-year-old woman with stage III lung adenocarcinoma treated with chemotherapy, radiotherapy, and durvalumab, who presented with progressive dyspnea and extensive bilateral ground-glass opacities on CT imaging. Laboratory tests revealed leukopenia and elevated inflammatory markers. Despite broad-spectrum antibiotic and antiviral therapy, her condition worsened, requiring high-flow nasal cannula oxygen therapy. Multiplex molecular testing on sputum identified human metapneumovirus (HMPV), while blood cultures and urinary antigens for Streptococcus pneumoniae and Legionella pneumophila were negative. A pulmonology consultation raised suspicion for severe durvalumab-induced pneumonitis exacerbated by viral infection. High-dose methylprednisolone (2 mg/kg/day) followed by a four-week taper led to gradual clinical and radiologic resolution. Durvalumab was permanently discontinued. Discussion: To our knowledge, this is the first reported case of HMPV-associated pneumonitis in a patient receiving durvalumab. This case highlights the potential synergistic interplay between viral infection and immune checkpoint blockade, resulting in severe lung injury. Comprehensive microbiologic evaluation, including molecular diagnostics, is essential to guide therapy and distinguish infectious from immune-mediated causes. Conclusions: Early recognition of mixed infectious and immune-mediated pneumonitis, and timely corticosteroid therapy are critical to achieving favorable outcomes and preventing irreversible pulmonary damage. Full article

To optimize the electrocatalytic reaction process through the synergistic effects of V and Ni, this study employed a two-step hydrothermal method to successfully construct a V₂O₅ composite structure grown on a Ni(OH)₂ substrate (denoted V₂O₅/Ni(OH)₂-2). Electrochemical evaluation revealed that this catalyst exhibits efficient bifunctional activity in 1.0 M KOH electrolyte. For the hydrogen evolution reaction (HER), it requires a mere 89.6 mV overpotential to achieve a current density of −10 mA cm⁻². The catalyst also demonstrates excellent performance in the oxygen evolution reaction (OER), demanding only 198 mV overpotential to drive a current density of 10 mA cm⁻², while maintaining low overpotential increases even at high current densities. Furthermore, it exhibits outstanding long-term stability during a 12 h continuous test. When assembled as a dual-electrode overall water splitting device, the system requires a voltage of only 2.82 V to drive a high current density of 100 mA cm⁻², showcasing its significant potential for practical applications. Full article

This work presents a microstructural characterization methodology for Diamalloy 3001 metallic powders sprayed onto Inconel 718 substrates by flame combustion. Hence, two flame stoichiometric (acetylene/oxygen) rates and specified thermal spray distances were performed in order to study their effects on the developed microstructure of the sprayed coatings. The morphology and chemical composition of the developed coatings were evaluated with microscopy, and a comparison of microstructural quality was performed. The findings indicated that spray distance affected coating quality, which is composed of morphology-type lamellar with elongated features, while gravel-like morphologies related to semi-solid powder particles were observed. Moreover, X-ray diffraction analyses established that chemical content of phases rich in oxides increased proportionally with spray distance. Vickers hardness measures and three-point bending tests were correlated with the microstructure and spray distance. These characteristics show that cobalt-based coatings could be proposed for commercial applications requiring high mechanical resistance. Full article

Background: Evidence on COVID-19 convalescent plasma (CCP) is mixed. We examined associations between CCP administration and in-hospital outcomes among patients hospitalized during early pandemic waves in Poland. Methods: We conducted a retrospective, single-center cohort study of adults hospitalized with COVID-19 between October 2020 and January 2021. Patients receiving CCP were compared with contemporaneous controls without CCP. Primary outcomes were in-hospital mortality and discharge alive. Requirement for invasive mechanical ventilation/intubation was summarized descriptively because timing of intubation was not reliably available. Group comparisons used χ²/Fisher’s exact tests and t-test/Mann–Whitney U tests as appropriate. Associations with mortality and discharge were evaluated using logistic regression: (i) a prespecified age-adjusted model and (ii) an exploratory prognostic model including in-hospital treatments and severity markers (systemic glucocorticoids, remdesivir, oxygen therapy, and antibiotic use), interpreted prognostically rather than causally. Results: The cohort included 224 patients (CCP, n = 92; controls, n = 132); outcome status was missing for eight controls. Baseline demographics, comorbidities, and admission laboratory values were broadly comparable between groups. Crude in-hospital mortality was 25% in the CCP group (23/92) versus 42% in controls (52/124; p = 0.010), and discharge alive occurred in 66% versus 50%, respectively (p = 0.022). Invasive mechanical ventilation/intubation was required in 12.0% of CCP recipients and 4.5% of controls (p = 0.071). In age-adjusted models, CCP was associated with lower odds of in-hospital death. In exploratory prognostic models incorporating systemic glucocorticoids, remdesivir, oxygen therapy, and antibiotic use, CCP remained associated with lower odds of death and higher odds of discharge alive. Conclusions: In this early-wave retrospective cohort, CCP administration was associated with lower in-hospital mortality and higher discharge rates. Exploratory analyses adjusted for concomitant in-hospital therapies and severity markers should be interpreted as prognostic associations rather than evidence of causal efficacy. Full article

Egg white was chosen as a renewable, non-toxic agent for the synthesis of FeMn₂O₄ spinel pre-catalysts to avoid the use of critical transition metals such as Ni and Co. However, synthesizing phase-pure FeMn₂O₄ remains challenging due to (i) the requirement of low oxygen partial pressures to counter rapid reoxidation of Mn₃O₄ in the presence of iron oxides, which can be achieved by the preferred oxidation of the egg white during the calcination, and (ii) the probable formation of Fe₃O₄ and Mn₃O₄ during intermediate steps in the reaction, leading to multiphase spinel formation caused by a miscibility gap between the spinels. In contrast, spinels with Ni, Co, Zn, or Al are phase-pure. Egg white has significant environmental impacts in the synthesis of all spinel manganites, as assessed from a life-cycle perspective, which can exceed those of petroleum-based agents such as ethylenediaminetetraacetic acid (EDTA) in most impact categories. Therefore, our results show that the investigated synthesis route is not more sustainable, and we demonstrate that implementing quantitative evaluation of environmental impacts already at an early stage is essential to determine whether a synthesis is truly sustainable. Full article