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29 pages, 1829 KB  
Review
A Comprehensive Review of Cybersecurity Threats to Wireless Infocommunications in the Quantum-Age Cryptography
by Ivan Laktionov, Grygorii Diachenko, Dmytro Moroz and Iryna Getman
IoT 2025, 6(4), 61; https://doi.org/10.3390/iot6040061 - 16 Oct 2025
Viewed by 102
Abstract
The dynamic growth in the dependence of numerous industrial sectors, businesses, and critical infrastructure on infocommunication technologies necessitates the enhancement of their resilience to cyberattacks and radio-frequency threats. This article addresses a relevant scientific and applied issue, which is to formulate prospective directions [...] Read more.
The dynamic growth in the dependence of numerous industrial sectors, businesses, and critical infrastructure on infocommunication technologies necessitates the enhancement of their resilience to cyberattacks and radio-frequency threats. This article addresses a relevant scientific and applied issue, which is to formulate prospective directions for improving the effectiveness of cybersecurity approaches for infocommunication networks through a comparative analysis and logical synthesis of the state-of-the-art of applied research on cyber threats to the information security of mobile and satellite networks, including those related to the rapid development of quantum computing technologies. The article presents results on the systematisation of cyberattacks at the physical, signalling and cryptographic levels, as well as threats to cryptographic protocols and authentication systems. Particular attention is given to the prospects for implementing post-quantum cryptography, hybrid cryptographic models and the integration of threat detection mechanisms based on machine learning and artificial intelligence algorithms. The article proposes a classification of current threats according to architectural levels, analyses typical protocol vulnerabilities in next-generation mobile networks and satellite communications, and identifies key research gaps in existing cybersecurity approaches. Based on a critical analysis of scientific and applied literature, this article identifies key areas for future research. These include developing lightweight cryptographic algorithms, standardising post-quantum cryptographic models, creating adaptive cybersecurity frameworks and optimising protection mechanisms for resource-constrained devices within information and digital networks. Full article
(This article belongs to the Special Issue Cybersecurity in the Age of the Internet of Things)
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23 pages, 523 KB  
Article
Two-Dimensional Fractional Polar Volterra Series for Baseband Power Amplifier Behavioral Modeling
by Vithor Bernardo Nypwipwy, Luiza Beana Chipansky Freire and Eduardo Gonçalves de Lima
Electronics 2025, 14(18), 3673; https://doi.org/10.3390/electronics14183673 - 17 Sep 2025
Viewed by 311
Abstract
This paper proposes a new behavioral model for radio-frequency power amplifiers (RF PAs) by extending the two-dimensional Polar Volterra series to fractional derivative order, using a numerical Mittag–Leffler-based formulation of fractional orthonormal generating functions. The motivation stems from the increasing need for accurate [...] Read more.
This paper proposes a new behavioral model for radio-frequency power amplifiers (RF PAs) by extending the two-dimensional Polar Volterra series to fractional derivative order, using a numerical Mittag–Leffler-based formulation of fractional orthonormal generating functions. The motivation stems from the increasing need for accurate and computationally efficient models to represent nonlinearities and memory effects in wideband RF PAs, especially in energy-efficient 5G systems. The proposed method significantly reduces model complexity by lowering the number of estimated parameters while maintaining or improving modeling fidelity. To evaluate its performance, three different RF PA devices were used as test cases. The results demonstrated that the proposed approach achieved an over 81.5% reduction in the number of model parameters and improved modeling accuracy. Besides that, in a scenario with the same number of parameters, normalized mean square error (NMSE) gains of up to 8.72 dB were obtained. These findings support the method’s potential for practical use in RF PA behavioral modeling and digital predistortion applications. Full article
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12 pages, 523 KB  
Article
Comparative Effectiveness and Safety of Fractional Laser and Fractional Radiofrequency for Atrophic Acne Scars: A Retrospective Propensity Score Analysis
by Chadakan Yan, Phichayut Phinyo, Yuri Yogya, Mati Chuamanochan and Rungsima Wanitphakdeedecha
Life 2025, 15(9), 1379; https://doi.org/10.3390/life15091379 - 1 Sep 2025
Viewed by 2296
Abstract
Fractional laser (FL) and fractional radiofrequency (FRF) are effective treatments for atrophic acne scars, yet comparative data in Asian populations with darker skin types remain limited. This retrospective cohort study compared the clinical effectiveness and safety of FL and FRF in Thai patients [...] Read more.
Fractional laser (FL) and fractional radiofrequency (FRF) are effective treatments for atrophic acne scars, yet comparative data in Asian populations with darker skin types remain limited. This retrospective cohort study compared the clinical effectiveness and safety of FL and FRF in Thai patients aged 18–60 years with Fitzpatrick skin types III–IV who underwent at least two treatment sessions between 2012 and 2023. Baseline characteristics were balanced using propensity score stratification, and missing data were addressed through multiple imputation with chained equations. The primary endpoint was the proportion of patients achieving ≥25% improvement in scarring at 6 months, with equivalence testing performed using a 20% margin. A total of 397 patients (254 FL, 143 FRF) were included, with balanced baseline characteristics after stratification. At 6 months, 88.1% of FRF-treated and 71.9% of FL-treated patients achieved the primary endpoint. FRF showed numerically greater mean improvement at all time points, though differences were not statistically significant. FL met the non-inferiority criterion but not equivalence. FRF was associated with significantly higher pain scores (p < 0.001), while adverse events, including post-inflammatory hyperpigmentation, were rare and similar between groups. Both modalities demonstrated meaningful clinical benefit and acceptable safety, although statistical equivalence could not be established and FRF was associated with greater procedural discomfort. Full article
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12 pages, 528 KB  
Article
Efficacy of Non-Invasive Monopolar Radiofrequency for Treating Genitourinary Syndrome of Menopause: A Prospective Pilot Study
by Mariachiara Palucci, Marta Barba, Alice Cola, Clarissa Costa, Desirèe De Vicari and Matteo Frigerio
Clin. Pract. 2025, 15(8), 155; https://doi.org/10.3390/clinpract15080155 - 20 Aug 2025
Viewed by 1159
Abstract
Introduction: The decline of serum estrogen in postmenopausal women leads to several changes in the vulvovaginal and vesicourethral areas, resulting in the genitourinary syndrome of menopause (GSM), characterized by bothersome symptoms such as vaginal atrophy, lack of lubrication, dyspareunia, urgency, dysuria, and [...] Read more.
Introduction: The decline of serum estrogen in postmenopausal women leads to several changes in the vulvovaginal and vesicourethral areas, resulting in the genitourinary syndrome of menopause (GSM), characterized by bothersome symptoms such as vaginal atrophy, lack of lubrication, dyspareunia, urgency, dysuria, and recurrent urinary tract infections. Nevertheless, this condition could also be experienced by younger women affected by hormone-dependent tumors. Although topical estrogens are considered “the gold standard”, hormonal treatments cannot be indicated in cancer survivors. As a result, energy-based devices using radiofrequency and laser technologies have emerged as alternative options. This prospective study aimed to evaluate the benefits of non-invasive monopolar radiofrequency (RF) in women affected by GSM who have contraindications to, did not respond to, or declined local estrogen therapy. Methods: The patients underwent five weekly sessions of second-generation monopolar RF. At baseline and at the fifth session, two validated questionnaires were administered to the patients: the Visual Analogue Scale (VAS) and the Female Sexual Function Index (FSFI-19). On the other hand, the vaginal mucosa status was evaluated by clinicians through the Vaginal Health Index (VHI). At the end of the cycle, the Patient Global Impression of Improvement (PGI-I) questionnaire was collected. Results: Based on 44 patients who completed five sessions of radiofrequency, a significant improvement was observed in sexual function according to the FSFI scale (22.9 vs. 38.6; p < 0.001) and in VVA atrophy symptoms, as documented by the VAS score (223 vs. 125; p < 0.001). The mean VHI score increased by 3 points (p < 0.001). Moreover, according to PGI-I, 96% of patients reported a perceived improvement (PGI-I score ≤ 3). Conclusions: Radiofrequency could provide an innovative and safe therapeutic approach for patients suffering from GSM and VVA, especially when hormonal strategies are unsuitable. Full article
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18 pages, 6030 KB  
Article
Impact of Rapid Thermal Annealing and Oxygen Concentration on Symmetry Bipolar Switching Characteristics of Tin Oxide-Based Memory Devices
by Kai-Huang Chen, Chien-Min Cheng, Ming-Cheng Kao, Hsin-Chin Chen, Yao-Chin Wang and Yu-Han Tsai
Micromachines 2025, 16(8), 956; https://doi.org/10.3390/mi16080956 - 19 Aug 2025
Viewed by 635
Abstract
In this study, tin oxide (SnO2) resistive random-access memory (RRAM) thin films were fabricated using the thermal evaporation and radiofrequency and dc frequency sputtering techniques for metal–insulator–metal (MIM) structures. The fabrication process began with the deposition of a silicon dioxide (SiO [...] Read more.
In this study, tin oxide (SnO2) resistive random-access memory (RRAM) thin films were fabricated using the thermal evaporation and radiofrequency and dc frequency sputtering techniques for metal–insulator–metal (MIM) structures. The fabrication process began with the deposition of a silicon dioxide (SiO2) layer onto a silicon (Si) substrate, followed by the deposition of a titanium nitride (TiN) layer to serve as the bottom electrode. Subsequently, the tin oxide (SnO2) layer was deposited as the resistive switching insulator. Two types of top electrodes were developed to investigate the influence of different oxygen concentrations on the bipolar switching, electrical characteristics, and performance of memory devices. An aluminum (Al) top electrode was deposited using thermal evaporation, while a platinum (Pt) top electrode was deposited via dc sputtering. As a result, two distinct metal–insulator–metal (MIM) memory RRAM device structures were formed, i.e., Al/SnO2/TiN/SiO2/Si and Pt/SnO2/TiN/SiO2/Si. In addition, the symmetry bipolar switching characteristics, electrical conduction mechanism, and oxygen concentration factor of the tin oxide-based memory devices using rapid thermal annealing and different top electrodes were determined and investigated by ohmic, space-charge-limit-current, Schottky, and Poole–Frenkel conduction equations in this study. Full article
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20 pages, 3967 KB  
Article
A Flexible Frequency-Coded Electromagnetic Sensing Array for Contactless Biological Tissues Health Monitoring
by Angelica Masi, Danilo Brizi, Eliana Canicattì, Sabrina Rotundo and Agostino Monorchio
Appl. Sci. 2025, 15(16), 9015; https://doi.org/10.3390/app15169015 - 15 Aug 2025
Viewed by 740
Abstract
In this study, we present a wearable sensing system for monitoring the physiological status of damaged biological tissues based on a flexible, frequency-coded electromagnetic spiral resonator array. The physiological parameter evaluation is performed in a contactless way, avoiding the placing of electronically active [...] Read more.
In this study, we present a wearable sensing system for monitoring the physiological status of damaged biological tissues based on a flexible, frequency-coded electromagnetic spiral resonator array. The physiological parameter evaluation is performed in a contactless way, avoiding the placing of electronically active elements directly upon the patient’s skin, thus ensuring safety and comfort. Firstly, we report in detail the physical principles behind the sensing strategy: a passive array is interrogated through an actively fed external single-loop probe that is inductively coupled with the double-layer spiral unit cells. The variation in the physiological parameters influences the array response, thus providing sensing information, due to the different complex dielectric permittivity values related to the tissue status. Moreover, the proposed frequency-coded approach allows for spatial information on the lesion to be retrieved, thus increasing the sensing ability. In order to prove the validity of this general methodology, we created a numerical test case, designing a practical implementation of the wearable sensing system working at a radiofrequency regime (10–100 MHz). In addition, we also fabricated prototypes, exploiting PCB technology, and realized stratified phantoms by incorporating opportune additives to control the dielectric properties. The numerical results and the experimental verification demonstrated the validity of the developed sensing strategy, showing satisfying agreement and, thus, proving the good sensibility and spatial resolution of the frequency-coded array. These results can open the path to a radically novel approach for self-care and monitoring of inflamed status and, more generally, for wearable sensing devices in biomedical applications. Full article
(This article belongs to the Section Electrical, Electronics and Communications Engineering)
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39 pages, 514 KB  
Review
A Comprehensive Review of a Mechanism-Based Ventricular Electrical Storm Management
by Alina Gabriela Negru, Diana Carina Iovanovici, Ana Lascu, Alexandru Silviu Pescariu, Gabriel Cismaru, Simina Crișan, Ștefan Ailoaei, Diana Luiza Bebec, Caius Glad Streian, Mariela Romina Bîrza, Andrei Raul Manzur, Silvia Ana Luca, Dana David, Svetlana Moșteoru, Dan Gaiță and Constantin Tudor Luca
J. Clin. Med. 2025, 14(15), 5351; https://doi.org/10.3390/jcm14155351 - 29 Jul 2025
Viewed by 2018
Abstract
The electrical ventricular storm (VES) is defined as multiple sustained ventricular arrhythmias arising in a short time, often refractory to standard antiarrhythmic treatment. The three pillars of the physiopathogenesis of the VES are autonomic dysfunction, triggers, and an altered ventricular substrate. Incessant or [...] Read more.
The electrical ventricular storm (VES) is defined as multiple sustained ventricular arrhythmias arising in a short time, often refractory to standard antiarrhythmic treatment. The three pillars of the physiopathogenesis of the VES are autonomic dysfunction, triggers, and an altered ventricular substrate. Incessant or highly recurrent ventricular arrhythmia impacts the hemodynamic status by worsening heart failure and increasing mortality. A stepwise, team-based, and tailored therapeutic approach is required to stop ventricular arrhythmia and regain the hemodynamic and electric stability of the patient. The authors focused on describing all currently available therapeutic approaches for VES, intending to establish the best VES therapeutic approaches. This process involves considering the patient’s specific condition, responses to previous treatments, and the potential risks and benefits of each approach. The options range from adjusting antiarrhythmic therapy to reprogramming of the ICD, sedation, epidural anaesthesia, stellate ganglia anaesthetic block, and the use of ECMO or left ventricular assist devices and radiofrequency catheter ablation. Particular attention is paid to the detailed management of genetic primary arrhythmia syndromes like long-QT syndrome, catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome and Wolff–Parkinson–White syndrome, early repolarisation syndrome, right ventricular arrhythmogenic dysplasia, and idiopathic ventricular fibrillation. After overcoming the acute events of VES and obtaining hemodynamic stability, the treatment should shift toward an optimal balance of heart failure therapy, controlling the substrate by revascularisation procedures and resolving other pathology-generating ventricular arrhythmias. This article provides a comprehensive overview of ESV’s current management options using the most efficient strategies known to date. Full article
(This article belongs to the Section Cardiology)
13 pages, 2826 KB  
Article
Design and Application of p-AlGaN Short Period Superlattice
by Yang Liu, Changhao Chen, Xiaowei Zhou, Peixian Li, Bo Yang, Yongfeng Zhang and Junchun Bai
Micromachines 2025, 16(8), 877; https://doi.org/10.3390/mi16080877 - 29 Jul 2025
Viewed by 604
Abstract
AlGaN-based high-electron-mobility transistors are critical for next-generation power electronics and radio-frequency applications, yet achieving stable enhancement-mode operation with a high threshold voltage remains a key challenge. In this work, we designed p-AlGaN superlattices with different structures and performed energy band structure simulations using [...] Read more.
AlGaN-based high-electron-mobility transistors are critical for next-generation power electronics and radio-frequency applications, yet achieving stable enhancement-mode operation with a high threshold voltage remains a key challenge. In this work, we designed p-AlGaN superlattices with different structures and performed energy band structure simulations using the device simulation software Silvaco. The results demonstrate that thin barrier structures lead to reduced acceptor incorporation, thereby decreasing the number of ionized acceptors, while facilitating vertical hole transport. Superlattice samples with varying periodic thicknesses were grown via metal-organic chemical vapor deposition, and their crystalline quality and electrical properties were characterized. The findings reveal that although gradient-thickness barriers contribute to enhancing hole concentration, the presence of thick barrier layers restricts hole tunneling and induces stronger scattering, ultimately increasing resistivity. In addition, we simulated the structure of the enhancement-mode HEMT with p-AlGaN as the under-gate material. Analysis of its energy band structure and channel carrier concentration indicates that adopting p-AlGaN superlattices as the under-gate material facilitates achieving a higher threshold voltage in enhancement-mode HEMT devices, which is crucial for improving device reliability and reducing power loss in practical applications such as electric vehicles. Full article
(This article belongs to the Special Issue III–V Compound Semiconductors and Devices, 2nd Edition)
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22 pages, 6452 KB  
Article
A Blockchain and IoT-Enabled Framework for Ethical and Secure Coffee Supply Chains
by John Byrd, Kritagya Upadhyay, Samir Poudel, Himanshu Sharma and Yi Gu
Future Internet 2025, 17(8), 334; https://doi.org/10.3390/fi17080334 - 27 Jul 2025
Viewed by 1411
Abstract
The global coffee supply chain is a complex multi-stakeholder ecosystem plagued by fragmented records, unverifiable origin claims, and limited real-time visibility. These limitations pose risks to ethical sourcing, product quality, and consumer trust. To address these issues, this paper proposes a blockchain and [...] Read more.
The global coffee supply chain is a complex multi-stakeholder ecosystem plagued by fragmented records, unverifiable origin claims, and limited real-time visibility. These limitations pose risks to ethical sourcing, product quality, and consumer trust. To address these issues, this paper proposes a blockchain and IoT-enabled framework for secure and transparent coffee supply chain management. The system integrates simulated IoT sensor data such as Radio-Frequency Identification (RFID) identity tags, Global Positioning System (GPS) logs, weight measurements, environmental readings, and mobile validations with Ethereum smart contracts to establish traceability and automate supply chain logic. A Solidity-based Ethereum smart contract is developed and deployed on the Sepolia testnet to register users and log batches and to handle ownership transfers. The Internet of Things (IoT) data stream is simulated using structured datasets to mimic real-world device behavior, ensuring that the system is tested under realistic conditions. Our performance evaluation on 1000 transactions shows that the model incurs low transaction costs and demonstrates predictable efficiency behavior of the smart contract in decentralized conditions. Over 95% of the 1000 simulated transactions incurred a gas fee of less than ETH 0.001. The proposed architecture is also scalable and modular, providing a foundation for future deployment with live IoT integrations and off-chain data storage. Overall, the results highlight the system’s ability to improve transparency and auditability, automate enforcement, and enhance consumer confidence in the origin and handling of coffee products. Full article
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27 pages, 6456 KB  
Article
An Open Multifunctional FPGA-Based Pulser/Receiver System for Intravascular Ultrasound (IVUS) Imaging and Therapy
by Amauri A. Assef, Paula L. S. de Moura, Joaquim M. Maia, Phuong Vu, Adeoye O. Olomodosi, Stephan Strassle Rojas and Brooks D. Lindsey
Sensors 2025, 25(15), 4599; https://doi.org/10.3390/s25154599 - 25 Jul 2025
Viewed by 1210
Abstract
Coronary artery disease (CAD) is the third leading cause of disability and death globally. Intravascular ultrasound (IVUS) is the most commonly used imaging modality for the characterization of vulnerable plaques. The development of novel intravascular imaging and therapy devices requires dedicated open systems [...] Read more.
Coronary artery disease (CAD) is the third leading cause of disability and death globally. Intravascular ultrasound (IVUS) is the most commonly used imaging modality for the characterization of vulnerable plaques. The development of novel intravascular imaging and therapy devices requires dedicated open systems (e.g., for pulse sequences for imaging or thrombolysis), which are not currently available. This paper presents the development of a novel multifunctional FPGA-based pulser/receiver system for intravascular ultrasound imaging and therapy research. The open platform consists of a host PC with a Matlab-based software interface, an FPGA board, and a proprietary analog front-end board with state-of-the-art electronics for highly flexible transmission and reception schemes. The main features of the system include the capability to convert arbitrary waveforms into tristate bipolar pulses by using the PWM technique and by the direct acquisition of raw radiofrequency (RF) echo data. The results of a multicycle excitation pulse applied to a custom 550 kHz therapy transducer for acoustic characterization and a pulse-echo experiment conducted with a high-voltage, short-pulse excitation for a 19.48 MHz transducer are reported. Testing results show that the proposed system can be easily controlled to match the frequency and bandwidth required for different IVUS transducers across a broad class of applications. Full article
(This article belongs to the Special Issue Ultrasonic Imaging and Sensors II)
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17 pages, 4334 KB  
Article
Wafer-Level Fabrication of Radiofrequency Devices Featuring 2D Materials Integration
by Vitor Silva, Ivo Colmiais, Hugo Dinis, Jérôme Borme, Pedro Alpuim and Paulo M. Mendes
Nanomaterials 2025, 15(14), 1119; https://doi.org/10.3390/nano15141119 - 18 Jul 2025
Viewed by 577
Abstract
Two-dimensional (2D) materials have been proposed for use in a multitude of applications, with graphene being one of the most well-known 2D materials. Despite their potential to contribute to innovative solutions, the fabrication of such devices still faces significant challenges. One of the [...] Read more.
Two-dimensional (2D) materials have been proposed for use in a multitude of applications, with graphene being one of the most well-known 2D materials. Despite their potential to contribute to innovative solutions, the fabrication of such devices still faces significant challenges. One of the key challenges is the fabrication at a wafer-level scale, a fundamental step for allowing reliable and reproducible fabrication of a large volume of devices with predictable properties. Overcoming this barrier will allow further integration with sensors and actuators, as well as enabling the fabrication of complex circuits based on 2D materials. This work presents the fabrication steps for a process that allows the on-wafer fabrication of active and passive radiofrequency (RF) devices enabled by graphene. Two fabrication processes are presented. In the first one, graphene is transferred to a back gate surface using critical point drying to prevent cracks in the graphene. In the second process, graphene is transferred to a flat surface planarized by ion milling, with the gate being buried beneath the graphene. The fabrication employs a damascene-like process, ensuring a flat surface that preserves the graphene lattice. RF transistors, passive RF components, and antennas designed for backscatter applications are fabricated and measured, illustrating the versatility and potential of the proposed method for 2D material-based RF devices. The integration of graphene on devices is also demonstrated in an antenna. This aimed to demonstrate that graphene can also be used as a passive device. Through this device, it is possible to measure different backscatter responses according to the applied graphene gating voltage, demonstrating the possibility of wireless sensor development. With the proposed fabrication processes, a flat graphene with good quality is achieved, leading to the fabrication of RF active devices (graphene transistors) with intrinsic fT and fmax of 14 GHz and 80 GHz, respectively. Excellent yield and reproducibility are achieved through these methods. Furthermore, since the graphene membranes are grown by Chemical Vapor Deposition (CVD), it is expected that this process can also be applied to other 2D materials. Full article
(This article belongs to the Special Issue Advanced 2D Materials for Emerging Application)
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17 pages, 2928 KB  
Article
Comparison Between Broadband and Personal Exposimeter Measurements for EMF Exposure Map Development Using Evolutionary Programming
by Alberto Nájera, Rocío Sánchez-Montero, Jesús González-Rubio, Jorge Guillén-Pina, Ricardo Chocano-del-Cerro and Pablo-Luis López-Espí
Appl. Sci. 2025, 15(13), 7471; https://doi.org/10.3390/app15137471 - 3 Jul 2025
Viewed by 575
Abstract
In this study, we provide a comparison of radiofrequency electromagnetic field exposure level maps as determined using two approaches: a broadband meter (NARDA EMR-300) equipped with an isotropic probe in the range of 100 kHz to 3 GHz, and a Personal Exposimeter (Satimo [...] Read more.
In this study, we provide a comparison of radiofrequency electromagnetic field exposure level maps as determined using two approaches: a broadband meter (NARDA EMR-300) equipped with an isotropic probe in the range of 100 kHz to 3 GHz, and a Personal Exposimeter (Satimo EME Spy 140) in the range of 88 MHz to 5.8 GHz. The aim of this research was to determine the necessary adjustments to the measurements made with personal exposimeters to obtain RF-EMF exposure maps equivalent to those made with broadband meters. We evaluated different possibilities to obtain the best equivalence of measurements between both devices. For this purpose, the datasets obtained in both cases were analyzed, as well as the possible correction factors. First, the possibility of establishing a single or double correction factor depending on the existence (or lack thereof) of a line of sight with respect to the base stations was analyzed by minimizing the average value of the error between the values of the broadband meter and the corrected values of the personal exposure meter. Due to the differences observed in the exposure maps, a second procedure was carried out, in which a genetic algorithm was used to determine the ratio between the measurements from both methods (the broadband meter and personal exposure meter), depending on the existence (or lack thereof) of a line of sight, and we compared the exposure maps generated using kriging interpolation. Full article
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10 pages, 608 KB  
Review
Transeptal Puncture Complications: What to Watch for and How to Avoid Them
by Nicolò Azzola Guicciardi, Carlotta De Carlo and Francesco Maisano
Complications 2025, 2(2), 14; https://doi.org/10.3390/complications2020014 - 16 Jun 2025
Viewed by 1298
Abstract
Transseptal puncture (TSP) is an essential step for left heart procedures that allows access to the left atrium (LA) through the fossa ovalis (FO) of the interatrial septum (IS). Initially developed for diagnostic purposes, today, it is performed for procedures that require large-bore [...] Read more.
Transseptal puncture (TSP) is an essential step for left heart procedures that allows access to the left atrium (LA) through the fossa ovalis (FO) of the interatrial septum (IS). Initially developed for diagnostic purposes, today, it is performed for procedures that require large-bore device delivery systems and complex three-dimensional navigation in the left atrium. TSP supports various interventions, including atrial fibrillation ablation, left atrial appendage closure, and transcatheter mitral valve repair and replacement. While traditionally performed with Brockenbrough needles under fluoroscopic guidance, the integration of transesophageal and intracardiac echocardiography (TEE/ICE) has significantly improved its safety and precision. Despite its generally high success rate, TSP poses challenges in complex anatomies or for less experienced operators, with complications such as cardiac tamponade, aortic root puncture, and embolic events. Anatomical variations, such as thickened or floppy septa, further complicate the procedure. Technological advancements, including radiofrequency-based systems and specialized guidewires, have enhanced safety in difficult cases. Effective training, including echocardiography and complication management, is vital for operator proficiency. This review outlines the procedural steps for safe TSP, emphasizing proper equipment selection, anatomical considerations, and vascular access techniques. Common complications are discussed alongside management strategies. Advanced tools and techniques for addressing challenging scenarios are highlighted. Full article
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29 pages, 3201 KB  
Review
Screen Printing for Energy Storage and Functional Electronics: A Review
by Juan C. Rubio and Martin Bolduc
Electron. Mater. 2025, 6(2), 7; https://doi.org/10.3390/electronicmat6020007 - 30 May 2025
Cited by 2 | Viewed by 3023
Abstract
Printed electronics employ established printing methods to create low-cost, mechanically flexible devices including batteries, supercapacitors, sensors, antennas and RFID tags on plastic, paper and textile substrates. This review focuses on the specific contribution of screen printing to that landscape, examining how ink viscosity, [...] Read more.
Printed electronics employ established printing methods to create low-cost, mechanically flexible devices including batteries, supercapacitors, sensors, antennas and RFID tags on plastic, paper and textile substrates. This review focuses on the specific contribution of screen printing to that landscape, examining how ink viscosity, mesh selection and squeegee dynamics govern film uniformity, pattern resolution and ultimately device performance. Recent progress in advanced ink systems is surveyed, highlighting carbon allotropes (graphene, carbon nano-onions, carbon nanotubes, graphite), silver and copper nanostructures, MXene and functional oxides that collectively enhance mechanical robustness, electrical conductivity and radio-frequency behavior. Parallel improvements in substrate engineering such as polyimide, PET, TPU, cellulose and elastomers demonstrate the technique’s capacity to accommodate complex geometries for wearable, medical and industrial applications while supporting environmentally responsible material choices such as water-borne binders and bio-based solvents. By mapping two decades of developments across energy-storage layers and functional electronics, the article identifies the key process elements, recurring challenges and emerging sustainable practices that will guide future optimization of screen-printing materials and protocols for high-performance, customizable and eco-friendly flexible devices. Full article
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20 pages, 1011 KB  
Systematic Review
Minimally Invasive Percutaneous Techniques for the Treatment of Cervical Disc Herniation: A Systematic Review and Meta-Analysis
by Magdalena Rybaczek, Zenon Mariak, Paweł Grabala and Tomasz Łysoń
J. Clin. Med. 2025, 14(10), 3280; https://doi.org/10.3390/jcm14103280 - 8 May 2025
Viewed by 3406
Abstract
Background: In recent decades, the adoption of minimally invasive (non-endoscopic) cervical techniques has grown significantly. Advancements in surgical instrumentation have broadened the spectrum of available percutaneous interventions, thus providing viable alternative treatment options for patients with prolonged, conservative treatment-resistant ailments due to [...] Read more.
Background: In recent decades, the adoption of minimally invasive (non-endoscopic) cervical techniques has grown significantly. Advancements in surgical instrumentation have broadened the spectrum of available percutaneous interventions, thus providing viable alternative treatment options for patients with prolonged, conservative treatment-resistant ailments due to contained cervical disc herniation. The aim of this study was to perform a systematic review and meta-analysis in order to evaluate the effectiveness and safety of minimally invasive percutaneous (non-endoscopic) cervical techniques. Methods: A comprehensive literature search was conducted using the PubMed, Cochrane Library, and SCOPUS databases up to July 2024, in accordance with the PRISMA guidelines. Outcomes measured included Visual Analogue Scale (VAS) scores, the Neck Disability Index (NDI), and MacNab scores, assessing pain relief and functional recovery. The risk of bias was evaluated using the Cochrane risk of bias tool (RoB 2) and the risk of bias in nonrandomized studies of interventions (ROBINS-I) tool, with statistical analyses conducted in R software (version 4.3.1). Results: Out of 847 records, 21 studies (covering 1580 patients) were included in the final analysis. Five different percutaneous minimally invasive cervical procedures were incorporated into this review: nucleoplasty (n = 973), discectomy (n = 311), a combination of nucleoplasty and discectomy (n = 98), annuloplasty (n = 33), and pulsed radiofrequency (n = 17). The mean patient age was 49.5, with a gender distribution of 47.7% male and 52.3% female. A meta-analysis of six studies on cervical nucleoplasty (400 patients) demonstrated a significant reduction in pain scores, with a standardized mean difference (SMD) of −4.68 (95% CI: −8.77; −0.59, p = 0.032). However, a high heterogeneity (I2 = 98.8%, Q = 407.31, p < 0.001) was observed, indicating significant variability across studies. The reoperation rate among patients was 3.4%, with discitis and device-related complications being the most frequently reported adverse events. Conclusions: Minimally invasive percutaneous cervical interventions provide effective pain relief and functional improvement for patients with cervical disc herniation, as evidenced by reductions in VAS scores and positive MacNab outcomes. The choice of the most appropriate technique should be based on individual clinical scenarios, surgeon expertise, and patient preferences, as no single method demonstrates clear superiority according to clinical outcomes or complication rates. Full article
(This article belongs to the Special Issue Spine Surgery and Rehabilitation: Current Advances and Future Options)
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