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12 pages, 1193 KB  
Article
First-Principles Study of Rare-Earth Doping Effects on Nitrogen Adsorption and Diffusion in Chromium
by Shuhui Chen, Bao Chen, Min Liu, Ji Liu, Gen Li and Ying Jin
Corros. Mater. Degrad. 2025, 6(4), 57; https://doi.org/10.3390/cmd6040057 - 12 Nov 2025
Abstract
To address the premature corrosion failure of chromium-based coatings in harsh environments (e.g., high temperatures, chloride-containing solutions), this work systematically investigates how rare-earth (RE, i.e., Ce and La) elements regulate nitrogen (N) adsorption and diffusion behavior in Cr during the early stages of [...] Read more.
To address the premature corrosion failure of chromium-based coatings in harsh environments (e.g., high temperatures, chloride-containing solutions), this work systematically investigates how rare-earth (RE, i.e., Ce and La) elements regulate nitrogen (N) adsorption and diffusion behavior in Cr during the early stages of nitriding, a critical corrosion protection strategy, using first-principles density functional theory (DFT). Results show that RE preferentially occupies Cr substitutional site, increasing the Young’s modulus from 293.5 GPa (pristine Cr) to 344.9 GPa (Ce-doped) and 348.7 GPa (La-doped). Surface RE doping on Cr(110) significantly enhances N adsorption energy from −3.23 eV to −3.559/−3.645 eV (Ce-/La-doped), whereas subsurface doping slightly weakens the adsorption. Moreover, the energy barrier for N penetration into subsurface is reduced from 2.11 eV to 2.03/1.91 eV (Ce-/La-doped), thereby facilitating nitridation. Notably, RE is found to strongly trap vacancies and N atoms, leading to increased migration barriers and thus hindering their long-range transport. These findings demonstrate that RE exhibits a dual role during nitriding: promoting N incorporation at the surface while restricting its deep diffusion into the bulk. The study provides theoretical insights into the atomistic mechanisms by which RE elements modulate nitriding efficiency in Cr-based alloys, offering guidance for the design of RE-doped surface-modified coatings with improved corrosion resistance. Full article
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24 pages, 11969 KB  
Article
Regulation of TGF-β and BMP Signaling by Natural Triterpene Compounds in Pulmonary Arterial Hypertension (PAH)
by Sila Ozlem Sener, Sabita Shaha, Saltan Gülçin İşcan, Ufuk Ozgen, Merve Yuzbasioglu Baran, Aleyna Nalcaoğlu and Md Talat Nasim
Curr. Issues Mol. Biol. 2025, 47(11), 939; https://doi.org/10.3390/cimb47110939 - 12 Nov 2025
Abstract
Pulmonary arterial hypertension (PAH) is a devastating cardiovascular disorder caused by right heart failure leading to premature death. The TGFBR2 and BMPR-II receptors, which are members of the TGF-β receptor family, are considered promising targets for developing novel drugs in PAH. Lupeol and [...] Read more.
Pulmonary arterial hypertension (PAH) is a devastating cardiovascular disorder caused by right heart failure leading to premature death. The TGFBR2 and BMPR-II receptors, which are members of the TGF-β receptor family, are considered promising targets for developing novel drugs in PAH. Lupeol and ψ-taraxasterol, naturally occurring triterpene molecules with proven anti-inflammatory, anti-cancer, and cardioprotective activities, hold considerable potential in the treatment of PAH. Hence, the present study aimed to evaluate the impacts of lupeol and ψ-taraxasterol isolated from Cirsium sintenisii Freyn on the TGF-β and BMP pathways, aiming to determine their therapeutic values in PAH. The effects of the compounds were extensively investigated using both in silico and wet lab experiments, including reporter assays, RT-PCR/QPCR, Western blots, and cell proliferations assays. Both lupeol and ψ-taraxasterol demonstrated interactions with the majority of components of these signaling pathways, including the TGFBR2 and BMPR-II receptors, suggesting that both compounds were capable of modulating the BMP and TGF-β pathways. Data derived from reporter assays, RT-PCR/QPCR, and Western blots demonstrated that lupeol and ψ-taraxasterol inhibited the TGF-β signaling pathway by reducing the phosphorylation of the SMAD3 protein and the expression of pai-1 transcripts. Additionally, ψ-taraxasterol enhanced BMP signaling via regulating the phosphorylation of SMAD1/5 proteins and upregulated the expression of id-1 transcripts. Finally, lupeol and ψ-taraxasterol inhibited abnormal proliferation of mutant-type (bmpr2R899X+/-) PAMSCs stimulated with the TGF-β1 ligand with no discernible effects on wild-type cells. This is the first comprehensive report outlining the potential therapeutic effects of lupeol and ψ-taraxasterol in PAH, which may have immediate experimental and clinical applications not only in PAH but also other BMP- and TGF-β-associated disorders. Full article
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14 pages, 8397 KB  
Communication
Investigation of Degradation Behavior and Mechanical Performance Deterioration of Magnesium Alloys in Hank’s Solution
by Hongmin Jia, Yifan Li, Shanna Xu, Yuntao Xi and Weimin Gui
Materials 2025, 18(22), 5102; https://doi.org/10.3390/ma18225102 - 11 Nov 2025
Abstract
The mechanical deterioration of Mg alloys during degradation significantly impairs their service performance as biomaterial implants. In the present study, the degradation behavior of a Mg-6Zn-0.5Cu alloy was systematically examined through electrochemical measurements and immersion tests, while the mechanical integrity was assessed via [...] Read more.
The mechanical deterioration of Mg alloys during degradation significantly impairs their service performance as biomaterial implants. In the present study, the degradation behavior of a Mg-6Zn-0.5Cu alloy was systematically examined through electrochemical measurements and immersion tests, while the mechanical integrity was assessed via tensile tests under different immersion periods. The results revealed a severe loss in mechanical properties was disproportionate to the corrosion rate. After 7 days’ immersion, the ultimate tensile strength (UTS) and elongation to failure (EL) decreased by 34.4% and 60.1%, respectively, while the corrosion rate was 0.11 mm/y based on the weight loss. This severe mechanical deterioration was primarily caused by pronounced localized corrosion, which induced aggravated local stress concentration at corrosion sites, promoting microcracks initiation and leading to premature fracture of the alloy. Full article
(This article belongs to the Section Metals and Alloys)
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20 pages, 1202 KB  
Article
Cross-Layer Optimized OLSR Protocol for FANETs in Interference-Intensive Environments
by Jinyue Liu, Peng Gong, Haowei Yang, Siqi Li and Xiang Gao
Drones 2025, 9(11), 778; https://doi.org/10.3390/drones9110778 - 8 Nov 2025
Viewed by 171
Abstract
The conventional OLSR protocol faces substantial challenges in highly dynamic and interference-intensive UAV environments, including high mobility, frequent topology changes, and insufficient adaptability to electromagnetic interference. This paper proposes a cross-layer improved OLSR protocol, OLSR-LCN, that integrates three evaluation metrics—link lifetime (LL), channel [...] Read more.
The conventional OLSR protocol faces substantial challenges in highly dynamic and interference-intensive UAV environments, including high mobility, frequent topology changes, and insufficient adaptability to electromagnetic interference. This paper proposes a cross-layer improved OLSR protocol, OLSR-LCN, that integrates three evaluation metrics—link lifetime (LL), channel interference index (CII), and node load (NL)—to enhance communication stability and network performance. The proposed protocol extends the OLSR control message structure and employs enhanced MPR selection and routing path computation algorithms. LL prediction enables proactive selection of stable communication paths, while the CII helps avoid heavily interfered nodes during MPR selection. Additionally, the NL metric facilitates load balancing and prevents premature node failure due to resource exhaustion. Simulation results demonstrate that across different UAV flight speeds and network scales, OLSR-LCN protocol consistently outperforms both the OLSR and the position-based OLSR in terms of end-to-end delay, packet loss rate, and network efficiency. The cross-layer optimization approach effectively addresses frequent link disruptions, interference, and load imbalance in dynamic environments, providing a robust solution for reliable communication in complex FANETs. Full article
(This article belongs to the Section Drone Communications)
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21 pages, 1139 KB  
Review
Effects of Exercise on Cardiovascular and Metabolic Responses in Adults and Childhood Cancer Survivors: The Role of NETosis and Low-Grade Inflammation as a Novel Therapeutic Target—A Narrative Review
by Rodrigo L. Castillo, Esteban G. Figueroa, Alejandro González-Candia, Andrea del Campo, Claudia Paris, Fernando Verdugo, Morin Lang, Carlos Cruz-Montecinos, Mauricio Quezada, Robert A. Pérez, Martín Armijo, Patricio Acevedo and Rodrigo Carrasco
Int. J. Mol. Sci. 2025, 26(22), 10843; https://doi.org/10.3390/ijms262210843 - 8 Nov 2025
Viewed by 155
Abstract
Cancer survivors (CS) constitute an expanding population with underrecognized cardiometabolic risk. Despite substantial improvements in five-year survival rates, both childhood and adult survivors remain at high risk for premature morbidity and mortality. These risks are particularly pronounced following exposure to anthracyclines and/or chest [...] Read more.
Cancer survivors (CS) constitute an expanding population with underrecognized cardiometabolic risk. Despite substantial improvements in five-year survival rates, both childhood and adult survivors remain at high risk for premature morbidity and mortality. These risks are particularly pronounced following exposure to anthracyclines and/or chest radiotherapy, typically in a dose-dependent manner. In Chile, the establishment of the National Pediatric Antineoplastic Drug Program (PINDA) in 1998 marked a milestone in improving equitable access to high-quality pediatric oncology care through evidence-based treatment protocols across the public health system; the adult counterpart (PANDA) has developed diagnostic, treatment, and monitoring protocols for hematological neoplasms. Few prospective cohort or mechanistic studies have clarified risk stratification or surveillance strategies in survivor populations. The regulated, short-term activation of inflammation and innate immunity can be an adaptive and protective response to tissue injury, whereas persistent low-grade inflammation may trigger neutrophil extracellular traps formation (NETosis) and other maladaptive pathways that accelerate endothelial injury, thrombosis, and adverse cardiovascular remodeling. NETosis represents a putative immunomodulatory target for therapeutic immunomodulation in heart failure and maladaptive left ventricular remodeling in preclinical models. Concurrently, skeletal muscle-derived and hormonal mediators known as exerkines—together with increased NET activity—may modulate the pathophysiology of chronic cardiometabolic disease and contribute to cancer progression, particularly in the context of obesity, diabetes, and insulin resistance. Structured exercise is a promising non-pharmacological intervention that modulates inflammatory and metabolic pathways and may thereby help prevent non-communicable diseases, including cancer. We synthesize basic and clinical evidence to (1) define how cancer therapies promote low-grade inflammation and NETosis; (2) describe how exerkines and structured exercise influence cardiometabolic biology; and (3) evaluate exercise as a mechanistic and clinically pragmatic strategy to reduce long-term CVD risk in pediatric and adult CS. Full article
(This article belongs to the Special Issue State-of-the-Art Molecular Immunology in Chile, 2nd Edition)
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23 pages, 5437 KB  
Article
A Global Performance-Based Seismic Assessment of a Retrofitted Hospital Building Equipped with Dissipative Bracing Systems
by Roberto Nascimbene, Federica Bianchi, Emanuele Brunesi and Davide Bellotti
Buildings 2025, 15(22), 4022; https://doi.org/10.3390/buildings15224022 - 7 Nov 2025
Viewed by 226
Abstract
This paper presents a global performance-based seismic assessment of an existing reinforced concrete hospital building retrofitted with dissipative bracing systems. The study aims to evaluate the overall effectiveness of different dissipative configurations, two traditional systems and one innovative low-activation solution in enhancing the [...] Read more.
This paper presents a global performance-based seismic assessment of an existing reinforced concrete hospital building retrofitted with dissipative bracing systems. The study aims to evaluate the overall effectiveness of different dissipative configurations, two traditional systems and one innovative low-activation solution in enhancing the seismic performance of the structure in compliance with the Italian Building Code (NTC 2018). The analyses were carried out using nonlinear static (pushover) procedures to determine the global capacity, equivalent damping, and displacement demand at the Life Safety (SLV) and Near Collapse (SLC) limit states. The retrofitting interventions were modeled assuming elastic connections between the existing RC frames and the added steel members, consistent with standard design practice in which connections are dimensioned with overstrength to avoid premature failure. The results demonstrate that the integration of dissipative systems significantly increases stiffness and damping, effectively reducing lateral displacements and improving the seismic safety index above the 60% threshold required for strategic facilities. The study highlights the importance of global assessment methodologies in guiding the seismic upgrading of hospitals and other critical infrastructures, while local detailing and device-level optimization are identified as topics for future research. Full article
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12 pages, 1488 KB  
Article
Gate Metal Defect Screening at Wafer-Level for Improvement of HTGB in Power GaN HEMT
by Yu-Ting Chuang and Niall Tumilty
Micromachines 2025, 16(11), 1260; https://doi.org/10.3390/mi16111260 - 6 Nov 2025
Viewed by 233
Abstract
The increasing market demand for high-power and high-frequency applications necessitates the development of highly reliable Gallium Nitride (GaN) High-Electron-Mobility Transistors (HEMTs). While GaN offers superior performance and efficiency over traditional silicon, gate-related defects pose a significant reliability challenge, often leading to premature device [...] Read more.
The increasing market demand for high-power and high-frequency applications necessitates the development of highly reliable Gallium Nitride (GaN) High-Electron-Mobility Transistors (HEMTs). While GaN offers superior performance and efficiency over traditional silicon, gate-related defects pose a significant reliability challenge, often leading to premature device failure under stress. Traditional High-Temperature Gate Bias (HTGB) testing is effective but time-consuming and costly, particularly when defects are only identified post-packaging. This study focuses on developing an effective wafer-level screening methodology to mitigate the financial burden and reputational risk associated with late-stage defect discovery. Failure analysis of an HTGB premature failure revealed a gate metal deposition defect characterized by identical elemental composition to the bulk metal, suggesting a small-volume structural anomaly. Crucially, a comparative analysis showed that Forward Gate Current (IGON) is an insensitive screening metric due to high inherent gate leakage through the passivation layer. In contrast, the Reverse Gate Current (IGOFF) exhibited sensitivity, particularly under the tensile stress induced by package molding, which is attributed to the piezoelectric effect altering the depletion region width beneath the p-GaN gate. Based on this observation, a multi-pulse IDSS test was developed as a wafer-level screen. This method successfully amplified the subtle electrical field perturbations caused by the gate defect. After screening 231 dies using the new methodology, zero failures were recorded after 1000 h of HTGB stress, a significant improvement over the initial failure rate of 0.43% (1 out of 231). This work demonstrates that early, sensitive wafer-level screening of gate defects is indispensable for optimizing manufacturing yield and enhancing long-term device reliability. Full article
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19 pages, 12925 KB  
Article
Cobalt-Based Ceramic Wear-Resistant Cutting Pick Laser Cladding Process and Its Law Analysis
by Yiming Zhu, Chenguang Guo, Shengli Xue, Haitao Yue and Junlin Dai
Coatings 2025, 15(11), 1289; https://doi.org/10.3390/coatings15111289 - 4 Nov 2025
Viewed by 252
Abstract
As a core wear-prone component of coal mining equipment, the wear resistance of cutting picks directly affects mining efficiency and operating costs. This study addresses the premature failure of traditional hard alloy cutting picks caused by impact fatigue and abrasive wear under complex [...] Read more.
As a core wear-prone component of coal mining equipment, the wear resistance of cutting picks directly affects mining efficiency and operating costs. This study addresses the premature failure of traditional hard alloy cutting picks caused by impact fatigue and abrasive wear under complex geological conditions. By introducing WC powder, the research aims to enhance the quality of the laser cladding coating on cobalt-based reinforced cutting picks and to investigate the variation in optimal process parameters with an increasing WC ratio. Five sets of L9 orthogonal experiments were conducted using the Taguchi method. Combined with the analysis of the signal-to-noise ratio (SNR), the optimal parameters under each material ratio were obtained and experimentally verified. The errors were all within 10%, which proves the reliability and repeatability of the optimization results. Subsequently, the effects of laser power, powder feeding rate and scanning speed on coating quality were systematically evaluated. Scanning speed had the most significant effect on microhardness, while laser power predominantly influenced dilution rate. For low WC content, powder feeding rate had a greater impact on porosity; as WC content increased, laser power became the main factor affecting porosity. Grey Relational Analysis (GRA) was subsequently applied to integrate the three response targets into a single grey relational grade (GRG), optimizing the parameters for each WC ratio. And the law of mutual influence between different material ratios and their process parameters was found. Wear tests on the optimized cladding layer showed that, compared with the original and pure cobalt-based picks, wear resistance increased by 45% and 80%, respectively. These results indicate a clear correlation between WC content, process parameter optimization, and improved coating performance. Full article
(This article belongs to the Section Surface Characterization, Deposition and Modification)
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11 pages, 1359 KB  
Proceeding Paper
Proportional Analysis and Microstructural Characterization of Threading Dies Manufactured Using Conventional and EDM Machining Methods
by Zaheer Ahmad, Muhammad Uzair, Afrasyab Khan, Muhammad Huzaifa and Syed Hamza Khurshid
Eng. Proc. 2025, 111(1), 35; https://doi.org/10.3390/engproc2025111035 - 3 Nov 2025
Viewed by 223
Abstract
This experimental study investigates the effects of conventional and non-conventional (Electrical Discharge Machining, EDM) techniques on the performance of threading dies fabricated from H13 die steel. The research focuses on variations in material properties, operational efficiency, and failure mechanisms. Results indicate that conventional [...] Read more.
This experimental study investigates the effects of conventional and non-conventional (Electrical Discharge Machining, EDM) techniques on the performance of threading dies fabricated from H13 die steel. The research focuses on variations in material properties, operational efficiency, and failure mechanisms. Results indicate that conventional machining significantly increases die hardness, leading to higher mechanical stress and premature failure. In contrast, EDM maintains structural integrity with minimal hardness variation. Microstructural analysis confirms superior grain structure stability in EDM-processed dies. Performance testing showed that conventional threading dies failed after threading 16 inches of mild steel rods, while EDM-fabricated dies successfully threaded up to 20 inches. These findings underscore the detrimental effect of mechanically induced stress in conventional techniques and highlight the superior durability and dimensional precision achievable through non-conventional machining methods. Full article
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17 pages, 8704 KB  
Article
Thymol Mitigates Oxidative Stress-Induced Ovarian Aging and Restores Steroidogenesis via the JAK1–STAT3 Pathway
by Junjie Deng, Chen Luo, Chen Xie and Heng Duan
Curr. Issues Mol. Biol. 2025, 47(11), 910; https://doi.org/10.3390/cimb47110910 - 2 Nov 2025
Viewed by 368
Abstract
Premature ovarian failure (POF) is characterized by oxidative stress, cellular senescence, and impaired steroidogenesis, yet current therapies remain limited in effectiveness. Thymol, a natural monoterpene, exhibits antioxidant and anti-inflammatory properties. Network pharmacology and molecular docking identified multiple potential targets, notably the Janus kinase [...] Read more.
Premature ovarian failure (POF) is characterized by oxidative stress, cellular senescence, and impaired steroidogenesis, yet current therapies remain limited in effectiveness. Thymol, a natural monoterpene, exhibits antioxidant and anti-inflammatory properties. Network pharmacology and molecular docking identified multiple potential targets, notably the Janus kinase 1 (JAK1)-signal transducer and activator of transcription 3 (STAT3) pathway. In tert-butyl hydroperoxide (t-BHP)-induced human granulosa-like tumor cells (n = 3), 40 μg/mL thymol increased cell viability by approximately 45%, restored superoxide dismutase, catalase, and glutathione peroxidase activities to nearly twice those of the model group, and reduced reactive oxygen species accumulation by about 35% (p < 0.05). It also decreased senescence markers p53, p21, and p16 by 40–60% and inhibited JAK1–STAT3 phosphorylation (n = 3, p < 0.05). In aged pregnant mice (n = 4 per group), thymol increased viable fetus numbers by about 40%, elevated serum estradiol and progesterone levels to 1.6–1.8-fold of aged controls, and downregulated ovarian aging markers (p < 0.05). Collectively, these findings indicate that thymol mitigates oxidative stress-induced ovarian aging by modulating JAK1–STAT3 signaling and restoring steroidogenic function, supporting its potential as a natural candidate for delaying ovarian senescence. Full article
(This article belongs to the Section Biochemistry, Molecular and Cellular Biology)
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16 pages, 5621 KB  
Article
Optimized 3D-Printed Polylactic Acid/Graphene Oxide Scaffolds for Enhanced Bone Regeneration
by Jung-Tae Lee, Dajung Lee, Ye-Seul Jung, Sung-Ho Lee, Sungtae Kim, Bongju Kim and Dong-Wook Han
Bioengineering 2025, 12(11), 1192; https://doi.org/10.3390/bioengineering12111192 - 1 Nov 2025
Viewed by 608
Abstract
Background: Three-dimensional (3D) printed scaffolds have emerged as promising tools for bone regeneration, but the optimal structural design and pore size remain unclear. Polylactic acid (PLA) reinforced with graphene oxide (GO) offers enhanced mechanical and biological performance, yet systematic evaluation of architecture and [...] Read more.
Background: Three-dimensional (3D) printed scaffolds have emerged as promising tools for bone regeneration, but the optimal structural design and pore size remain unclear. Polylactic acid (PLA) reinforced with graphene oxide (GO) offers enhanced mechanical and biological performance, yet systematic evaluation of architecture and pore size is limited. Methods: Two scaffold architectures (lattice-type and dode-type) with multiple pore sizes were fabricated using UV-curable PLA/GO resin. Physical accuracy, porosity, and mechanical properties were assessed through compression and fatigue testing. Based on in vitro screening, four pore sizes (930 μm, 690 μm, 558 μm, 562 μm) within the dode-type structure were analyzed. The 558 μm and 562 μm scaffolds, showing distinct fracture thresholds, were further evaluated in rat and rabbit calvarial defect models for inflammation and bone regeneration. Results: In vitro testing revealed that while 930 μm and 690 μm scaffolds exhibited superior compressive strength, the 562 μm scaffold showed a unique critical fracture behavior, and the 558 μm scaffold offered comparable stability with higher resistance to premature failure. In vivo studies confirmed excellent biocompatibility in both groups, with early bone formation favored in the 558 μm scaffold and more continuous and mature bone observed in the 562 μm scaffold at later stages. Conclusions: This stepwise strategy—from structural design to pore size screening and preclinical validation—demonstrates that threshold-level mechanical properties can influence osteogenesis. PLA/GO scaffolds optimized at 558 μm and 562 μm provide a translationally relevant balance between mechanical stability and biological performance for bone tissue engineering. Full article
(This article belongs to the Special Issue Advanced 3D-Printed Biomaterials in Dentistry)
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41 pages, 3250 KB  
Article
OpenAM-SimCCX: An Open-Source Framework for Thermo-Mechanical Analysis of Additive Manufacturing with CalculiX
by Jesus Romero-Hdz, Baidya Nath Saha, Jobish Vallikavungal and Patricia Zambrano-Robledo
Materials 2025, 18(21), 4990; https://doi.org/10.3390/ma18214990 - 31 Oct 2025
Viewed by 481
Abstract
Additive Manufacturing (AM) has emerged as a transformative technology for rapid prototyping and fabrication of geometrically complex structures. However, the inherent thermal cycling and rapid solidification in processes such as Selective Laser Sintering (SLS) frequently induce deformation and residual stresses, leading to dimensional [...] Read more.
Additive Manufacturing (AM) has emerged as a transformative technology for rapid prototyping and fabrication of geometrically complex structures. However, the inherent thermal cycling and rapid solidification in processes such as Selective Laser Sintering (SLS) frequently induce deformation and residual stresses, leading to dimensional deviations and potential premature failure. This paper presents OpenAM-SimCCX, an open-source workflow for finite element-based thermo-mechanical simulation of AM processes using CalculiX 2.21. The framework employs a time-dependent thermo-mechanical model with layer-by-layer element activation to capture key aspects of SLS, including laser–material interaction and scanning strategy effects. Systematic comparisons of different scanning strategies demonstrate clear correlations between path planning, residual stress distributions, and distortion, while computational time analyses confirm the framework’s efficiency. By providing comprehensive documentation, implementation guides, and open repositories, OpenAM-SimCCX offers an accessible and economically viable alternative to commercial software, particularly for academic institutions and small- to medium-sized enterprises. This framework advances open-source simulation tools for AM and promotes broader adoption in both research and industry. Full article
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12 pages, 563 KB  
Article
Iron Deficiency Prevention, Screening, and Treatment: A Quality Improvement Initiative Introducing Reticulocyte Hemoglobin in a Level III Neonatal Intensive Care Unit
by Narmin Javadova, Pamela J. Kling, Sally Norlin and Whitley N. Hulse
Nutrients 2025, 17(21), 3391; https://doi.org/10.3390/nu17213391 - 29 Oct 2025
Viewed by 479
Abstract
Objective: To implement a neonatal iron deficiency (ID) guideline as part of a neuroprotective strategy using reticulocyte hemoglobin content (RET-He) for neonates born <33 weeks postmenstrual age (PMA) and small for gestational age (SGA) neonates ≥33 weeks PMA, to achieve ≥80% screening [...] Read more.
Objective: To implement a neonatal iron deficiency (ID) guideline as part of a neuroprotective strategy using reticulocyte hemoglobin content (RET-He) for neonates born <33 weeks postmenstrual age (PMA) and small for gestational age (SGA) neonates ≥33 weeks PMA, to achieve ≥80% screening rate by June 2024. Methods: An interdisciplinary team conducted a quality improvement initiative in a level III neonatal intensive care unit (NICU) from April 2022 to August 2024. RET-He is a validated, sensitive marker of early iron deficiency reflecting recent iron supply for erythropoiesis and providing a more reliable measure than ferritin. The primary outcome was RET-He screening at 30 ± 7 days for neonates <33 weeks PMA or pre-discharge for SGA neonates ≥33 weeks PMA. Exclusion criteria were death or transfer before eligibility. Process measures included ID screening failure rate (RET-He level < 29 pg). Results: Of 345 eligible neonates, P-chart analysis showed screening rates for premature neonates <33 weeks PMA declined during PDSA 1–2, before improving to 85.9% in PDSA 3. ID screening failure was 12.6% at one month, increasing to 32.1% at two months. For SGA neonates ≥33 weeks PMA, screening rates remained low, peaking at 36% in PDSA 3, with a 2.2% failure rate. Conclusions: Implementation of a RET-He based ID guideline improved screening rates for premature neonates but was less effective for SGA neonates. Despite improved guideline adherence, ID prevalence remained high at NICU discharge, indicating a further need to improve nutritional prevention and treatment strategies. Full article
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15 pages, 2933 KB  
Article
Does Intraoperative Navigation Improve K-Wire Positioning in Reverse Shoulder Arthroplasty?—A New Approach
by Timo Blaszczyk, Georg Gosheger, Jonathan Wohlmuth and Vincent Hofbauer
J. Pers. Med. 2025, 15(11), 509; https://doi.org/10.3390/jpm15110509 - 29 Oct 2025
Viewed by 324
Abstract
Background/Objectives: In reverse shoulder arthroplasty (RSA), precise K-wire positioning of the glenoid component is critical to prevent complications such as glenoid loosening or instability as well as premature implant failure. Optimal component placement must adhere to individualized preoperative plans to account for patient-specific [...] Read more.
Background/Objectives: In reverse shoulder arthroplasty (RSA), precise K-wire positioning of the glenoid component is critical to prevent complications such as glenoid loosening or instability as well as premature implant failure. Optimal component placement must adhere to individualized preoperative plans to account for patient-specific anatomical conditions. Conventional methods often fail to achieve this level of accuracy, undermining the need for personalized medicine. Intraoperative navigation systems are growing in use to improve accuracy in orthopedic surgery. This study aimed to compare the accuracy of K-wire positioning in a 3D-printed model of the scapula using conventional versus navigated methods. Methods: We recruited 20 participants: 10 experienced surgeons and 10 inexperienced medical students. Each participant performed four K-wire drillings—two with conventional instruments and two with an intraoperative navigation system. A novel target system, BoneTrack3D, was used to measure accuracy. We assessed the absolute deviation of the entry and exit points as well as the three-dimensional drilling angle. Results: The navigated method was significantly more accurate for all measured parameters at a family-wise significance level of α = 0.05. The median absolute deviation for the entry point was 1.6 mm with navigation versus 3.0 mm with the conventional method (p < 0.001). Similarly, the exit point deviation was 1.8 mm with navigation versus 6.7 mm conventionally (p < 0.001). The drilling angle deviation also showed significant improvement with navigation, at 2.6° compared to 8.9° conventionally (p < 0.001). However, the navigated method took longer, with a median drilling time of 100.0 s compared to 55.0 s for the conventional method (p < 0.001). The navigated method provided consistent and superior results regardless of a participant’s surgical experience. Conclusions: Navigated techniques for K-wire positioning in RSA demonstrate enhanced accuracy in a 3D-printed model, effectively executing a precise, patient-specific preoperative plan. This could be a direct contribution to personalized medicine, ensuring the final implant alignment is tailored to the individual’s anatomy. Furthermore, intraoperative navigation may contribute to a flatter learning curve, thereby increasing accessibility for surgeons with varying levels of experience. Although navigation introduces additional costs and longer initial procedure times, these drawbacks could be offset by improved technical outcomes and a reduced risk of complications. Future studies, including randomized clinical trials and cost-effectiveness analyses, should seek to validate these results in clinical settings with longer follow-up periods and larger patient cohorts to define long-term value and utility of navigation systems in reverse shoulder arthroplasty. Full article
(This article belongs to the Special Issue Arthroplasty and Personalized Medicine: Updates and Challenges)
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17 pages, 9693 KB  
Article
Sensing and Analyzing Partial Discharge Phenomenology in Electrical Asset Components Supplied by Distorted AC Waveform
by Gian Carlo Montanari, Sukesh Babu Myneni, Zhaowen Chen and Muhammad Shafiq
Sensors 2025, 25(21), 6594; https://doi.org/10.3390/s25216594 - 26 Oct 2025
Viewed by 624
Abstract
Power electronic devices for AC/DC and AC/AC conversion are, nowadays, widely distributed in electrified transportation and industrial applications, which can determine significant deviation in supply voltage waveform from the AC sinusoidal and promote insulation extrinsic aging mechanisms as partial discharges (PDs). PDs are [...] Read more.
Power electronic devices for AC/DC and AC/AC conversion are, nowadays, widely distributed in electrified transportation and industrial applications, which can determine significant deviation in supply voltage waveform from the AC sinusoidal and promote insulation extrinsic aging mechanisms as partial discharges (PDs). PDs are one of the most harmful processes as they are able to cause accelerated extrinsic aging of electrical insulation systems and are the cause of premature failure in electrical asset components. PD phenomenology under pulse width modulated (PWM) voltage waveforms has been dealt with in recent years, also through some IEC/IEEE standards, but less work has been performed on PD harmfulness under AC distorted waveforms containing voltage harmonics and notches. On the other hand, these voltage waveforms can often be present in electrical assets containing conventional loads and power electronics loads/drives, such as for ships or industrial installations. The purpose of this paper is to provide a contribution to this lack of knowledge, focusing on PD sensing and phenomenology. It has been shown that PD patterns can change considerably with respect to those known under sinusoidal AC when harmonic voltages and/or notches are present in the supply waveform. This can impact PD typology identification, which is based on features related to PD pattern-based physics. The adaptation of identification AI algorithms used for AC sinusoidal voltage as well as distorted AC waveforms is discussed in this paper, showing that effective identification of the type of defects generating PD, and thus of their harmfulness, can still be achieved. Full article
(This article belongs to the Section Physical Sensors)
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