Search Results (4,818)

Biomass combustion, as a key technology for achieving a low-carbon transformation of the energy system, faces multiple challenges in its efficient and clean utilization, including the high heterogeneity of fuels, the complex multi-scale coupling of the combustion process, and the attainment of ultra-low emissions. Traditional research methods have significant disconnections between microscopic mechanism understanding, macroscopic performance prediction of reactors, and end-of-pipe pollution control, which restricts the improvement of system performance. This review presents recent advances in advanced numerical simulation, pollutant control strategies, and bioenergy with carbon capture and storage (BECCS) pathways targeting ultra-low emissions in biomass combustion. This work synthesizes progress across three interconnected domains. First, methodologies are examined for integrating detailed chemical kinetics, particle-scale models, and reactor-scale simulations to develop high-fidelity predictive tools. Second, low-nitrogen combustion and synergistic pollutant control strategies for primary furnace types (e.g., grate, fluidized bed) are evaluated, alongside process optimization from fuel pretreatment to flue gas purification. Third, the potential for integrated design of biomass energy systems with carbon capture is assessed, emphasizing that system efficiency hinges on holistic “fuel-combustion-capture” chain optimization rather than isolated unit improvements. Future research directions are highlighted, including the development of physics-informed AI modeling paradigms, deeper co-design of multiple processes, and the establishment of robust life-cycle assessment frameworks. This review aims to provide a structured reference to inform both fundamental research and the practical development of next-generation clean biomass combustion technologies. Full article

Background: Diffuse alveolar haemorrhage (DAH) is a rare but potentially life-threatening pulmonary complication of systemic autoimmune diseases. Although interstitial lung disease (ILD) is a hallmark of antisynthetase syndrome (ASyS), DAH has been only exceptionally reported in this setting. Methods: We present two patients with ASyS who developed DAH confirmed by bronchoalveolar lavage. Results: The first case involved a 52-year-old woman initially diagnosed with rheumatoid arthritis, later reclassified as rheumatoid arthritis–ASyS overlap, who developed DAH in the context of progressive ILD. The second case concerned a 37-year-old man with newly diagnosed ASyS who presented with recurrent DAH early in the disease course. Both patients required high-dose corticosteroids, followed by escalation of immunosuppressive therapy with rituximab or mycophenolate mofetil, resulting in clinical and radiological improvement. These cases illustrate the diagnostic challenges posed by DAH in ASyS, particularly due to overlapping features with infection and ILD exacerbation. They also highlight the importance of early bronchoscopy and timely intensification of immunosuppression. Conclusions: Increased awareness of DAH as a rare manifestation of ASyS may facilitate earlier recognition and improve outcomes in patients presenting with acute respiratory deterioration, anaemia, or haemoptysis. Full article

Hyperekplexia is a neurologic disorder of marked perinatal significance. Affected neonates display generalized hypertonia and exaggerated startle reflex in response to innocuous stimuli, potentially leading to life-threatening apneic episodes. Although symptom severity typically diminishes during the first year of life, affected individuals often continue to exhibit disabling motor dysfunction and frequent unprotected falls throughout adulthood. Currently, no targeted therapeutic interventions are available. The pathophysiology involves partial or complete disruption of inhibitory glycinergic neurotransmission. Mutations in the gene encoding the neuronal glycine transporter GlyT2 (SLC6A5) represent the second-most frequent genetic etiology of human hyperekplexia. To investigate the mechanistic basis for the heightened severity of symptoms during the perinatal period, we examined the role of GlyT2 in neuronal differentiation using the PC12 cell model. Pharmacological induction of differentiation demonstrated that clones stably expressing GFP-GlyT2 exhibit increased expression of neuronal differentiation markers and enhanced neurite outgrowth—both in number and length—relative to parental PC12 cells. These clones also displayed elevated cytosolic calcium levels, which were attenuated by calmodulin overexpression, subsequently downregulating differentiation marker expression. We hereby proved that GlyT2 is clearly implicated in growth cone progression and differentiation of PC12 cells into neurons by increasing internal calcium and binding to growth cone proteins. Finally, our results were validated in primary neurons. Full article

Background/Objectives: This article is a narrative review that examines the development of attachment from intrauterine life to the first thousand days of a child’s life, integrating psychoanalytic, neuroscientific, genetic, and cross-cultural perspectives. Biological, relational, neurological, and cultural factors interact and shape individual differences in socio-emotional functioning. This paper aims to propose a reinterpretation of early attachment, describing it as both a clinical and relational phenomenon and an adaptive process inscribed in human evolutionary history, according to the Four-Domain Integrative Framework described herein. Methods: The review examined three main areas of evidence: early attachment characteristics, cross-cultural caregiving variations, and genetic and epigenetic mechanisms underlying environmental sensitivity. Results: The review first identified seven characteristics of early attachment (proximity seeking, emotional attunement, intrauterine experiences, maternal holding, security patterns, brain plasticity, and maternal stress) which represent developmental mechanisms that generate individual differences in trust, self-regulation, resilience, and psychopathological vulnerability. Second, cross-cultural variations in six distinct caregiving contexts were examined, demonstrating that secure attachment emerges through culturally specific pathways, differentially influencing motor development, sleep patterns, hypothalamic–pituitary–adrenal axis maturation, and social skills. Finally, the differential susceptibility model was provided through the analysis of five genetic and epigenetic systems (oxytocin receptor gene, serotonin transporter gene, dopamine receptor gene, glucocorticoid receptor methylation, and fetal programming) that modulate environmental sensitivity. Conclusions: Biological, relational, neurological, and cultural factors interact and shape individual differences in socio-emotional functioning. Full article

The transition from a linear to a circular, resource-efficient economy is crucial in order to address the growing scarcity of resources, environmental degradation and the rapid increase in electronic waste and end-of-life products. Artificial Intelligence (AI) has emerged as a key enabling technology, capable of enhancing decision making, automation and optimization across Circular Economy (CE) pathways, including reuse, remanufacturing and recycling. This perspective paper presents a comprehensive and critical overview of AI’s role in supporting the transition to a circular, resource-efficient economy, introducing the Digital CE Architecture (DCEA-4) as a novel framework for integrating AI across the circular value chain. Recent advances in machine learning, deep learning and data-driven optimization are analyzed in the context of electronic waste and used battery management. This highlights how AI-based solutions can improve material recovery rates, reduce environmental impact and enhance system-level efficiency. Additionally, we examine major challenges concerning data availability, model generalization, industrial deployment, and explainability, together with relevant industrial case studies. Although AI offers substantial potential for optimizing circular resource systems, its environmental benefits must be balanced against the computational energy demands of large-scale AI models. This perspective discusses the potential rebound effects associated with AI deployment and emphasizes the importance of energy-efficient algorithms and sustainable digital infrastructures. By bringing together current developments and highlighting future opportunities, this paper aims to help researchers, practitioners and policymakers leverage AI to speed up the transition to sustainable, circular and resource-efficient systems. Full article

The durability of reinforced concrete structures is significantly affected by the carbonation process, which decreases the alkalinity of the pore solution and initiates corrosion of the steel reinforcement. However, the square roots of time equations, which are Fickian diffusion-based, are not able to accurately capture the nonlinear interactions of material properties with environmental factors. To overcome this limitation, this research introduces a novel hybrid model based on the integration of a physics-informed neural network (PINN) with residual regression via CatBoost, a categorical boosting algorithm. Using an expanded dataset of 6000 samples, the first stage of the model, which is based on the physics-informed neural network, is able to learn the underlying physics of the diffusion process by imposing monotonicity constraints. The second stage of the model, which is based on the CatBoost algorithm, is able to learn the residuals of the nonlinear interactions of factors such as the curing time, water–cement ratio, and supplementary cementitious material reactivity, which are not captured by the underlying physics of the diffusion law. Data augmentation via physics-based resampling increased the dataset from 3000 to 6000 samples. Validation of the model using 1200 samples resulted in R² = 0.871, MAE = 15.362, and RMSE = 24.37. SHAP confirmed that the model was physically consistent with the principles of concrete technology, reversing the counterintuitive linear correlations to accurately capture the protective effect of longer curing times. The suggested framework offers a practical method for enhancing durability evaluation and aiding the maintenance and service-life management of reinforced concrete structures. Full article

Aqueous zinc-ion batteries (AZIBs) are promising for large-scale grid storage due to inherent safety, low cost, environmental compatibility, high theoretical capacity (820 mAhg⁻¹), and suitable redox potential (−0.763 V vs. SHE). However, practical deployment is hindered by coupled challenges at the zinc anode–hydrogen evolution, dendrite growth, and corrosion/passivation, which severely limit cycle life and coulombic efficiency. This review systematically summarizes key advances in AZIB research. It first elucidates working principles and four cathode energy storage mechanisms: Zn²⁺ insertion/extraction, H⁺/Zn²⁺ co-insertion, chemical conversion, and dissolution/deposition. Second, it examines four mainstream cathodes (manganese-based, vanadium-based, Prussian blue analogs, and organic compounds), analyzing performance bottlenecks and corresponding optimization via structural modification. Third, it explores functional mechanisms of advanced separators (polymer, inorganic/ceramic composite, MOF-based, and cellulose-based) in regulating uniform Zn²⁺ deposition and suppressing dendrites. Fourth, it summarizes anode optimization strategies: artificial protective layers for interface stabilization, electrolyte additives to modulate Zn²⁺ solvation/deposition, and 3D porous structures to reduce local current density and provide nucleation sites. Finally, key scientific challenges and future directions are discussed—multi-strategy synergy, in situ characterization, practical battery construction, and sustainable technological development, offering theoretical guidance for advancing AZIBs toward large-scale applications. This review aims to provide a comprehensive perspective spanning from materials to systems, and from mechanisms to applications. Its core objective is not merely to list the types of cathode materials, but to establish a logical bridge directly connecting “key challenges” to “optimization strategies,” with a particular emphasis on the issues and solutions related to the cathode side. Full article

Background: Burn injuries have both physical and psychological impacts on patients. Factors such as personal beliefs, prior experiences, and geographic, economic, or cultural barriers, as well as fear of hospitals, can contribute to delays in seeking specialized care. When combined with inadequate first aid or the inappropriate use of pharmaceutical or traditional remedies, these delays may worsen burn severity, prolong healing, and negatively affect quality of life. From a clinical perspective, delayed presentation following burn injury has been linked to burn wound progression, which increases the risk of local infection, hypertrophic scarring and prolonged functional impairment. Methods: This analytical cross-sectional study was conducted at the Clinical Emergency Hospital of Bucharest between January and September 2025. The primary objective was to characterize adult burn patients presenting more than 24 h after injury (Group A) and to describe self-reported psychosocial/behavioral characteristics and explore unadjusted patterns among delayed presenters. Data were collected from medical records and a structured questionnaire administered to delayed presenters. A secondary descriptive comparison was performed with patients presenting within 24 h (Group B) to provide contextual reference. Results: The majority of patients were male (62.2%) and of working age (18–65 years, 82.4%). Thermal burns from domestic accidents were most common (58.8%), with scalds predominating. Second-degree burns were the most frequent (60.5%), primarily affecting the upper and lower limbs. Mean total body surface area (TBSA) was low (2.86 ± 1.91%), although higher values were observed in radiation burns and closed-space accidents. More than half of the patients did not receive any first aid, while the remainder used various pharmaceutical or natural products, some of which were inappropriate for burn treatment. The main reasons for delaying specialized care were the expectation that injuries would heal spontaneously, negligence, and fear of the hospital. In contrast, escalating pain, edema, and family insistence were the primary motivators for seeking professional medical attention. Delayed presentation was associated with older burn lesions, higher burn severity and an increased likelihood of hospitalization or refusal of recommended admission. Conclusions: Burn injuries predominantly affect working-age males and most frequently arise from domestic thermal accidents. Delayed presentation and inadequate first aid are common and influenced by behavioral, social, and demographic factors. Targeted public education, improved first aid practices, and timely healthcare-seeking are essential to reduce burn severity and improve patient outcomes. Full article

Severe hypercalcemia is a life-threatening condition requiring immediate treatment alongside a systematic evaluation to identify the underlying cause. Although malignancy is a common etiology among hospitalized patients, alternative causes must be considered to guide targeted therapy, as illustrated in these cases. The first case involved a 31-year-old postpartum woman with corrected calcium levels of 14.5 mg/dL and suppressed PTH. Hypercalcemia resolved after tapering and temporary cessation of breastfeeding, consistent with lactation-associated hypercalcemia that is likely PTHrP-mediated. The second case describes a 30-year-old woman who presented with hypotension, hypercalcemia, hyperphosphatemia, and low PTH. A systematic evaluation revealed severe glucocorticoid deficiency consistent with primary adrenal insufficiency (Addison’s disease). The final case featured a 47-year-old man with severe symptomatic hypercalcemia (18.5 mg/dL) and markedly elevated PTH. Imaging revealed a 3 cm parathyroid tumor. Selective parathyroidectomy produced a rapid intraoperative PTH decline, and pathology supported parathyroid adenoma rather than carcinoma. Together, these cases highlight that symptomatic severe hypercalcemia is a medical emergency warranting prompt clinical intervention, followed by an early PTH-based stratification to direct a focused, stepwise diagnostic workup and definitive management. Full article

The accumulation of microplastics (MPs) in agricultural soils and atrazine in agricultural soils creates compound pollution that severely threatens soil health. The present study aimed to evaluate the effect of polyethylene (PE), polyvinyl chloride (PVC), and polybutylene succinate (PBS) on the adsorption and degradation of atrazine in yellow-brown and black soil. Batch adsorption kinetic and isotherm experiments were conducted in two distinct soils amended with MPs. A 90-day degradation experiment was performed to monitor atrazine persistence and the activities of key soil enzymes. The adsorption process was best described by the pseudo-second-order model and the Freundlich isotherm model, suggesting dominant chemisorption and multilayer adsorption on heterogeneous surfaces of the soil–MP composites. All MPs significantly enhanced the adsorption capacity for atrazine (6.80–39.93 mg kg⁻¹), with the order PBS > PE > PVC. Furthermore, the degradation of atrazine was impeded by all MPs, with PVC exhibiting the strongest inhibitory effect. The half-life of atrazine ranges from 22.97 to 81.76 days in two soils. The presence of MPs also influenced soil enzyme activities and the effects varied by MP type and soil property. These results demonstrate that MPs can modify the adsorption and persistence of atrazine in soil, thereby increasing its environmental risk. This study provides valuable insights for the long-term ecological risk assessment of co-existing MPs and pesticide pollution in terrestrial environments. Full article

Endometriosis is associated with nociceptive pain, as well as peripheral and central sensitization. Evidence-based treatment suggestions for controlling endometriosis should be based on the convergence of the best scientific evidence, physicians’ clinical expertise, and the values and priorities of individual patients. In this non-systematic, comprehensive narrative review, data from available randomized controlled trials and meta-analyses on hormonal treatment for symptomatic endometriosis are interpreted through the lens of clinical experience. The role of patients in defining therapeutic trade-off balances is also taken into consideration. Most symptomatic patients benefit from hormonal therapy, including first-line (progestogens and estrogen-progestogen combinations) and second-line (GnRH agonists and antagonists) medications, to relieve nociceptive pain. To reduce the risk of venous and arterial thrombosis and avoid stimulating lesions, it is preferable to use combinations containing body-identical estrogens rather than ethinyl-estradiol. The main adverse effect of first-line medications is irregular bleeding, which adversely impacts efficacy, tolerability, and adherence. If progestogens and estrogen-progestogens do not improve health-related quality of life (HRQoL), promptly stepping up to GnRH analogues combined with add-back therapy is indicated. Add-on rather than upfront combination therapy is suggested. Separating the analogues and add-back therapy allows for choosing the compounds that best suit the characteristics of individual patients. Transdermal body-identical estradiol use is proposed in combination with both progestogens and GnRH analogues. Similar satisfactory outcomes are achieved with GnRH agonists and antagonists. Evidence on the use of neuromodulatory drugs to treat neuropathic and nociplastic pain is derived from studies of other chronic pain conditions and shows limited effectiveness. The two mainstays of hormonal therapy are (i) ovariostasis and (ii) amenorrhea. “Medical treatment failure” should not be declared unless a shift from first-line to second-line medications has been undertaken whenever these conditions are not met. For severely symptomatic adolescents and young women, secondary prevention through ovariostasis and amenorrhea should be pursued promptly to improve HRQoL, halt lesion progression, and preserve reproductive potential. Full article

Background: Congenital cytomegalovirus (cCMV) infection is one of the most common congenital infections worldwide and the leading cause of non-genetic sensorineural hearing loss. Although less frequent in preterm infants, cCMV may significantly worsen outcomes in an already vulnerable population. The risks and benefits of antiviral therapy in extremely preterm neonates remain unclear, as this group is largely excluded from clinical trials. Case presentation: We report a case of symptomatic cCMV infection in an extremely preterm infant born at 26 weeks and 2 days of gestation to a mother with primary CMV infection during the second trimester. High CMV viral loads were detected in urine and plasma shortly after birth. On day of life (DOL) 3, respiratory deterioration required intubation, with radiological findings consistent with CMV pneumonia and positive bronchoaspirate samples. Intravenous ganciclovir was initiated on DOL 16 and administered for six weeks, followed by oral valganciclovir for six months. Treatment was associated with a favourable clinical and virological response and no significant hematological toxicity. Ophthalmologic and audiological evaluations were normal. Neurodevelopmental assessment with Bayley III at one year of corrected age demonstrated age-appropriate performance across all domains. Discussion: A structured literature review identified 10 case reports, including 13 extremely preterm infants treated for cCMV infection. Antiviral dosing regimens were heterogeneous. The most frequent manifestations prompting treatment were laboratory abnormalities (92.3%), particularly thrombocytopenia and leukopenia or neutropenia. Neuroimaging abnormalities and intrauterine growth restriction or small for gestational age were each reported in 53.8% of cases. Long-term neurodevelopmental outcomes were normal in 38.5% of infants. Conclusions: Antiviral therapy for cCMV infection with ganciclovir and valgancyclovir in premature neonates is feasible and safe with careful monitoring, and appears to provide benefits. Nevertheless, well-designed studies that include pharmacokinetics and pharmacodynamics, virologic monitoring, and long term outcomes of development, vision and hearing are urgently needed. Full article

This article explores Rudolf Steiner’s Christology within the framework of cosmic evolution, focusing on the Second Coming of Christ as a pivotal metaphysical event. Identifying a scholarly lacuna regarding Steiner’s developmental cosmology and the work of Yeshayahu Ben-Aharon, the study adopts an immanent–synthetic methodology to demonstrate a sacramental, participatory epistemology. The first part unfolds Steiner’s vision of the ‘Mystery of Golgotha’ as a cosmic turning point where a macrocosmic death process is reversed into a resurrection life stream. The second part examines Ben-Aharon’s esoteric development of these ideas into a contemporary ‘knowledge drama of the Second Coming.’ Through the spiritualization of consciousness, Ben-Aharon describes an individual ‘essence-exchange’ with the Christ impulse within the ‘abyss of nothingness’ of our age. Finally, the article discusses the social–metaphysical implications of this drama through the ‘Reversed Cultus.’ Here, the indwelling Christ is recognized as humanity’s ‘Higher Self,’ grounding a new community and ‘school of love’ capable of responding to the technoscientific challenges of mechanization of intelligence and life. By positioning the human being as a co-creative agent in cosmic becoming, the article argues for a renewed understanding of the Second Coming as a new step in humanity’s spiritual evolution. Full article

The restricted availability of raw materials underscores the significance of recycling asphalt materials that have reached the end of their service life, facilitating their reuse with additives for economic and sustainability benefits. The study includes both empirical investigations and numerical analyses. Empirical studies were conducted in four stages to evaluate the binder and mixture. First, the rheological properties of binders obtained from various sources were assessed in both unmodified and modified states. Second, the binders were subjected to different levels of aging. Third, the presence of additives in the binders was investigated. In the final stage, the analysis of asphalt pavement layers was conducted using the finite element method (FEM) for both modified and unmodified binders. Performance tests were carried out to evaluate the binder’s properties, and physical examinations were conducted to compare these properties. The binders were tested under both unaged and aged conditions using linear amplitude sweep (LAS), frequency sweep (FS), multiple stress creep recovery (MSCR), and bending beam rheometer (BBR) tests. The results indicated that aging increased the stiffness of the binders, regardless of their source. Additionally, the introduction of a rejuvenator reduced the binder’s stiffness, particularly at low temperatures. Findings showed that the growth rate (GR) and rutting parameters increased with binder aging, while the frequency decreased. The R² value of 0.92 demonstrates a strong correlation between the parameters. Polymer-modified binders demonstrated superior deformation resistance and higher stiffness stability. Overall, aging reduced asphalt flexibility, whereas modified binders improved long-term pavement deformation performance. Full article

To fill the research gap of green building assessment theory being underutilized in sports architecture and advance the use of life-cycle assessment (LCA) for complex public building types, this study develops a comprehensive life-cycle green evaluation indicator system specifically for public sports venues. First, the factors influencing green performance were systematically identified across four life-cycle stages—planning and design, construction, operation and maintenance, and end-of-life—leading to the establishment of an initial indicator pool. This pool was subsequently refined through a two-round Delphi expert consultation. The weights of the indicators were then determined using a combined Analytic Hierarchy Process (AHP) and Entropy Weight Method (EWM) approach to quantify the relative importance of each indicator. The resulting framework comprises a comprehensive green evaluation indicator system for the whole life cycle of public sports venues, consisting of 4 first-level, 12 second-level, and 28 third-level indicators. The results reveal a pronounced front-loaded influence in the life-cycle weight distribution, indicating that decisions made during the planning and design stage are most critical for the green performance of sports venues. Based on the weight distribution characteristics, this study further delineates a phase-specific governance logic for green development: the planning and design stage should prioritize design optimization to maximize life-cycle green performance potential; the construction stage should focus on controlling resource input and process carbon emissions; the operation and maintenance stage should emphasize energy consumption optimization and resource recycling; and the end-of-life stage should address resource regeneration. This study not only extends green building assessment and life-cycle assessment theories to sports architecture—a complex and under-researched building typology—but also provides stakeholders with a robust decision-support tool to advance the sustainable development of public sports venues. Full article