Search Results (3,424)

Background/Objectives: Platelet activity contributes to myocardial infarction; inadequate inhibition is a risk factor for stent thrombosis and mortality. Inadequate platelet inhibition during treatment is an important risk factor for stent thrombosis and may be associated with increased mortality. This study assessed platelet and coagulation activity in post-MI patients, identifying parameters associated with adverse ST-elevation myocardial infarction (STEMI) outcomes over 3 years, to identify patients needing intensive secondary prevention. Methods: From 57 admitted patients, 19 STEMI patients were analyzed. Thromboelastography (TEG) and Total Thrombus Formation Analysis System (T-TAS) were used to assess hemostasis and coagulation. Selected laboratory parameters were measured for correlations. Major adverse cardiovascular events (MACEs) were defined as ischemic stroke, myocardial infarction, ischemic heart disease, thrombosis, and death from cardiovascular causes. Results: The group with MACEs was characterized by a faster time to initial clot formation and greater reflection of clot strength. T-TAS parameters, such as area under the curve at 10 min (T-TAS AUC10), showed lower values in the same group of patients. A moderate positive correlation suggested that as white blood cell count increases, T-TAS AUC10 values also tend to increase. A strong negative correlation (rho = −1.000, p < 0.01) was observed between low-density lipoprotein and kinetics in the TEG using the kaolin test at baseline in patients with MACEs. Conclusions: Some of the parameters suggest they are associated with adverse outcomes of STEMI, indicate the existence of an inflammatory state, and may contribute to risk stratification of STEMI patients and identify who will require ongoing monitoring. Full article

This article presents a comprehensive assessment of mudflow risk in the Talgar River basin through the application of Multi-Criteria Decision Analysis (MCDA) methods and numerical modeling using the Rapid Mass Movement Simulation (RAMMS) environment. The first part of the study involves a spatial assessment of mudflow hazard and susceptibility using GIS technologies and MCDA. The key condition for evaluating mudflow hazard is the identification of factors influencing the formation of mudflows. The susceptibility assessment was based on viewing the area as an object of spatial and functional analysis, enabling determination of its susceptibility to mudflow impacts across geomorphological zones: initiation, transformation, and accumulation. Relevant criteria were selected for analysis, each assigned weights based on expert judgment and the Analytic Hierarchy Process (AHP). The results include maps of potential mudflow hazard and susceptibility, showing areas of hazard occurrence and risk impact zones within the Talgar River basin. According to the mudflow hazard map, more than 50% of the basin area is classified as having a moderate hazard level, while 28.4% is subject to high hazard, and only 1.8% falls under the very high hazard category. The remaining areas are categorized as very low (4.1%) and low (14.7%) hazard zones. In terms of susceptibility to mudflows, 40.1% of the territory is exposed to a high level of susceptibility, 35.6% to a moderate level, and 5.5% to a very high level. The remaining areas are classified as very low (1.8%) and low (15.6%) susceptibility zones. The predictive performance was evaluated through Receiver Operating Characteristic (ROC) curves, and the Area Under the Curve (AUC) value of the mudflow hazard assessment is 0.86, which indicates good adaptability and relatively high accuracy, while the AUC value for assessing the susceptibility of the territory is 0.71, which means that the accuracy of assessing the susceptibility of territories to mudflows is within the acceptable level of model accuracy. To refine the spatial risk assessment, mudflow modeling was conducted under three scenarios of glacial-moraine lake outburst using the RAMMS model. For each scenario, key flow parameters—height and velocity—were identified, forming the basis for classification of zones by impact intensity. The integration of MCDA and RAMMS results produced a final mudflow risk map reflecting both the likelihood of occurrence and the extent of potential damage. The presented approach demonstrates the effectiveness of combining GIS analysis, MCDA, and physically-based modeling for comprehensive natural hazard assessment and can be applied to other mountainous regions with high mudflow activity. Full article

Emerging and persistent contaminants (EPCs) were detected at high concentrations in Chiang Mai’s Mae Kha Canal, identifying urban waterways as important sources of pollution in the Ping River system in northern Thailand. Maximum levels of metformin (20,000 ng/L), fexofenadine (15,900 ng/L), gabapentin (12,300 ng/L), sucralose (38,000 ng/L), and acesulfame (23,000 ng/L) point to inadequately treated wastewater as a plausible contributor. Downstream enrichment patterns relative to upstream sites highlight the cumulative impact of urban runoff. Five compounds—acesulfame, gemfibrozil, fexofenadine, TBEP, and caffeine—consistently emerged as reliable tracers of urban wastewater, forming a distinct chemical fingerprint of the riverine exposome. Median EPC concentrations were highest in Mae Kha, lower in other urban canals, and declined with distance from the city, reflecting spatial gradients in urban density and pollution intensity. Although most detected concentrations fell below predicted no-effect thresholds, ibuprofen frequently approached or exceeded ecotoxicological benchmarks and may represent a compound of ecological concern. Non-targeted analysis revealed a broader “chemical cocktail” of unregulated substances—illustrating a witches’ brew of pollution that likely escapes standard monitoring efforts. These findings demonstrate the utility of wide-scope surveillance for identifying key compounds, contamination hotspots, and spatial gradients in mixed-use watersheds. They also highlight the need for integrated, long-term monitoring strategies that address diffuse, compound mixtures to safeguard freshwater ecosystems in rapidly urbanizing regions. Full article

Monitoring sediment concentration in water bodies is crucial for assessing water quality, ecosystems, and environmental health. However, physical sampling and sensor-based approaches are labor-intensive and unsuitable for large-scale, continuous monitoring. This study employs machine learning models to estimate suspended sediment concentration using images captured in natural light, named RGB, and near-infrared (NIR) conditions. A controlled dataset of approximately 1300 images with SSC values ranging from 1000 mg/L to 150,000 mg/L was developed, incorporating temperature, time of image capture, and solar irradiance as additional features. Random forest regression and gradient boosting regression were trained on mean RGB values, red reflectance, time of captured, and temperature for natural light images, achieving up to 72.96% accuracy within a 30% relative error. In contrast, NIR images leveraged gray-level co-occurrence matrix texture features and temperature, reaching 83.08% accuracy. Comparative analysis showed that ensemble models outperformed deep learning models like Convolutional Neural Networks and Multi-Layer Perceptrons, which struggled with high-dimensional feature extraction. These findings suggest that using machine learning models and RGB and NIR imagery offers a scalable, non-invasive, and cost-effective way of sediment monitoring in support of water quality assessment and environmental management. Full article

Schistosoma mansoni infection is associated with hepatic inflammation and fibrosis, but its systemic metabolic effects remain poorly understood. This study aimed to investigate changes in the serum lipidomic profile associated with S. mansoni infection and parasite load in individuals from an endemic area. This cross-sectional analysis was nested within a longitudinal cohort study conducted in northeastern Brazil. Parasitological diagnosis and quantification were performed using the Kato–Katz technique. A total of 45 individuals were selected and divided into three groups: high parasite load (HL), low parasite load (LL), and uninfected controls (NegE). Serum samples were analyzed using mass-spectrometry-based lipidomics. The most abundant lipid subclasses across all groups were phosphatidylcholines (PC), triacylglycerols (TAG), and phosphatidylethanolamines (PE). However, individuals in the HL group exhibited distinct lipidomic profiles, with increased levels of specific phosphatidylinositols (PI) and reduced levels of certain TAG species compared to the NegE group. These changes may reflect host–parasite interactions and immune–metabolic alterations driven by intense infection. Our findings suggest that S. mansoni infection, particularly at higher parasite burdens, can influence the host’s serum lipid profile and may contribute to metabolic disturbances in endemic populations. Full article

Urban parks play an essential role in mitigating the urban heat island (UHI) effect driven by urbanization. A rigorous understanding of the cooling effects of urban parks can support urban planning efforts aimed at mitigating the UHI effect and enhancing urban sustainability. However, previous research has primarily focused on the maximum cooling impact, often overlooking the accumulative effects arising from spatial continuity. The present study fills this gap by investigating 74 urban parks located in the central area of Jinan and constructing a comprehensive cooling evaluation framework through two dimensions: maximum impact (Park Cooling Area, PCA; Park Cooling Efficiency, PCE) and cumulative impact (Park Cooling Intensity, PCI; Park Cooling Gradient, PCG). We further systematically examined the influence of park attributes and the surrounding urban structures on these metrics. The findings indicate that urban parks, as a whole, significantly contribute to lowering the ambient temperatures in their vicinity: 62.3% are located in surface temperature cold spots, reducing ambient temperatures by up to 7.77 °C. However, cooling intensity, range, and efficiency vary significantly across parks, with an average PCI of 0.0280, PCG of 0.99 °C, PCA of 46.00 ha, and PCE of 5.34. For maximum impact, PCA is jointly determined by park area, boundary length, and shape complexity, while smaller parks generally exhibit higher PCE—reflecting diminished cooling efficiency at excessive scales. For cumulative impact, building density and spatial enclosure degree surrounding parks critically regulate PCI and PCG by influencing cool-air aggregation and diffusion. Based on these findings, this study classified urban parks according to their cooling characteristics, clarified the functional differences among different park types, and proposed targeted recommendations. Full article

(1) Background: Fatigue impacts neuromuscular performance, especially in endurance sports like rowing. The aim is to explore how continuous workload affects explosiveness and fatigue progression. This study examines acute fatigue during repeated race events by assessing vertical jump height, force output, and subjective fatigue over three consecutive days at the 2024 Hungarian National Rowing Championships. (2) Methods: Nine rowers (five women, four men; mean age 20.17 ± 1.73 years) competed in multiple 2000 m races over three days. Lower limb explosiveness was measured via countermovement jump (CMJ) using a Kistler force plate, pre- and post-race. Heart rate data were recorded with Polar Team Pro^®. Subjective fatigue was assessed using the ‘Daily Wellness Questionnaire’. (3) Results: We found a significant difference in the pattern of the medians of the force exerted by males during the jump between the results of the Thursday preliminaries (ThuQ_Me = 13.3) and the second final (ThuF2_Me = −75.5). Women showed no notable changes. (4) Conclusion: Repeated high-intensity races induce neuromuscular fatigue in men, reflected in reduced explosiveness and increased subjective fatigue. Future research should incorporate biochemical markers to deepen the understanding of fatigue mechanisms. Full article

This study proposes an intelligent patrol planning framework that leverages reinforcement learning, spatiotemporal crime forecasting, and simulated sensor telemetry to optimize autonomous vehicle (AV) navigation in urban environments. Crime incidents from Washington DC (2024–2025) and Seattle (2008–2024) are modeled as a dynamic spatiotemporal graph, capturing the evolving intensity and distribution of criminal activity across neighborhoods and time windows. The agent’s state space incorporates synthetic AV sensor inputs—including fuel level, visual anomaly detection, and threat signals—to reflect real-world operational constraints. We evaluate and compare three learning strategies: Deep Q-Network (DQN), Double Deep Q-Network (DDQN), and Proximal Policy Optimization (PPO). Experimental results show that DDQN outperforms DQN in convergence speed and reward accumulation, while PPO demonstrates greater adaptability in sensor-rich, high-noise conditions. Real-map simulations and hourly risk heatmaps validate the effectiveness of our approach, highlighting its potential to inform scalable, data-driven patrol strategies in next-generation smart cities. Full article

The present paper reports for the first time the comparison of radar-derived eddy dissipation rate (EDR) and vertical velocity with measurements from six aircraft for an intense squall line crossing Hong Kong. The study objectives are three-fold: (i) to characterise the structural dynamics of the intense squall line; (ii) to identify the dynamical change in EDR and vertical velocity during its eastward propagation across Hong Kong with a view to gaining insight into the intensity change of the squall line and the severity of its impact on aircraft flying near it; (iii) to carry out quantitative comparison of EDR and vertical velocity derived from remote sensing instruments, i.e., weather radars and in situ measurements from aircraft, so that the quality of the former dataset can be evaluated by the latter. During the passage of the squall line and taking reference of the radar reflectivity, vertical circulation and the subsiding flow at the rear, it appeared to be weakening in crossing over Hong Kong, possibly due to land friction by terrain and urban morphology. This is also consistent with the maximum gusts recorded by the dense network of ground-based anemometers in Hong Kong. However, from the EDR and the vertical velocity of the aircraft, the weakening trend was not very apparent, and rather severe turbulence was still recorded by the aircraft flying through the squall line into the region with stratiform precipitation when the latter reached the eastern coast of Hong Kong. In general, the radar-based and the aircraft-based EDRs are consistent with each other. The radar-retrieved maximum vertical velocity may be smaller in magnitude at times, possibly arising from the limited spatial and temporal resolutions of the aircraft data. The results of this paper could be a useful reference for the development of radar-based turbulence products for aviation applications. Full article

The ongoing advancement of urbanization has significantly amplified its impacts on the water environment. Understanding the coupling relationships between urbanization and the water environment (UAWE) is crucial for Chinese policymakers aiming to promote sustainable urban development. In this study, a comprehensive UAWE evaluation model was developed to examine the development trajectories in Neijiang City from 2012 to 2022. Methodologically, a comprehensive evaluation approach was applied to assess urbanization and water resource trends over this period, followed by the development of a Coupling Coordination Degree Model (CCDM) to quantify their synergistic relationship. The results showed that the coupling between the comprehensive urbanization index and the water environment system evolved over time, as reflected in the following key findings: (1) Neijiang underwent three distinct stages from 2012 to 2022 in terms of coupling and coordination between urbanization and the water environment: Basic Coordination (2012–2015), Good Coordination (2016–2020), and Excellent Coordination (2020–2022). (2) Urbanization exerted varying impacts on subsystems of the water environment, with the pressure-response subsystems exhibiting marked volatility from 2012 to 2022. The impact intensity followed the order spatial urbanization > economic urbanization > social urbanization > population urbanization. These findings offer valuable theoretical and practical insights for aligning urban sustainability goals with effective water environment protection measures. This study provides essential guidance for policymakers in Neijiang and similar regions, enabling the development of tailored strategies for sustainable urbanization and enhanced water management. Full article

Background: High-intensity gait training (HIT) is an evidence-based intervention recommended for stroke rehabilitation; however, its implementation in routine practice is inconsistent. This study examined the real-world implementation of HIT in an inpatient rehabilitation setting in Norway, focusing on fidelity, barriers, and knowledge translation (KT) strategies. Methods: Using the Knowledge-to-Action (KTA) framework, HIT was implemented in three phases: pre-implementation, implementation, and competency. Fidelity metrics and coverage were assessed in 99 participants post-stroke. Barriers and facilitators were documented and categorized using the Consolidated Framework for Implementation Research. Results: HIT was delivered with improved fidelity during the implementation and competency phases, reflected by increased stepping and heart rate metrics. A coverage rate of 52% was achieved. Barriers evolved over time, beginning with logistical and knowledge challenges and shifting toward decision-making complexity. The KT interventions, developed collaboratively by clinicians and external facilitators, supported implementation. Conclusions: Structured pre-implementation planning, clinician engagement, and external facilitation enabled high-fidelity HIT implementation in a real-world setting. Pragmatic, context-sensitive strategies were critical to overcoming evolving barriers. Future research should examine scalable, adaptive KT strategies that balance theoretical guidance with clinical feasibility to sustain evidence-based practice in rehabilitation. Full article

Detection of small vessels is of great significance for maritime safety assurance, abnormal vessel tracking, illegal fishing supervision, and combating smuggling. However, the radar reflection intensity of small vessels is low, making them difficult to detected with the radar’s constant false-alarm rate (CFAR) algorithm. To enhance the detection capability for small vessels, we propose an improved CFAR scheme. Specifically, we first compared traditional CFAR processing results of radar data with automatic identification system (AIS) data to identify some special targets. These special targets, which possessed AIS information, but remained undetected by radar, enabled an iTransformer model to generate more reasonable CFAR threshold adjustments. iTransformer adaptively lowered the threshold of the areas around these targets until they were detected by radar. This process made it easier to discover the small boats in the surrounding area. Experimental results showed that our method reduces the missed detection rate of small vessels by 73.4% and the false-alarm rate by 60.7% in simulated scenarios, significantly enhancing the CFAR detection capability. Overall, our study provides a new solution for ensuring maritime navigation safety and strengthening illegal supervision, while also offering new technical references for the field of radar detection. Full article

Noncommunicable diseases (NCDs) like diabetes and cancer drive demand for therapeutic functional foods. This study developed freeze-dried fermented camel milk (FCM) with Ajwa date pulp (ADP), evaluating its physical and functional properties, probiotic survival, and potential benefits for diabetes and cancer. To achieve this target, six FCM formulations were prepared using ABT-5 starter culture (containing Lactobacillus acidophilus, Bifidobacterium bifidum, and Streptococcus thermophilus) with or without Lacticaseibacillus rhamnosus B-1937 and ADP (12% or 15%). The samples were freeze-dried, and their functional properties, such as water activity, dispersibility, water absorption capacity, water absorption index, water solubility index, insolubility index, and sedimentation, were assessed. Reconstitution properties such as density, flowability, air content, porosity, loose bulk density, packed bulk density, particle density, carrier index, Hausner ratio, porosity, and density were examined. In addition, color and probiotic survivability under simulated gastrointestinal conditions were analyzed. Also, antidiabetic potential was assessed via α-amylase and α-glucosidase inhibition assays, while cytotoxicity was evaluated using the MTT assay on Caco-2 cells. The results show that ADP supplementation significantly improved dispersibility (up to 72.73% in FCM15D+L). These improvements are attributed to changes in particle size distribution and increased carbohydrate and mineral content, which facilitate powder rehydration and reduce clumping. All FCM variants demonstrated low water activity (0.196–0.226), indicating good potential for shelf stability. The reconstitution properties revealed that FCM powders with ADP had higher bulk and packed densities but lower particle density and porosity than controls. Including ADP reduced interstitial air and increased occluded air within the powders, which may minimize oxidation risks and improve packaging efficiency. ADP incorporation resulted in a significant decrease in lightness (L*) and increases in redness (a*) and yellowness (b*), with greater pigment and phenolic content at higher ADP levels. These changes reflect the natural colorants and browning reactions associated with ADP, leading to a more intense and visually distinct product. Probiotic survivability was higher in ADP-fortified samples, with L. acidophilus and B. bifidum showing resilience in intestinal conditions. The FCM15D+L formulation exhibited potent antidiabetic effects, with IC₅₀ values of 111.43 μg mL⁻¹ for α-amylase and 77.21 μg mL⁻¹ for α-glucosidase activities, though lower than control FCM (8.37 and 10.74 μg mL⁻¹, respectively). Cytotoxicity against Caco-2 cells was most potent in non-ADP samples (IC₅₀: 82.22 μg mL⁻¹ for FCM), suggesting ADP and L. rhamnosus may reduce antiproliferative effects due to proteolytic activity. In conclusion, the study demonstrates that ADP-enriched FCM is a promising functional food with enhanced probiotic viability, antidiabetic potential, and desirable physical properties. This work highlights the potential of camel milk and date synergies in combating some NCDs in vitro, suggesting potential for functional food application. Full article

The pressure response and structural stability of fluoranthene crystals up to 8 GPa are investigated using Raman spectroscopy. The vast majority of the Raman peaks upshift with pressure, either sublinearly (intermolecular modes) or quasilinearly (intramolecular modes), reflecting the bond hardening upon volume contraction. The frequency shifts, accompanied by intensity redistribution among the Raman peaks, are by far larger for the former than those for the latter vibrations, compatible with their nature: weak intermolecular van der Waals interactions and strong intramolecular covalent bonds. For pressures higher than 2 GPa, changes in the linear pressure coefficients of the Raman peak frequencies, mainly towards lower values, are observed. These are more pronounced for intermolecular and C–H stretching vibrations. For P > 4.7 GPa, the pressure coefficients are further reduced, while all the observed pressure-induced changes are fully reversible upon pressure release. These changes may be interpreted either as two structural transitions at ~2 and ~4.7 GPa or as a single, but sluggish, structural phase transition in the pressure range 2–4.7 GPa, featuring the reorientation and different stacking of the molecules. From the high-pressure Raman data in the low-pressure phase, a bulk modulus of ~7 GPa at ambient pressure is estimated for solid fluoranthene. Full article

This paper proposes a novel automatic recognition method for distinguishing voids and severe loosening in road structures based on features of ground-penetrating radar (GPR) B-scan images. By analyzing differences in image texture, the intensity and clarity of top reflection interfaces, and the regularity of internal waveforms, a set of discriminative features is constructed. Based on these features, we develop the FKS-GPR dataset, a high-quality, manually annotated GPR dataset collected from real road environments, covering diverse and complex background conditions. Compared to datasets based on simulations, FKS-GPR offers higher practical relevance. An improved ACF-YOLO network is then designed for automatic detection, and the experimental results show that the proposed method achieves superior accuracy and robustness, validating its effectiveness and engineering applicability. Full article