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Search Results (1,731)

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Keywords = real fluids

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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
25 pages, 5840 KiB  
Article
Creating Micro-Habitat in a Pool-Weir Fish Pass with Flexible Hydraulic Elements: Insights from Field Experiments
by Mehmet Salih Turker and Serhat Kucukali
Water 2025, 17(15), 2294; https://doi.org/10.3390/w17152294 (registering DOI) - 1 Aug 2025
Abstract
The placement of hydraulic elements in existing pool-type fishways to make them more suitable for Cyprinid fish is an issue of increasing interest in fishway research. Hydrodynamic characteristics and fish behavior at the representative pool of the fishway with bottom orifices and notches [...] Read more.
The placement of hydraulic elements in existing pool-type fishways to make them more suitable for Cyprinid fish is an issue of increasing interest in fishway research. Hydrodynamic characteristics and fish behavior at the representative pool of the fishway with bottom orifices and notches were assessed at the Dagdelen hydropower plant in the Ceyhan River Basin, Türkiye. Three-dimensional velocity measurements were taken in the pool of the fishway using an Acoustic Doppler velocimeter. The measurements were taken with and without a brush block at two different vertical distances from the bottom, which were below and above the level of bristles tips. A computational fluid dynamics (CFD) analysis was conducted for the studied fishway. The numerical model utilized Large Eddy Simulation (LES) combined with the Darcy–Forchheimer law, wherein brush blocks were represented as homogenous porous media. Our results revealed that the relative submergence of bristles in the brush block plays a very important role in velocity and Reynolds shear stress (RSS) distributions. After the placement of the submerged brush block, flow velocity and the lateral RSS component were reduced, and a resting area was created behind the brush block below the bristles’ tips. Fish movements in the pool were recorded by underwater cameras under real-time operation conditions. The heatmap analysis, which is a 2-dimensional fish spatial presence visualization technique for a specific time period, showed that Capoeta damascina avoided the areas with high turbulent fluctuations during the tests, and 61.5% of the fish presence intensity was found to be in the low Reynolds shear regions in the pool. This provides a clear case for the real-world ecological benefits of retrofitting existing pool-weir fishways with such flexible hydraulic elements. Full article
(This article belongs to the Section Hydraulics and Hydrodynamics)
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24 pages, 1396 KiB  
Article
Design of Experiments Leads to Scalable Analgesic Near-Infrared Fluorescent Coconut Nanoemulsions
by Amit Chandra Das, Gayathri Aparnasai Reddy, Shekh Md. Newaj, Smith Patel, Riddhi Vichare, Lu Liu and Jelena M. Janjic
Pharmaceutics 2025, 17(8), 1010; https://doi.org/10.3390/pharmaceutics17081010 (registering DOI) - 1 Aug 2025
Viewed by 30
Abstract
Background: Pain is a complex phenomenon characterized by unpleasant experiences with profound heterogeneity influenced by biological, psychological, and social factors. According to the National Health Interview Survey, 50.2 million U.S. adults (20.5%) experience pain on most days, with the annual cost of prescription [...] Read more.
Background: Pain is a complex phenomenon characterized by unpleasant experiences with profound heterogeneity influenced by biological, psychological, and social factors. According to the National Health Interview Survey, 50.2 million U.S. adults (20.5%) experience pain on most days, with the annual cost of prescription medication for pain reaching approximately USD 17.8 billion. Theranostic pain nanomedicine therefore emerges as an attractive analgesic strategy with the potential for increased efficacy, reduced side-effects, and treatment personalization. Theranostic nanomedicine combines drug delivery and diagnostic features, allowing for real-time monitoring of analgesic efficacy in vivo using molecular imaging. However, clinical translation of these nanomedicines are challenging due to complex manufacturing methodologies, lack of standardized quality control, and potentially high costs. Quality by Design (QbD) can navigate these challenges and lead to the development of an optimal pain nanomedicine. Our lab previously reported a macrophage-targeted perfluorocarbon nanoemulsion (PFC NE) that demonstrated analgesic efficacy across multiple rodent pain models in both sexes. Here, we report PFC-free, biphasic nanoemulsions formulated with a biocompatible and non-immunogenic plant-based coconut oil loaded with a COX-2 inhibitor and a clinical-grade, indocyanine green (ICG) near-infrared fluorescent (NIRF) dye for parenteral theranostic analgesic nanomedicine. Methods: Critical process parameters and material attributes were identified through the FMECA (Failure, Modes, Effects, and Criticality Analysis) method and optimized using a 3 × 2 full-factorial design of experiments. We investigated the impact of the oil-to-surfactant ratio (w/w) with three different surfactant systems on the colloidal properties of NE. Small-scale (100 mL) batches were manufactured using sonication and microfluidization, and the final formulation was scaled up to 500 mL with microfluidization. The colloidal stability of NE was assessed using dynamic light scattering (DLS) and drug quantification was conducted through reverse-phase HPLC. An in vitro drug release study was conducted using the dialysis bag method, accompanied by HPLC quantification. The formulation was further evaluated for cell viability, cellular uptake, and COX-2 inhibition in the RAW 264.7 macrophage cell line. Results: Nanoemulsion droplet size increased with a higher oil-to-surfactant ratio (w/w) but was no significant impact by the type of surfactant system used. Thermal cycling and serum stability studies confirmed NE colloidal stability upon exposure to high and low temperatures and biological fluids. We also demonstrated the necessity of a solubilizer for long-term fluorescence stability of ICG. The nanoemulsion showed no cellular toxicity and effectively inhibited PGE2 in activated macrophages. Conclusions: To our knowledge, this is the first instance of a celecoxib-loaded theranostic platform developed using a plant-derived hydrocarbon oil, applying the QbD approach that demonstrated COX-2 inhibition. Full article
(This article belongs to the Special Issue Quality by Design in Pharmaceutical Manufacturing)
16 pages, 2640 KiB  
Article
Reactive Aerosol Jet Printing of Ag Nanoparticles: A New Tool for SERS Substrate Preparation
by Eugenio Gibertini, Lydia Federica Gervasini, Jody Albertazzi, Lorenzo Maria Facchetti, Matteo Tommasini, Valentina Busini and Luca Magagnin
Coatings 2025, 15(8), 900; https://doi.org/10.3390/coatings15080900 (registering DOI) - 1 Aug 2025
Viewed by 25
Abstract
The detection of trace chemicals at low and ultra-low concentrations is critical for applications in environmental monitoring, medical diagnostics, food safety and other fields. Conventional detection techniques often lack the required sensitivity, specificity, or cost-effectiveness, making real-time, in situ analysis challenging. Surface-enhanced Raman [...] Read more.
The detection of trace chemicals at low and ultra-low concentrations is critical for applications in environmental monitoring, medical diagnostics, food safety and other fields. Conventional detection techniques often lack the required sensitivity, specificity, or cost-effectiveness, making real-time, in situ analysis challenging. Surface-enhanced Raman spectroscopy (SERS) is a powerful analytical tool, offering improved sensitivity through the enhancement of Raman scattering by plasmonic nanostructures. While noble metals such as Ag and Au are currently the reference choices for SERS substrates, fabrication methods should balance enhancement efficiency, reproducibility and scalability. In this study, we propose a novel approach for SERS substrate fabrication using reactive Aerosol Jet Printing (r-AJP) as an innovative additive manufacturing technique. The r-AJP process enables in-flight Ag seed reduction and nucleation of Ag nanoparticles (NPs) by mixing silver nitrate and ascorbic acid aerosols before deposition, as suggested by computational fluid dynamics (CFD) simulations. The resulting coatings were characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM) analyses, revealing the formation of nanoporous crystalline Ag agglomerates partially covered by residual matter. The as-prepared SERS substrates exhibited remarkable SERS activity, demonstrating a high enhancement factor (106) for rhodamine (R6G) detection. Our findings highlight the potential of r-AJP as a scalable and cost-effective fabrication strategy for next-generation SERS sensors, paving the way for the development of a new additive manufacturing tool for noble metal material deposition. Full article
(This article belongs to the Section Surface Characterization, Deposition and Modification)
9 pages, 787 KiB  
Article
Real-World Efficacy and Durability of Faricimab in Aflibercept-Resistant Neovascular Age-Related Macular Degeneration
by Areum Jeong, Huiyu Liang, Seung Chul Baek and Min Sagong
J. Clin. Med. 2025, 14(15), 5412; https://doi.org/10.3390/jcm14155412 (registering DOI) - 1 Aug 2025
Viewed by 102
Abstract
Objectives: This study aimed to evaluate the 6-month real-world outcomes of switching to faricimab in patients with aflibercept-resistant neovascular age-related macular degeneration (nAMD). Methods: A retrospective review was conducted on the eyes of 60 patients with aflibercept-resistant nAMD that were switched [...] Read more.
Objectives: This study aimed to evaluate the 6-month real-world outcomes of switching to faricimab in patients with aflibercept-resistant neovascular age-related macular degeneration (nAMD). Methods: A retrospective review was conducted on the eyes of 60 patients with aflibercept-resistant nAMD that were switched to faricimab. Best-corrected visual acuity (BCVA) and optical coherence tomography (OCT) parameters, including central subfield thickness (CST), subfoveal choroidal thickness (SFCT), and both the maximum height and width of pigment epithelial detachment (PED), at baseline and 1, 3, and 6 months after switching were evaluated. The type of PED and retinal fluid were also analyzed. Results: The results showed that BCVA remained stable at month 6 (p = 0.150), while CST significantly decreased (p = 0.020), and SFCT remained unchanged (p = 0.072). The maximum PED height significantly decreased (p = 0.030), while the maximum PED width did not change (p = 0.07). The mean injection interval significantly increased from 6.8 ± 2.4 weeks before switching to 11.2 ± 1.7 weeks after switching (p = 0.068). Furthermore, the dry macula rate was 43.3% at month 6. Conclusions: Switching to faricimab in aflibercept-resistant nAMD patients showed stable visual outcomes, significant anatomical improvements, and reduced treatment burden over 6 months in real-world clinical settings. Full article
(This article belongs to the Section Ophthalmology)
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18 pages, 5529 KiB  
Article
Thermal Characterization Methods of Novel Substrate Materials Utilized in IGBT Modules
by János Hegedüs, Péter Gábor Szabó, László Pohl, Gusztáv Hantos, Gyula Lipák, Andrea Reolon and Ferenc Ender
Electron. Mater. 2025, 6(3), 9; https://doi.org/10.3390/electronicmat6030009 (registering DOI) - 31 Jul 2025
Viewed by 51
Abstract
In this article, thermal investigation methods for electrically insulating and thermally conductive substrate materials will be presented. The investigations were performed in their real-world application environment, i.e., in the form of IGBT (insulated gate bipolar transistor) module substrate plates. First, the overall thermal [...] Read more.
In this article, thermal investigation methods for electrically insulating and thermally conductive substrate materials will be presented. The investigations were performed in their real-world application environment, i.e., in the form of IGBT (insulated gate bipolar transistor) module substrate plates. First, the overall thermal resistance and thermal structure function of the system in a multivariable parameter space were revealed using CFD (computational fluid dynamics) simulations. Afterwards, thermal transient testing was performed on real samples, with the help of which the thermal resistance values of the modules were determined using the thermal dual interface test method. The presented tests are not intended to determine material parameters, but to rank different substrate materials based on their thermal performance. Full article
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32 pages, 12213 KiB  
Review
Capacitive Sensors for Label-Free Detection in High-Ionic-Strength Bodily Fluids: A Review
by Seerat Sekhon, Richard Bayford and Andreas Demosthenous
Biosensors 2025, 15(8), 491; https://doi.org/10.3390/bios15080491 - 30 Jul 2025
Viewed by 191
Abstract
Capacitive sensors are platforms that enable label-free, real-time detection at low non-perturbing voltages. These sensors do not rely on Faradaic processes, thereby eliminating the need for redox-active species and simplifying system integration for point-of-care diagnostics. However, their sensitivity in high-ionic-strength solutions, such as [...] Read more.
Capacitive sensors are platforms that enable label-free, real-time detection at low non-perturbing voltages. These sensors do not rely on Faradaic processes, thereby eliminating the need for redox-active species and simplifying system integration for point-of-care diagnostics. However, their sensitivity in high-ionic-strength solutions, such as bodily fluids, is limited due to a reduced Debye length and non-specific interactions. The present review highlights advances in material integration, surface modification, and signal enhancement techniques to mitigate the challenges of deploying capacitive sensors in biofluids (sweat, saliva, blood, serum). This work further expands on the promise of such sensors for advancing liquid biopsies and highlights key technical challenges in translating capacitive systems to clinics. Full article
(This article belongs to the Special Issue Novel Designs and Applications for Electrochemical Biosensors)
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19 pages, 3737 KiB  
Article
Short-Term Morphological Response of Polypropylene Membranes to Hypersaline Lithium Fluoride Solutions: A Multiscale Modeling Approach
by Giuseppe Prenesti, Pierfrancesco Perri, Alessia Anoja, Agostino Lauria, Carmen Rizzuto, Alfredo Cassano, Elena Tocci and Alessio Caravella
Int. J. Mol. Sci. 2025, 26(15), 7380; https://doi.org/10.3390/ijms26157380 - 30 Jul 2025
Viewed by 159
Abstract
Understanding the early-stage physical interactions between polymeric membranes and supersaturated salt solutions is crucial for advancing membrane-assisted crystallization (MCr) processes. In this study, we employed molecular dynamics (MD) simulations to investigate the short-term morphological response of an isotactic polypropylene (PP) membrane in contact [...] Read more.
Understanding the early-stage physical interactions between polymeric membranes and supersaturated salt solutions is crucial for advancing membrane-assisted crystallization (MCr) processes. In this study, we employed molecular dynamics (MD) simulations to investigate the short-term morphological response of an isotactic polypropylene (PP) membrane in contact with LiF solutions at different concentrations (5.8 M and 8.9 M) and temperatures (300–353 K), across multiple time points (0, 150, and 300 ns). These data were used as input for computational fluid dynamics (CFD) analysis to evaluate structural descriptors of the membrane, including tortuosity, connectivity, void fraction, anisotropy, and deviatoric anisotropy, under varying thermodynamic conditions. The results show subtle but consistent rearrangements of polymer chains upon exposure to the hypersaline environment, with a marked reduction in anisotropy and connectivity, indicating a more compact and isotropic local structure. Surface charge density analyses further suggest a temperature- and concentration-dependent modulation of chain mobility and terminal group orientation at the membrane–solution interface. Despite localized rearrangements, the membrane consistently maintains a net negative surface charge. This electrostatic feature may influence ion–membrane interactions during the crystallization process. While these non-reactive, short-timescale simulations do not capture long-term degradation or fouling mechanisms, they provide mechanistic insight into the initial physical response of PP membranes under MCr-relevant conditions. This study lays a computational foundation for future investigations bridging atomistic modeling and membrane performance in real-world applications. Full article
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25 pages, 4318 KiB  
Article
Real Reactive Micropolar Spherically Symmetric Fluid Flow and Thermal Explosion: Modelling and Existence
by Angela Bašić-Šiško
Mathematics 2025, 13(15), 2448; https://doi.org/10.3390/math13152448 - 29 Jul 2025
Viewed by 141
Abstract
A model for the flow and thermal explosion of a micropolar gas is investigated, assuming the equation of state for a real gas. This model describes the dynamics of a gas mixture (fuel and oxidant) undergoing a one-step irreversible chemical reaction. The real [...] Read more.
A model for the flow and thermal explosion of a micropolar gas is investigated, assuming the equation of state for a real gas. This model describes the dynamics of a gas mixture (fuel and oxidant) undergoing a one-step irreversible chemical reaction. The real gas model is particularly suitable in this context because it more accurately reflects reality under extreme conditions, such as high temperatures and high pressures. Micropolarity introduces local rotational dynamic effects of particles dispersed within the gas mixture. In this paper, we first derive the initial-boundary value system of partial differential equations (PDEs) under the assumption of spherical symmetry and homogeneous boundary conditions. We explain the underlying physical relationships and then construct a corresponding approximate system of ordinary differential equations (ODEs) using the Faedo–Galerkin projection. The existence of solutions for the full PDE model is established by analyzing the limit of the solutions of the ODE system using a priori estimates and compactness theory. Additionally, we propose a numerical scheme for the problem based on the same approximate system. Finally, numerical simulations are performed and discussed in both physical and mathematical contexts. Full article
(This article belongs to the Special Issue Fluid Mechanics, Numerical Analysis, and Dynamical Systems)
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24 pages, 11697 KiB  
Article
Layered Production Allocation Method for Dual-Gas Co-Production Wells
by Guangai Wu, Zhun Li, Yanfeng Cao, Jifei Yu, Guoqing Han and Zhisheng Xing
Energies 2025, 18(15), 4039; https://doi.org/10.3390/en18154039 - 29 Jul 2025
Viewed by 162
Abstract
The synergistic development of low-permeability reservoirs such as deep coalbed methane (CBM) and tight gas has emerged as a key technology to reduce development costs, enhance single-well productivity, and improve gas recovery. However, due to fundamental differences between coal seams and tight sandstones [...] Read more.
The synergistic development of low-permeability reservoirs such as deep coalbed methane (CBM) and tight gas has emerged as a key technology to reduce development costs, enhance single-well productivity, and improve gas recovery. However, due to fundamental differences between coal seams and tight sandstones in their pore structure, permeability, water saturation, and pressure sensitivity, significant variations exist in their flow capacities and fluid production behaviors. To address the challenges of production allocation and main reservoir identification in the co-development of CBM and tight gas within deep gas-bearing basins, this study employs the transient multiphase flow simulation software OLGA to construct a representative dual-gas co-production well model. The regulatory mechanisms of the gas–liquid distribution, deliquification efficiency, and interlayer interference under two typical vertical stacking relationships—“coal over sand” and “sand over coal”—are systematically analyzed with respect to different tubing setting depths. A high-precision dynamic production allocation method is proposed, which couples the wellbore structure with real-time monitoring parameters. The results demonstrate that positioning the tubing near the bottom of both reservoirs significantly enhances the deliquification efficiency and bottomhole pressure differential, reduces the liquid holdup in the wellbore, and improves the synergistic productivity of the dual-reservoirs, achieving optimal drainage and production performance. Building upon this, a physically constrained model integrating real-time monitoring data—such as the gas and liquid production from tubing and casing, wellhead pressures, and other parameters—is established. Specifically, the model is built upon fundamental physical constraints, including mass conservation and the pressure equilibrium, to logically model the flow paths and phase distribution behaviors of the gas–liquid two-phase flow. This enables the accurate derivation of the respective contributions of each reservoir interval and dynamic production allocation without the need for downhole logging. Validation results show that the proposed method reliably reconstructs reservoir contribution rates under various operational conditions and wellbore configurations. Through a comparison of calculated and simulated results, the maximum relative error occurs during abrupt changes in the production capacity, approximately 6.37%, while for most time periods, the error remains within 1%, with an average error of 0.49% throughout the process. These results substantially improve the timeliness and accuracy of the reservoir identification. This study offers a novel approach for the co-optimization of complex multi-reservoir gas fields, enriching the theoretical framework of dual-gas co-production and providing technically adaptive solutions and engineering guidance for multilayer unconventional gas exploitation. Full article
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26 pages, 4687 KiB  
Article
Geant4-Based Logging-While-Drilling Gamma Gas Detection for Quantitative Inversion of Downhole Gas Content
by Xingming Wang, Xiangyu Wang, Qiaozhu Wang, Yuanyuan Yang, Xiong Han, Zhipeng Xu and Luqing Li
Processes 2025, 13(8), 2392; https://doi.org/10.3390/pr13082392 - 28 Jul 2025
Viewed by 299
Abstract
Downhole kick is one of the most severe safety hazards in deep and ultra-deep well drilling operations. Traditional monitoring methods, which rely on surface flow rate and fluid level changes, are limited by their delayed response and insufficient sensitivity, making them inadequate for [...] Read more.
Downhole kick is one of the most severe safety hazards in deep and ultra-deep well drilling operations. Traditional monitoring methods, which rely on surface flow rate and fluid level changes, are limited by their delayed response and insufficient sensitivity, making them inadequate for early warning. This study proposes a real-time monitoring technique for gas content in drilling fluid based on the attenuation principle of Ba-133 γ-rays. By integrating laboratory static/dynamic experiments and Geant4-11.2 Monte Carlo simulations, the influence mechanism of gas–liquid two-phase media on γ-ray transmission characteristics is systematically elucidated. Firstly, through a comparative analysis of radioactive source parameters such as Am-241 and Cs-137, Ba-133 (main peak at 356 keV, half-life of 10.6 years) is identified as the optimal downhole nuclear measurement source based on a comparative analysis of penetration capability, detection efficiency, and regulatory compliance. Compared to alternative sources, Ba-133 provides an optimal energy range for detecting drilling fluid density variations, while also meeting exemption activity limits (1 × 106 Bq) for field deployment. Subsequently, an experimental setup with drilling fluids of varying densities (1.2–1.8 g/cm3) is constructed to quantify the inverse square attenuation relationship between source-to-detector distance and counting rate, and to acquire counting data over the full gas content range (0–100%). The Monte Carlo simulation results exhibit a mean relative error of 5.01% compared to the experimental data, validating the physical correctness of the model. On this basis, a nonlinear inversion model coupling a first-order density term with a cubic gas content term is proposed, achieving a mean absolute percentage error of 2.3% across the full range and R2 = 0.999. Geant4-based simulation validation demonstrates that this technique can achieve a measurement accuracy of ±2.5% for gas content within the range of 0–100% (at a 95% confidence interval). The anticipated field accuracy of ±5% is estimated by accounting for additional uncertainties due to temperature effects, vibration, and mud composition variations under downhole conditions, significantly outperforming current surface monitoring methods. This enables the high-frequency, high-precision early detection of kick events during the shut-in period. The present study provides both theoretical and technical support for the engineering application of nuclear measurement techniques in well control safety. Full article
(This article belongs to the Section Chemical Processes and Systems)
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58 pages, 1238 KiB  
Review
The Collapse of Brain Clearance: Glymphatic-Venous Failure, Aquaporin-4 Breakdown, and AI-Empowered Precision Neurotherapeutics in Intracranial Hypertension
by Matei Șerban, Corneliu Toader and Răzvan-Adrian Covache-Busuioc
Int. J. Mol. Sci. 2025, 26(15), 7223; https://doi.org/10.3390/ijms26157223 - 25 Jul 2025
Viewed by 285
Abstract
Although intracranial hypertension (ICH) has traditionally been framed as simply a numerical escalation of intracranial pressure (ICP) and usually dealt with in its clinical form and not in terms of its complex underlying pathophysiology, an emerging body of evidence indicates that ICH is [...] Read more.
Although intracranial hypertension (ICH) has traditionally been framed as simply a numerical escalation of intracranial pressure (ICP) and usually dealt with in its clinical form and not in terms of its complex underlying pathophysiology, an emerging body of evidence indicates that ICH is not simply an elevated ICP process but a complex process of molecular dysregulation, glymphatic dysfunction, and neurovascular insufficiency. Our aim in this paper is to provide a complete synthesis of all the new thinking that is occurring in this space, primarily on the intersection of glymphatic dysfunction and cerebral vein physiology. The aspiration is to review how glymphatic dysfunction, largely secondary to aquaporin-4 (AQP4) dysfunction, can lead to delayed cerebrospinal fluid (CSF) clearance and thus the accumulation of extravascular fluid resulting in elevated ICP. A range of other factors such as oxidative stress, endothelin-1, and neuroinflammation seem to significantly impair cerebral autoregulation, making ICH challenging to manage. Combining recent studies, we intend to provide a revised conceptualization of ICH that recognizes the nuance and complexity of ICH that is understated by previous models. We wish to also address novel diagnostics aimed at better capturing the dynamic nature of ICH. Recent advances in non-invasive imaging (i.e., 4D flow MRI and dynamic contrast-enhanced MRI; DCE-MRI) allow for better visualization of dynamic changes to the glymphatic and cerebral blood flow (CBF) system. Finally, wearable ICP monitors and AI-assisted diagnostics will create opportunities for these continuous and real-time assessments, especially in limited resource settings. Our goal is to provide examples of opportunities that exist that might augment early recognition and improve personalized care while ensuring we realize practical challenges and limitations. We also consider what may be therapeutically possible now and in the future. Therapeutic opportunities discussed include CRISPR-based gene editing aimed at restoring AQP4 function, nano-robotics aimed at drug targeting, and bioelectronic devices purposed for ICP modulation. Certainly, these proposals are innovative in nature but will require ethically responsible confirmation of long-term safety and availability, particularly to low- and middle-income countries (LMICs), where the burdens of secondary ICH remain preeminent. Throughout the review, we will be restrained to a balanced pursuit of innovative ideas and ethical considerations to attain global health equity. It is not our intent to provide unequivocal answers, but instead to encourage informed discussions at the intersections of research, clinical practice, and the public health field. We hope this review may stimulate further discussion about ICH and highlight research opportunities to conduct translational research in modern neuroscience with real, approachable, and patient-centered care. Full article
(This article belongs to the Special Issue Latest Review Papers in Molecular Neurobiology 2025)
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11 pages, 669 KiB  
Article
Validation of Hemoglobin and Hematocrit Measurements from a Dialysis Machine Sensor Compared to Laboratory Analysis
by Niccolò Morisi, Marco Ferrarini, Laura Veronesi, Giovanni Manzini, Silvia Giovanella, Gaetano Alfano, Lucia Stipo, Fabio Olmeda, Giulia Ligabue, Grazia Maria Virzì, Valentina Di Pinto, Luigi Rovati and Gabriele Donati
J. Clin. Med. 2025, 14(15), 5242; https://doi.org/10.3390/jcm14155242 - 24 Jul 2025
Viewed by 278
Abstract
Background: Continuous monitoring of hemoglobin (HB) and hematocrit (HCT) during hemodialysis could improve fluid management and patient safety. The Fresenius 5008 dialysis machine includes an ultrasound-based sensor that estimates HB and HCT values, though its accuracy compared to standard laboratory measurements remains unclear. [...] Read more.
Background: Continuous monitoring of hemoglobin (HB) and hematocrit (HCT) during hemodialysis could improve fluid management and patient safety. The Fresenius 5008 dialysis machine includes an ultrasound-based sensor that estimates HB and HCT values, though its accuracy compared to standard laboratory measurements remains unclear. Methods: This exploratory observational study assessed the agreement between sensor-derived and laboratory-derived HB and HCT values in 20 patients at the start of hemodiafiltration. A total of 177 paired blood samples were collected. Results: Sensor values significantly underestimated laboratory HB (9.61 vs. 11.31 g/dL) and HCT (27% vs. 34%) (p < 8 × 10−25). Correlations were strong for both parameters (HB: r = 0.788; HCT: r = 0.876). Regression analyses revealed consistent proportional bias. Applying a fixed correction of +1.69 g/dL for HB and +7.55% for HCT eliminated the statistical differences and reduced intercepts in regression models. Bland–Altman plots confirmed improved agreement post-correction. Albumin levels correlated modestly with error magnitude. Conclusions: HB and HCT values from the Fresenius 5008 sensor are strongly correlated with laboratory data but are systematically underestimated at treatment start, likely due to hemodilution. Applying fixed correction factors improves accuracy and supports the sensor’s use for real-time monitoring. Full article
(This article belongs to the Special Issue Hemodialysis: Clinical Updates and Advances)
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12 pages, 3125 KiB  
Article
Temperature Increase During Flexible Ureteroscopic Approach with Holmium Laser Lithotripsy: How Much Should We Be Concerned?
by Razvan Multescu, Petrisor Geavlete, Dragos Georgescu, Cristian Surcel, Catalin Bulai, Cristian Mares, Laurian Maxim and Bogdan Geavlete
Medicina 2025, 61(8), 1335; https://doi.org/10.3390/medicina61081335 - 24 Jul 2025
Viewed by 179
Abstract
Background and Objectives: The aim of our study was to evaluate in an ex vivo setting the impact of the holmium laser lithotripsy over the temperature of the irrigation fluid. Materials and Methods: We recorded temperature changes in an ex vivo [...] Read more.
Background and Objectives: The aim of our study was to evaluate in an ex vivo setting the impact of the holmium laser lithotripsy over the temperature of the irrigation fluid. Materials and Methods: We recorded temperature changes in an ex vivo porcine model during laser activation using dusting (18 Hz, 0.6 J, 10.8 W) and fragmenting settings (8 Hz, 2 J, 16 W). The temperature was recorded for each of these modes in three settings: without irrigation or access sheath, with irrigation but no access sheath, and with irrigation and a 10/12 F access sheath in place. Results: Using dusting settings, the maximum recorded temperatures were 42.3 degrees Celsius (no irrigation, no sheath), 37.3 degrees Celsius (with irrigation but no access sheath) and 36.2 degrees Celsius (with irrigation and access sheath). In fragmenting mode, the maximum recorded temperatures were 52 degrees Celsius (no irrigation, no sheath), 43.1 degrees Celsius (with irrigation but no access sheath), and 42.9 degrees Celsius (with irrigation and access sheath). Conclusions: In certain conditions (no irrigation, more watts) the temperature may rise to dangerous levels. However, in closer to real-life settings (with irrigation and especially when ureteral access sheaths are employed) the magnitude of this effect is limited, making flexible intrarenal laser lithotripsy a reasonably safe procedure. Full article
(This article belongs to the Section Urology & Nephrology)
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54 pages, 12628 KiB  
Review
Cardiac Mechano-Electrical-Fluid Interaction: A Brief Review of Recent Advances
by Jun Xu and Fei Wang
Eng 2025, 6(8), 168; https://doi.org/10.3390/eng6080168 - 22 Jul 2025
Viewed by 253
Abstract
This review investigates recent developments in cardiac mechano-electrical-fluid interaction (MEFI) modeling, with a focus on multiphysics simulation platforms and digital twin frameworks developed between 2015 and 2025. The purpose of the study is to assess how computational modeling methods—particularly finite element and immersed [...] Read more.
This review investigates recent developments in cardiac mechano-electrical-fluid interaction (MEFI) modeling, with a focus on multiphysics simulation platforms and digital twin frameworks developed between 2015 and 2025. The purpose of the study is to assess how computational modeling methods—particularly finite element and immersed boundary techniques, monolithic and partitioned coupling schemes, and artificial intelligence (AI)-enhanced surrogate modeling—capture the integrated dynamics of cardiac electrophysiology, tissue mechanics, and hemodynamics. The goal is to evaluate the translational potential of MEFI models in clinical applications such as cardiac resynchronization therapy (CRT), arrhythmia classification, atrial fibrillation ablation, and surgical planning. Quantitative results from the literature demonstrate <5% error in pressure–volume loop predictions, >0.90 F1 scores in machine-learning-based arrhythmia detection, and <10% deviation in myocardial strain relative to MRI-based ground truth. These findings highlight both the promise and limitations of current MEFI approaches. While recent advances improve physiological fidelity and predictive accuracy, key challenges remain in achieving multiscale integration, model validation across diverse populations, and real-time clinical applicability. The review concludes by identifying future milestones for clinical translation, including regulatory model certification, standardization of validation protocols, and integration of patient-specific digital twins into electronic health record (EHR) systems. Full article
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