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18 pages, 1613 KiB  
Article
Evaluation of a Passive-Assist Exoskeleton Under Different Assistive Force Profiles in Agricultural Working Postures
by Naoki Saito, Takumi Kobayashi, Kohei Akimoto, Toshiyuki Satoh and Norihiko Saga
Actuators 2025, 14(8), 381; https://doi.org/10.3390/act14080381 (registering DOI) - 1 Aug 2025
Abstract
To enable the practical application of passive back-support exoskeletons employing pneumatic artificial muscles (PAMs) in tasks such as agricultural work, we evaluated their assistive effectiveness in a half-squatting posture with a staggered stance. In this context, assistive force profiles were adjusted according to [...] Read more.
To enable the practical application of passive back-support exoskeletons employing pneumatic artificial muscles (PAMs) in tasks such as agricultural work, we evaluated their assistive effectiveness in a half-squatting posture with a staggered stance. In this context, assistive force profiles were adjusted according to body posture to achieve more effective support. The targeted assistive force profile was designed to be continuously active from the standing to the half-squatting position, with minimal variation across this range. The assistive force profile was developed based on a PAM contractile force model and implemented using a cam mechanism. The effectiveness of assistance was assessed by measuring body flexion angles and erector spinae muscle activity during lifting and carrying tasks. The results showed that the assistive effect was greater on the side with the forward leg. Compared to the condition without exoskeleton assistance, the conventional pulley-based system reduced muscle activity by approximately 20% whereas the cam-based system achieved a reduction of approximately 30%. Full article
(This article belongs to the Special Issue Actuation and Sensing of Intelligent Soft Robots)
20 pages, 1907 KiB  
Article
Multi-Innovation-Based Parameter Identification for Vertical Dynamic Modeling of AUV Under High Maneuverability and Large Attitude Variations
by Jianping Yuan, Zhixun Luo, Lei Wan, Cenan Wang, Chi Zhang and Qingdong Chen
J. Mar. Sci. Eng. 2025, 13(8), 1489; https://doi.org/10.3390/jmse13081489 (registering DOI) - 1 Aug 2025
Abstract
The parameter identification of Autonomous Underwater Vehicles (AUVs) serves as a fundamental basis for achieving high-precision motion control, state monitoring, and system development. Currently, AUV parameter identification typically relies on the complete motion information obtained from onboard sensors. However, in practical applications, it [...] Read more.
The parameter identification of Autonomous Underwater Vehicles (AUVs) serves as a fundamental basis for achieving high-precision motion control, state monitoring, and system development. Currently, AUV parameter identification typically relies on the complete motion information obtained from onboard sensors. However, in practical applications, it is often challenging to accurately measure key state variables such as velocity and angular velocity, resulting in incomplete measurement data that compromises identification accuracy and model reliability. This issue is particularly pronounced in vertical motion tasks involving low-speed, large pitch angles, and highly maneuverable conditions, where the strong coupling and nonlinear characteristics of underwater vehicles become more significant. Traditional hydrodynamic models based on full-state measurements often suffer from limited descriptive capability and difficulties in parameter estimation under such conditions. To address these challenges, this study investigates a parameter identification method for AUVs operating under vertical, large-amplitude maneuvers with constrained measurement information. A control autoregressive (CAR) model-based identification approach is derived, which requires only pitch angle, vertical velocity, and vertical position data, thereby reducing the dependence on complete state observations. To overcome the limitations of the conventional Recursive Least Squares (RLS) algorithm—namely, its slow convergence and low accuracy under rapidly changing conditions—a Multi-Innovation Least Squares (MILS) algorithm is proposed to enable the efficient estimation of nonlinear hydrodynamic characteristics in complex dynamic environments. The simulation and experimental results validate the effectiveness of the proposed method, demonstrating high identification accuracy and robustness in scenarios involving large pitch angles and rapid maneuvering. The results confirm that the combined use of the CAR model and MILS algorithm significantly enhances model adaptability and accuracy, providing a solid data foundation and theoretical support for the design of AUV control systems in complex operational environments. Full article
(This article belongs to the Section Ocean Engineering)
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20 pages, 5077 KiB  
Article
Ventilation Modeling of a Hen House with Outdoor Access
by Hojae Yi, Eileen Fabian-Wheeler, Michael Lee Hile, Angela Nguyen and John Michael Cimbala
Animals 2025, 15(15), 2263; https://doi.org/10.3390/ani15152263 (registering DOI) - 1 Aug 2025
Abstract
Outdoor access, often referred to as pop holes, is widely used to improve the production and welfare of hens. Such cage-free environments present an opportunity for precision flock management via best environmental control practices. However, outdoor access disrupts the integrity of the indoor [...] Read more.
Outdoor access, often referred to as pop holes, is widely used to improve the production and welfare of hens. Such cage-free environments present an opportunity for precision flock management via best environmental control practices. However, outdoor access disrupts the integrity of the indoor environment, including properly planned ventilation. Moreover, complaints exist that hens do not use the holes to access the outdoor environment due to the strong incoming airflow through the outdoor access, as they behave as uncontrolled air inlets in a negative pressure ventilation system. As the egg industry transitions to cage-free systems, there is an urgent need for validated computational fluid dynamics (CFD) models to optimize ventilation strategies that balance animal welfare, environmental control, and production efficiency. We developed and validated CFD models of a cage-free hen house with outdoor access by specifying real-world conditions, including two exhaust fans, sidewall ventilation inlets, wire-meshed pens, outdoor access, and plenum inlets. The simulations of four ventilation scenarios predict the measured air flow velocity with an error of less than 50% for three of the scenarios, and the simulations predict temperature with an error of less than 6% for all scenarios. Plenum-based systems outperformed sidewall systems by up to 136.3 air changes per hour, while positive pressure ventilation effectively mitigated disruptions to outdoor access. We expect that knowledge of improved ventilation strategy will help the egg industry improve the welfare of hens cost-effectively. Full article
17 pages, 2410 KiB  
Article
Microstructural Characterisation of Bi-Ag-Ti Solder Alloy and Evaluation of Wettability on Ceramic and Composite Substrates Joined via Indirect Electron Beam Heating in Vacuum
by Mikulas Sloboda, Roman Kolenak, Tomas Melus, Peter Gogola, Matej Pasak, Daniel Drimal and Jaromir Drapala
Materials 2025, 18(15), 3634; https://doi.org/10.3390/ma18153634 (registering DOI) - 1 Aug 2025
Abstract
This paper examines the wettability and interactions between ceramic and composite materials soldered with Bi-based solder containing 11 wt.% of silver and 3 wt.% titanium using indirect electron beam soldering technology. The Bi11Ag3Ti solder, with a melting point of 402 °C, consisted of [...] Read more.
This paper examines the wettability and interactions between ceramic and composite materials soldered with Bi-based solder containing 11 wt.% of silver and 3 wt.% titanium using indirect electron beam soldering technology. The Bi11Ag3Ti solder, with a melting point of 402 °C, consisted of a bismuth matrix containing silver lamellae. Titanium, acting as an active element, positively influenced the interaction between the solder and the joined materials. SiC and Ni-SiC substrates were soldered at temperatures of 750 °C, 850 °C, and 950 °C. Measurements of wettability angles indicated that the lowest value (20°) was achieved with SiC substrates at 950 °C. A temperature of 750 °C appeared to be the least suitable for both substrates and was entirely unsuitable for Ni-SiC. It was also observed that the Bi11Ag3Ti solder wetted the SiC substrates more effectively than Ni-SiC substrates. The optimal working temperature for this solder was determined to be 950 °C. The shear strength of the joints soldered with the Bi11Ag3Ti alloy was 23.5 MPa for the Al2O3/Ni-SiC joint and 9 MPa for the SiC/Ni-SiC joint. Full article
(This article belongs to the Special Issue Advanced Materials and Processing Technologies)
17 pages, 1340 KiB  
Article
Enhanced Respiratory Sound Classification Using Deep Learning and Multi-Channel Auscultation
by Yeonkyeong Kim, Kyu Bom Kim, Ah Young Leem, Kyuseok Kim and Su Hwan Lee
J. Clin. Med. 2025, 14(15), 5437; https://doi.org/10.3390/jcm14155437 (registering DOI) - 1 Aug 2025
Abstract
 Background/Objectives: Identifying and classifying abnormal lung sounds is essential for diagnosing patients with respiratory disorders. In particular, the simultaneous recording of auscultation signals from multiple clinically relevant positions offers greater diagnostic potential compared to traditional single-channel measurements. This study aims to improve [...] Read more.
 Background/Objectives: Identifying and classifying abnormal lung sounds is essential for diagnosing patients with respiratory disorders. In particular, the simultaneous recording of auscultation signals from multiple clinically relevant positions offers greater diagnostic potential compared to traditional single-channel measurements. This study aims to improve the accuracy of respiratory sound classification by leveraging multichannel signals and capturing positional characteristics from multiple sites in the same patient. Methods: We evaluated the performance of respiratory sound classification using multichannel lung sound data with a deep learning model that combines a convolutional neural network (CNN) and long short-term memory (LSTM), based on mel-frequency cepstral coefficients (MFCCs). We analyzed the impact of the number and placement of channels on classification performance. Results: The results demonstrated that using four-channel recordings improved accuracy, sensitivity, specificity, precision, and F1-score by approximately 1.11, 1.15, 1.05, 1.08, and 1.13 times, respectively, compared to using three, two, or single-channel recordings. Conclusion: This study confirms that multichannel data capture a richer set of features corresponding to various respiratory sound characteristics, leading to significantly improved classification performance. The proposed method holds promise for enhancing sound classification accuracy not only in clinical applications but also in broader domains such as speech and audio processing.  Full article
(This article belongs to the Section Respiratory Medicine)
27 pages, 21019 KiB  
Article
A UWB-AOA/IMU Integrated Navigation System for 6-DoF Indoor UAV Localization
by Pengyu Zhao, Hengchuan Zhang, Gang Liu, Xiaowei Cui and Mingquan Lu
Drones 2025, 9(8), 546; https://doi.org/10.3390/drones9080546 (registering DOI) - 1 Aug 2025
Abstract
With the increasing deployment of unmanned aerial vehicles (UAVs) in indoor environments, the demand for high-precision six-degrees-of-freedom (6-DoF) localization has grown significantly. Ultra-wideband (UWB) technology has emerged as a key enabler for indoor UAV navigation due to its robustness against multipath effects and [...] Read more.
With the increasing deployment of unmanned aerial vehicles (UAVs) in indoor environments, the demand for high-precision six-degrees-of-freedom (6-DoF) localization has grown significantly. Ultra-wideband (UWB) technology has emerged as a key enabler for indoor UAV navigation due to its robustness against multipath effects and high-accuracy ranging capabilities. However, conventional UWB-based systems primarily rely on range measurements, operate at low measurement frequencies, and are incapable of providing attitude information. This paper proposes a tightly coupled error-state extended Kalman filter (TC–ESKF)-based UWB/inertial measurement unit (IMU) fusion framework. To address the challenge of initial state acquisition, a weighted nonlinear least squares (WNLS)-based initialization algorithm is proposed to rapidly estimate the UAV’s initial position and attitude under static conditions. During dynamic navigation, the system integrates time-difference-of-arrival (TDOA) and angle-of-arrival (AOA) measurements obtained from the UWB module to refine the state estimates, thereby enhancing both positioning accuracy and attitude stability. The proposed system is evaluated through simulations and real-world indoor flight experiments. Experimental results show that the proposed algorithm outperforms representative fusion algorithms in 3D positioning and yaw estimation accuracy. Full article
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15 pages, 277 KiB  
Article
Metabolic Dysfunction-Associated Steatotic Liver Disease Is Characterized by Enhanced Endogenous Cholesterol Synthesis and Impaired Synthesis/Absorption Balance
by Irena Frankovic, Aleksandra Zeljkovic, Ivana Djuricic, Ana Ninic, Jelena Vekic, Minja Derikonjic, Sanja Erceg, Ratko Tomasevic, Milica Mamic, Milos Mitrovic and Tamara Gojkovic
Int. J. Mol. Sci. 2025, 26(15), 7462; https://doi.org/10.3390/ijms26157462 (registering DOI) - 1 Aug 2025
Abstract
Cholesterol accumulation plays a significant role in the pathogenesis of metabolic-dysfunction-associated steatotic liver disease (MASLD), yet changes in cholesterol homeostasis in MASLD remain insufficiently investigated. This study aimed to examine alterations in cholesterol synthesis and absorption by measuring plasma levels of endogenous cholesterol [...] Read more.
Cholesterol accumulation plays a significant role in the pathogenesis of metabolic-dysfunction-associated steatotic liver disease (MASLD), yet changes in cholesterol homeostasis in MASLD remain insufficiently investigated. This study aimed to examine alterations in cholesterol synthesis and absorption by measuring plasma levels of endogenous cholesterol precursors (as markers of synthesis) and phytosterols (as indicators of absorption). A total of 124 MASLD patients and 43 healthy individuals were included. Our results showed higher plasma concentrations of lathosterol in the MASLD group (p = 0.006), in parallel with comparable concentrations of desmosterol (p = 0.472) and all analyzed phytosterols in both groups. Correlation analysis showed that both lathosterol and desmosterol were positively associated with non-invasive hepatic steatosis indices: FLI, HSI, and TyG index (p < 0.01, p < 0.01, and p < 0.05, respectively). Multivariate linear regression further confirmed that these synthesis markers remained significant predictors of FLI (p = 0.010), HSI (p = 0.013), and TyG index (p = 0.002), even after adjusting for other relevant variables. These findings indicate that MASLD is associated with a shift in cholesterol homeostasis towards enhanced endogenous cholesterol synthesis. Full article
(This article belongs to the Special Issue Molecular Research on Dyslipidemia)
15 pages, 3792 KiB  
Article
Polarization Characteristics of a Metasurface with a Single via and a Single Lumped Resistor for Harvesting RF Energy
by Erik Madyo Putro, Satoshi Yagitani, Tomohiko Imachi and Mitsunori Ozaki
Appl. Sci. 2025, 15(15), 8561; https://doi.org/10.3390/app15158561 (registering DOI) - 1 Aug 2025
Abstract
A square patch metasurface is designed, simulated, fabricated, and experimentally tested to investigate polarization characteristics quantitatively. The metasurface consists of one layer unit cell in the form of a square patch with one via and a lumped resistor, which is used for harvesting [...] Read more.
A square patch metasurface is designed, simulated, fabricated, and experimentally tested to investigate polarization characteristics quantitatively. The metasurface consists of one layer unit cell in the form of a square patch with one via and a lumped resistor, which is used for harvesting RF (radio frequency) energy. FR4 dielectric is used as a substrate supported by a metal ground plane. Polarization-dependent properties with specific surface current patterns and voltage dip are obtained when simulating under normal incidence of a plane wave. This characteristic results from changes in surface current conditions when the polarization angle is varied. A voltage dip appears at a specific polarization angle when the surface current pattern is symmetrical. This condition occurs when the position of the lumped resistor from the center of the patch is perpendicular to the linearly polarized incident electric field. A couple of 10 × 10 arrays with different resistor positions are fabricated and tested. The experimental results are in good agreement with the simulated results. The proposed design demonstrates a symmetric unit cell structure with one via and a resistor that exhibits polarization-dependent behavior for linear polarization. An asymmetric patch design is explored through both simulation and measurement to mitigate polarization dependence by suppressing the dip behavior, albeit at the expense of reduced absorption efficiency. This study provides a complete polarization analysis for both symmetric and asymmetric patch metasurfaces with a single via and a single lumped resistor, and introduces a predictive relation between the position of the resistor relative to the center of the patch and the resulting voltage dip behavior. Full article
(This article belongs to the Special Issue Electromagnetic Waves: Applications and Challenges)
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14 pages, 1469 KiB  
Article
Endothelial Impairment in HIV-Associated Preeclampsia: Roles of Asymmetric Dimethylarginine and Prostacyclin
by Mbuso Herald Mthembu, Samukelisiwe Sibiya, Jagidesa Moodley, Nompumelelo P. Mkhwanazi and Thajasvarie Naicker
Int. J. Mol. Sci. 2025, 26(15), 7451; https://doi.org/10.3390/ijms26157451 (registering DOI) - 1 Aug 2025
Abstract
HIV infection and hypertensive disorders of pregnancy (HDP), particularly preeclampsia (PE) with severe features, are leading causes of maternal mortality worldwide. This study investigates the role of asymmetric dimethylarginine (ADMA) and prostacyclin (PGI2) concentrations in endothelial impairment in normotensive pregnant versus PE women [...] Read more.
HIV infection and hypertensive disorders of pregnancy (HDP), particularly preeclampsia (PE) with severe features, are leading causes of maternal mortality worldwide. This study investigates the role of asymmetric dimethylarginine (ADMA) and prostacyclin (PGI2) concentrations in endothelial impairment in normotensive pregnant versus PE women within an HIV endemic setting in KwaZulu-Natal Province, South Africa. The study population (n = 84) was grouped according to pregnancy type, i.e., normotensive (n = 42) and PE (n = 42), and further stratified by HIV status. Clinical factors were maternal age, weight, blood pressure (both systolic and diastolic) levels, and gestational age. Plasma concentrations of ADMA and PGI2 were measured using the enzyme-linked immunoassay (ELISA). Differences in outcomes were analyzed using the Mann–Whitney U and Kruskal–Wallis test together with Dunn’s multiple-comparison post hoc test. The non-parametric data were presented as medians and interquartile ranges. Gravidity, gestational age, and systolic and diastolic blood pressures were significantly different across the study groups where p < 0.05 was deemed significant. Furthermore, the concentration of ADMA was significantly elevated in PE HIV-positive vs. PE HIV-negative (p = 0.0174) groups. PGI2 did not show a significant difference in PE compared to normotensive pregnancies (p = 0.8826) but was significantly different across all groups (p = 0.0212). An increase in plasma ADMA levels was observed in the preeclampsia HIV-negative group compared to the normotensive HIV-negative group. This is linked to the role played by ADMA in endothelial impairment, a characteristic of PE development. PGI2 levels were decreased in PE compared to the normotensive group regardless of HIV status. These findings draw attention to the importance of endothelial indicators in pathogenesis and possibly early prediction of PE development. Full article
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21 pages, 3870 KiB  
Article
The Impact of Drilling Parameters on Drilling Temperature in High-Strength Steel Thin-Walled Parts
by Yupu Zhang, Ruyu Li, Yihan Liu, Chengwei Liu, Shutao Huang, Lifu Xu and Haicheng Shi
Appl. Sci. 2025, 15(15), 8568; https://doi.org/10.3390/app15158568 (registering DOI) - 1 Aug 2025
Abstract
High-strength steel has high strength and low thermal conductivity, and its thin-walled parts are very susceptible to residual stress and deformation caused by cutting heat during the drilling process, which affects the machining accuracy and quality. High-strength steel thin-walled components are widely used [...] Read more.
High-strength steel has high strength and low thermal conductivity, and its thin-walled parts are very susceptible to residual stress and deformation caused by cutting heat during the drilling process, which affects the machining accuracy and quality. High-strength steel thin-walled components are widely used in aerospace and other high-end sectors; however, systematic investigations into their temperature fields during drilling remain scarce, particularly regarding the evolution characteristics of the temperature field in thin-wall drilling and the quantitative relationship between drilling parameters and these temperature variations. This paper takes the thin-walled parts of AF1410 high-strength steel as the research object, designs a special fixture, and applies infrared thermography to measure the bottom surface temperature in the thin-walled drilling process in real time; this is carried out in order to study the characteristics of the temperature field during the thin-walled drilling process of high-strength steel, as well as the influence of the drilling dosage on the temperature field of the bottom surface. The experimental findings are as follows: in the process of thin-wall drilling of high-strength steel, the temperature field of the bottom surface of the workpiece shows an obvious temperature gradient distribution; before the formation of the drill cap, the highest temperature of the bottom surface of the workpiece is distributed in the central circular area corresponding to the extrusion of the transverse edge during the drilling process, and the highest temperature of the bottom surface can be approximated as the temperature of the extrusion friction zone between the top edge of the drill and the workpiece when the top edge of the drill bit drills to a position close to the bottom surface of the workpiece and increases with the increase in the drilling speed and the feed volume; during the process of drilling, the highest temperature of the bottom surface of the workpiece is approximated as the temperature of the top edge of the drill bit and the workpiece. The maximum temperature of the bottom surface of the workpiece in the drilling process increases nearly linearly with the drilling of the drill, and the slope of the maximum temperature increases nearly linearly with the increase in the drilling speed and feed, in which the influence of the feed on the slope of the maximum temperature increases is larger than that of the drilling speed. Full article
(This article belongs to the Special Issue Machine Automation: System Design, Analysis and Control)
25 pages, 953 KiB  
Article
Command Redefined: Neural-Adaptive Leadership in the Age of Autonomous Intelligence
by Raul Ionuț Riti, Claudiu Ioan Abrudan, Laura Bacali and Nicolae Bâlc
AI 2025, 6(8), 176; https://doi.org/10.3390/ai6080176 (registering DOI) - 1 Aug 2025
Abstract
Artificial intelligence has taken a seat at the executive table and is threatening the fact that human beings are the only ones who should be in a position of power. This article gives conjectures on the future of leadership in which managers will [...] Read more.
Artificial intelligence has taken a seat at the executive table and is threatening the fact that human beings are the only ones who should be in a position of power. This article gives conjectures on the future of leadership in which managers will collaborate with learning algorithms in the Neural Adaptive Artificial Intelligence Leadership Model, which is informed by the transformational literature on leadership and socio-technical systems, as well as the literature on algorithmic governance. We assessed the model with thirty in-depth interviews, system-level traces of behavior, and a verified survey, and we explored six hypotheses that relate to algorithmic delegation and ethical oversight, as well as human judgment versus machine insight in terms of agility and performance. We discovered that decisions are made quicker, change is more effective, and interaction is more vivid where agile practices and good digital understanding exist, and statistical tests propose that human flexibility and definite governance augment those benefits as well. It is single-industry research that contains self-reported measures, which causes research to be limited to other industries that contain more objective measures. Practitioners are provided with a practical playbook on how to make algorithmic jobs meaningful, introduce moral fail-safes, and build learning feedback to ensure people and machines are kept in line. Socially, the practice is capable of minimizing bias and establishing inclusion by visualizing accountability in the code and practice. Filling the gap between the theory of leadership and the reality of algorithms, the study provides a model of intelligent systems leading in organizations that can be reproduced. Full article
(This article belongs to the Section AI Systems: Theory and Applications)
14 pages, 1139 KiB  
Article
Who Benefits the Most from Sleep Hygiene Education? Findings from the SLeep Education for Everyone Program (SLEEP)
by Alyssa Tisdale, Nahyun Kim, Dawn A. Contreras, Elizabeth Williams and Robin M. Tucker
Clocks & Sleep 2025, 7(3), 40; https://doi.org/10.3390/clockssleep7030040 (registering DOI) - 1 Aug 2025
Abstract
This study examined data from participants who completed the SLeep Education for Everyone Program (SLEEP) to explore how various demographic variables affected sleep outcomes and to determine which participant characteristics predicted success. A total of 104 individuals participated. The Sleep Hygiene Index (SHI) [...] Read more.
This study examined data from participants who completed the SLeep Education for Everyone Program (SLEEP) to explore how various demographic variables affected sleep outcomes and to determine which participant characteristics predicted success. A total of 104 individuals participated. The Sleep Hygiene Index (SHI) measured undesirable sleep behaviors; the Pittsburgh Sleep Quality Index (PSQI) assessed sleep quality and self-reported sleep duration. Participant demographic information was collected at baseline. A mixed ANOVA evaluated group differences, and a multiple linear regression model identified predictors of sleep improvements. Change in SHI scores from pre- to post-intervention demonstrated a significant time × group interaction between Black and white participants (p = 0.024); further analysis indicated Black participants improved more. Better baseline scores predicted more favorable post-intervention outcomes for SHI, PSQI, and sleep duration. Fewer chronic conditions predicted better post-intervention SHI and PSQI scores. Older age also predicted better SHI scores. More favorable initial scores, fewer chronic conditions, and older age were the strongest predictors of positive outcomes following SLEEP. Improved sleep hygiene, sleep quality, and sleep duration were observed over time within subjects across all groups. In summary, SLEEP appears to be effective. Further work exploring challenges experienced by younger participants or those with multiple co-morbidities is warranted. Full article
(This article belongs to the Section Human Basic Research & Neuroimaging)
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15 pages, 1521 KiB  
Review
The Effect of Heterogeneous Definitions of Massive Transfusion on Using Blood Component Thresholds to Predict Futility in Severely Bleeding Trauma Patients
by Samuel J. Thomas, Vraj S. Patel, Connor P. Schmitt, Aleksey T. Zielinski, Mia N. Aboukhaled, Christopher A. Steinberg, Ernest E. Moore, Hunter B. Moore, Scott G. Thomas, Dan A. Waxman, Joseph B. Miller, Connor M. Bunch, Michael W. Aboukhaled, Emmanuel J. Thomas, Saniya K. Zackariya, Halina Oryakhail, Alexander Mehreteab, Reagan E. Ludwig, Sarah M. George, Aayan I. Siddiqi, Bilal M. Zackariya, Aadil Qasim, Mark M. Walsh and Mahmoud D. Al-Fadhladd Show full author list remove Hide full author list
J. Clin. Med. 2025, 14(15), 5426; https://doi.org/10.3390/jcm14155426 (registering DOI) - 1 Aug 2025
Abstract
In the trauma resuscitation literature, there are inconsistent definitions of what constitutes massive transfusion and a unit of blood, complicating the use of transfusion cut-points to declare futility. This is problematic as it can lead to the inefficient use of blood products, further [...] Read more.
In the trauma resuscitation literature, there are inconsistent definitions of what constitutes massive transfusion and a unit of blood, complicating the use of transfusion cut-points to declare futility. This is problematic as it can lead to the inefficient use of blood products, further exacerbating current blood product shortages. Previous studies have used various transfusion cut-points per hour to define futility in retrospective analyses but have not accurately defined futility at the bedside due to patient survival even at large rates and volumes of blood transfused. In an attempt to use transfusion cut-points as a marker to help define futility, guidelines have been proposed to limit blood product waste in transfusions for severely bleeding trauma patients, such as Suspension of Transfusion and Other Procedures (STOP) for patients older than 15 and the Futility of Resuscitation Measure (FoRM), used to determine futility in patients older than 60. In an effort to construct effective bedside futile resuscitation criteria with 100% positive predictive value and specificity, this review proposes the use of specific blood component transfusion cut-points combined with parameters from both STOP and FoRM to allow for a comprehensive and accurate method of declaring futility in severely bleeding trauma patients. Full article
(This article belongs to the Special Issue Current Trends and Prospects of Critical Emergency Medicine)
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13 pages, 1192 KiB  
Article
Serum Endocan Levels Correlate with Metabolic Syndrome Severity and Endothelial Dysfunction: A Cross-Sectional Study Using the MetS-Z Score
by Mehmet Vatansever, Selçuk Yaman, Ahmet Cimbek, Yılmaz Sezgin and Serap Ozer Yaman
Metabolites 2025, 15(8), 521; https://doi.org/10.3390/metabo15080521 (registering DOI) - 1 Aug 2025
Abstract
Background: Metabolic syndrome (MetS) is a complex clinical condition characterized by the coexistence of interrelated metabolic abnormalities that significantly increase the risk of cardiovascular diseases and type 2 diabetes mellitus. Endocan—an endothelial cell-specific molecule—is considered a biomarker of endothelial dysfunction and inflammation. This [...] Read more.
Background: Metabolic syndrome (MetS) is a complex clinical condition characterized by the coexistence of interrelated metabolic abnormalities that significantly increase the risk of cardiovascular diseases and type 2 diabetes mellitus. Endocan—an endothelial cell-specific molecule—is considered a biomarker of endothelial dysfunction and inflammation. This study aimed to evaluate the relationship between serum endocan levels and the severity of MetS, assessed using the MetS-Z score. Methods: This study included 120 patients with MetS and 50 healthy controls. MetS was diagnosed according to the NCEP-ATP III criteria. MetS-Z scores were calculated using the MetS Severity Calculator. Serum levels of endocan, sICAM-1, and sVCAM-1 were measured using the ELISA method. Results: Serum levels of endocan, sICAM-1, and sVCAM-1 were significantly higher in the MetS group compared to the control group (all p < 0.001). When the MetS group was divided into tertiles based on MetS-Z scores, stepwise and statistically significant increases were observed in the levels of endocan and other endothelial markers from the lowest to highest tertile (p < 0.0001). Correlation analysis revealed a strong positive association between the MetS-Z score and serum endocan levels (r = 0.584, p < 0.0001). ROC curve analysis showed that endocan has high diagnostic accuracy for identifying MetS (AUC = 0.967, p = 0.0001), with a cutoff value of >88.0 ng/L. Conclusions: Circulating levels of endocan were significantly increased in MetS and were associated with the severity of MetS, suggesting that endocan may play a role in the cellular response to endothelial dysfunction-related injury in patients with MetS. Full article
(This article belongs to the Special Issue Lipid Metabolism Disorders in Obesity)
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15 pages, 6663 KiB  
Patent Summary
Modernization of the DISA 55D41 Wind Tunnel for Micro-Scale Probe Testing
by Emilia Georgiana Prisăcariu, Iulian Vlăducă, Oana Maria Dumitrescu, Sergiu Strătilă and Raluca Andreea Roșu
Inventions 2025, 10(4), 66; https://doi.org/10.3390/inventions10040066 (registering DOI) - 1 Aug 2025
Abstract
Originally introduced in the 1960s by DISA Elektronik as a calibration tunnel for hot-wire anemometers, the Type 55D41 has now been reengineered into a versatile and modern aerodynamic test platform. While retaining key legacy components, such as the converging nozzle and the 55D42 [...] Read more.
Originally introduced in the 1960s by DISA Elektronik as a calibration tunnel for hot-wire anemometers, the Type 55D41 has now been reengineered into a versatile and modern aerodynamic test platform. While retaining key legacy components, such as the converging nozzle and the 55D42 power unit, the upgraded system features a redesigned modular test section with optical-grade quartz windows. This enhancement enables compatibility with advanced flow diagnostics and visualization methods, including PTV, DIC, and schlieren imaging. The modernized facility maintains the precision and flow stability that made the original design widely respected, while expanding its functionality to meet the demands of contemporary experimental research. Its architecture supports the aerodynamic characterization of micro-scale static pressure probes used in aerospace, propulsion, and micro gas turbine applications. Special attention is given to assessing the influence of probe tip geometry (e.g., conical, ogive), port positioning, and stem interference on measurement accuracy. Full article
(This article belongs to the Section Inventions and Innovation in Advanced Manufacturing)
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