Search Results (2,282)

The coastal sandy land in northeast Hainan Province is typical for this land type, also exhibiting strong sand activity. This study is based on wind speed, wind direction, and sediment transport data obtained at a field meteorological station using an omnidirectional sand accumulation instrument from 2020 to 2024, studying the coastal aeolian environment and sediment transport distribution characteristics in the region. Its findings provide a theoretical basis for comprehensively analyzing the evolution of coastal aeolian landforms and the evaluation and control of coastal aeolian hazards. The research results show the following: (1) The annual average threshold wind velocity for sand movement in the study area is 6.84 m/s, and the wind speed frequency (frequency of occurrence) is 51.54%, dominated by easterly (NE, ENE) and southerly (S, SSE) winds. (2) The drift potential (DP) refers to the potential amount of sediment transported within a certain time and spatial range, and the annual drift potential (DP) and resultant drift potential (RDP) of Mulan Bay from 2020 to 2024 were 550.82 VU and 326.88 VU, respectively, indicating a high-energy wind environment. The yearly directional wind variability index (RDP/DP) was 0.59, classified as a medium ratio and indicating blunt bimodal wind conditions. The yearly resultant drift direction (RDD) was 249.45°, corresponding to a WSW direction, indicating that the sand in Mulan Bay is generally transported in the southwest direction. (3) When the measured data extracted from the sand accumulation instrument in the study area from 2020 to 2024 were used for statistical analysis, the results showed that the total sediment transport rate (the annual sediment transport of the observation section) in the study area was 110.87 kg/m·a, with the maximum sediment transport rate in the NE direction being 29.26 kg/m·a. These results suggest that when sand fixation systems are constructed for relevant infrastructure in the region, the construction direction of protective forests and other engineering measures should be perpendicular to the net direction of sand transport. Full article

The lower Yellow River is characterized by low water discharge and a high sediment load, resulting in a fragile aquatic ecosystem. It is important to develop a reasonable method of ecological flow calculation that can be applied to the water-scarce rivers like the Yellow River. In this paper, we selected the Huayuankou hydrological station in the lower Yellow River as our study site and assessed the ecological flow using several methodologies including the monthly frequency calculation method, the sediment transportation method, the habitat simulation method, and the improved annual distribution method. Based on the seasonal applicability of the four methods across months of the year, we established an ecological flow calculation method that considers the integrated ecological functions of the lower Yellow River. In this method, ecological flow in the lower Yellow River during the dry season (November to March) can be determined by using the improved annual distribution method, ecological flow in the fish spawning period (April to June) can be calculated using the habitat simulation method, and the ecological flow during the flood season (July to October) can be calculated using the sediment transportation method. The optimal ecological flow regime for the Huayuankou section was determined using the established method. The ecological flow regimes derived in our study ranged from 310 m³/s to 1532 m³/s. However, we also observed that the ecological flow has a relatively low assurance rate during the flood season in the lower Yellow River, with the assurance rate not exceeding 63%. This highlights the fact that more attention should be given in reservoir regulations to facilitating sediment transport downstream. Full article

Background: Diabetic foot ulcers (DFUs) are a serious complication of diabetes and are often difficult to treat. Hyperbaric oxygen therapy (HBOT) has been proposed as an adjunctive treatment to promote healing, but its long-term clinical and biological effects remain insufficiently characterized. This study aimed to evaluate the impact of HBOT on systemic biomarkers, local microvasculature, and clinical outcomes in patients with DFUs. Methods: In this non-randomized prospective study, 20 patients with ischemic DFUs were followed over a 36-month period. Fourteen received HBOT in addition to standard care, while six received standard care alone. Clinical outcomes—including DFU resolution, recurrence, lower extremity amputation (LEA), and mortality—were assessed alongside systemic inflammatory and angiogenic biomarkers and wound characteristics at baseline and at 3, 6, 12, and 36 months. CD31 immunostaining was performed on available tissue samples. Results: The two groups were comparable at baseline (mean age 62 ± 12 years; diabetes duration 18 ± 9 years). At 3 months, the HBOT group showed significant reductions in erythrocyte sedimentation rate and DFU size (p < 0.05), with downward trends observed in C-reactive protein (CRP), vascular endothelial growth factor (VEGF), and placental growth factor (PlGF), and an increase in stromal-derived factor-1 alpha (SDF1-α). No significant changes were observed in the control group. CD31+ microvessel density appeared to increase in HBOT-treated DFU tissue after one month, although the sample size was limited. Patients receiving HBOT had lower rates of LEA and mortality, improved wound healing, and sustained outcomes over three years. DFU recurrence rates were similar between groups. Conclusions: HBOT was associated with improved wound healing and favorable biomarker profiles in patients with treatment-resistant ischemic DFUs. While these findings are encouraging, the small sample size and non-randomized design limit their generalizability, highlighting the need for larger, controlled studies. Full article

Conventional tillage and monocropping are common practices employed for cotton production in the Southern Great Plains (SGP) region, but they can be detrimental to soil health, crop yield, and water resources when improperly managed. Regenerative practices such as cover crops and conservation tillage have been suggested as an alternative. The proposed shift in management practices originates from the need to make agriculture resilient to extreme weather events including intense rainfall and drought. The objective of this study is to test the effects of these regenerative practices in an environment with limited rainfall. Runoff volume, nutrient and sediment concentrations and loadings, and surface soil moisture levels were compared on twelve half-acre (0.2 hectare) cotton plots that employed different cotton seeding rates and variable winter wheat cover crop presence. A winter cover implemented on plots with a high cotton seeding rate significantly reduced runoff when compared to other treatments (p = 0.032). Cover cropped treatments did not show significant effects on nutrient or sediment loadings, although slight reductions were observed in the concentrations and loadings of total Kjeldahl nitrogen, total phosphorus, total solids, and Escherichia coli. The limitations of this study included a short timeframe, mechanical failures, and drought. These factors potentially reduced the statistical differences in several findings. More efficient methods of crop production must continue to be developed for agriculture in the SGP to conserve soil and water resources, improve soil health and crop yields, and enhance resiliency to climate change. Full article

Background and objective. Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) affects small- to medium-sized vessels and is characterized by the production of ANCAs. The ANCA-negative term is used if the patient otherwise fulfills the definition for AAV but has negative results on serologic testing for ANCAs. The objective of this study was to compare ANCA-positive and -negative vasculitis patients and to evaluate the main differences possibly related to the presence of ANCAs. Material and methods. A cross-sectional study of 73 patients treated at the tertiary Rheumatology Centre of University Hospital from the 1 January, 2001, to the 31August, 2023, with diagnoses of AAV was carried out. Clinical characteristics and laboratory data were collected at the onset or at the first year of the disease. Results. Forty-eight (65.8%) patients were ANCA-positive, while twenty-five (34.3%) were ANCA-negative. Distribution by gender was similar in both groups, with a female–male ratio of 2:1. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were elevated for all AAV patients, but values were higher in the ANCA-positive patients’ group. The median hemoglobin was 106 g/L in the seropositive group and 127 g/L in the seronegative group. A higher prevalence of kidney involvement (60.4%) with elevated serum creatinine level (93.5 µmol/L) was observed in the ANCA-positive group compared with 24% and 70 µmol/l in the ANCA-negative group (p < 0.05). Neurological involvement was more frequently found in the ANCA-positive patient group, too: 29.2% compared to 20%. Among patients with ANCA-negative vasculitis, 88% had pulmonary; 92% ear, nose, throat (ENT); 48% joint; and 28% skin presentation. In comparison, involvement of these organs was less common in the ANCA-positive patients’ group, at 79.2%, 60.4%, 31.3%, and 25 %, respectively. Conclusions. ANCA-positive patients appear to be in a more difficult clinical situation in terms of organ involvement and laboratory changes. Full article

Turbidity is a crucial parameter for assessing the ecological health of aquatic ecosystems, particularly in shallow tropical lakes that are subject to climatic variability and anthropogenic pressures. Lake Chapala, the largest freshwater body in Mexico, has experienced persistent turbidity and sediment influx since the 1970s, primarily due to upstream erosion and reduced water inflow. In this study, we utilized Landsat satellite imagery in conjunction with near-synchronous in situ reflectance measurements to monitor spatial and seasonal turbidity patterns between 2023 and 2025. The surface reflectance was radiometrically corrected and validated using spectroradiometer data collected across eight sampling sites in the eastern sector of the lake, the area where the highest rates of horizontal change in turbidity occur. Based on the relationship between near-infrared reflectance and field turbidity, second-order polynomial models were developed for spring, fall, and the composite annual model. The annual model demonstrated acceptable performance (R² = 0.72), effectively capturing the spatial variability and temporal dynamics of the average annual turbidity for the whole lake. Historical turbidity data (2000–2018) and a particular case study in 2016 were used as a reference for statistical validation, confirming the model’s applicability under varying hydrological conditions. Our findings underscore the utility of empirical remote-sensing models, supported by field validation, for cost-effective and scalable turbidity monitoring in dynamic tropical lakes with limited monitoring infrastructure. Full article

Background: Personalized medicine in axial spondyloarthritis (axSpA) requires accurate tools to assess inflammation and tailor disease monitoring. The role of traditional biomarkers such as erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) remains controversial due to limited sensitivity and variability across disease profiles. Objective: To compare the performance of ESR and CRP in different clinical scenarios of axSpA, including disease activity, functional impact, severity, disease duration, and exposure to biologic therapy. Methods: We conducted a cross-sectional analysis of 330 patients with axSpA. Correlations among ESR, CRP, and composite disease indices were evaluated. The discriminatory capacity of each biomarker for relevant clinical thresholds was analyzed using ROC curves and optimal cut-offs identified by the Youden index. Results: ESR showed broader correlations with disease impact and activity scores than CRP. While both markers had low sensitivity overall, they were highly specific for identifying patients with very high disease activity in select scenarios. ESR ≥ 8.5 mm/h and CRP ≥ 1.88 mg/dL were strongly discriminatory in patients not exposed to biologics. CRP ≥ 0.56 mg/dL showed good performance in early disease. Conclusions: Both ESR and CRP provide complementary insights into disease activity in axSpA. ESR may offer a broader reflection of disease burden beyond inflammation. These results support a more personalized biomarker strategy in real-world axSpA management, adapted to patient profile and treatment context. Full article

Nokoué Lake is located in the south of Benin and is fed by the Ouémé and Sô Rivers. Its hydrosedimentary dynamics were modelled using Telemac2D, incorporating the main environmental factors of this complex ecosystem. The simulations accounted for flow rates and suspended solids concentrations during periods of high and low water. The main factors controlling sediment transport were identified. The model was validated using field measurements of water levels and suspended solids. The results show that the north–south current velocity ranges from 0.5 to 1 m/s during periods of high water and 0.1 to 0.5 m/s during low-water periods. Residual currents are influenced by rainfall, river discharge, and tides. Complex circulation patterns are caused by increased river flow during high water, while tides dominate during low water and transitional periods. The northern, western, and south-eastern parts of the lake have weak residual currents and are, therefore, deposition zones for fine sediments. The estimated average annual suspended solids load for 2022–2023 is 17 Mt. The model performance shows a strong agreement between the observed and simulated values: R² = 0.91 and NSE = 0.93 for water levels and R² = 0.86 and NSE = 0.78 for sediment transport. Full article

Background and Objectives: Coronavirus Disease 2019 (COVID-19) may cause extensive multi-organ pathology, particularly in the lungs, heart, kidneys, and liver. While hypercoagulability—often signaled by elevated D-dimer—has been thoroughly investigated, the concurrent pathological findings across organs and their interrelation with distinct D-dimer levels remain incompletely characterized. This study aimed to evaluate the pathological changes observed in autopsied or deceased COVID-19 patients, focusing on the prevalence of organ-specific lesions, and to perform subgroup analyses based on three D-dimer categories. Methods: We conducted a retrospective review of 69 COVID-19 patients from a Romanian-language dataset, translating all clinical and pathological descriptions into English. Pathological findings (pulmonary microthrombi, bronchopneumonia, myocardial fibrosis, hepatic steatosis, and renal tubular necrosis) were cataloged. Patients were grouped into three categories by admission D-dimer: <500 ng/mL, 500–2000 ng/mL, and ≥2000 ng/mL. Laboratory parameters (C-reactive protein, fibrinogen, and erythrocyte sedimentation rate) and clinical outcomes (intensive care unit [ICU] admission, mechanical ventilation, and mortality) were also recorded. Intergroup comparisons were performed with chi-square tests for categorical data and one-way ANOVA or the Kruskal–Wallis test for continuous data. Results: Marked organ pathology was significantly more frequent in the highest D-dimer group (≥2000 ng/mL). Pulmonary microthrombi and bronchopneumonia increased stepwise across ascending D-dimer strata (p < 0.05). Myocardial and renal lesions similarly showed higher prevalence in patients with elevated D-dimer. Correlation analysis revealed that severe lung and heart pathologies were strongly associated with high inflammatory markers and a greater risk of ICU admission and mortality. Conclusions: Our findings underscore that COVID-19-related organ damage is magnified in patients with significantly elevated D-dimer. By integrating pathology reports with clinical and laboratory data, we highlight the prognostic role of hypercoagulability and systemic inflammation in the pathogenesis of multi-organ complications. Stratifying patients by D-dimer may inform more tailored management strategies, particularly in those at highest risk of severe pathology and adverse clinical outcomes. Full article

Background: Total hip arthroplasty (THA) is a well-established surgical procedure for end-stage hip arthrosis. Innovations such as minimally invasive approaches and new technologies have improved outcomes and reduced invasiveness. The introduction of short-stem prostheses, which offer potential benefits in bone preservation, has been a significant development in recent years. This prospective case series study aims to compare invasiveness of the short-stem (SS) and conventional-stem (CS) prostheses in THA with a posterolateral approach (PLA) by assessing perioperative serum markers. Methods: A prospective case series was conducted involving consecutive patients who underwent primary THA from January 2022 to December 2023. Demographics and preoperative, postoperative day 1 (POD1), and postoperative day 2 (POD2) serum levels of C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), procalcitonin (PCT), and white blood cells (WBCs) were measured. Results: The study included 21 patients with CS and 19 with SS, with no significant differences between groups in demographic. No statistically significant differences were found in serum markers between SS and CS groups at any time point. Both groups showed significant increases in ESR, CRP, and PCT from preoperative levels to POD2 (p < 0.001), while WBC values increased from preoperative to POD1 but decreased between POD1 and POD2. Conclusion: The short-stem prosthesis does not exhibit significantly different perioperative serum marker profiles compared to the conventional stem, suggesting similar levels of surgical invasiveness between the two implants. Further studies with larger sample sizes are needed to validate these findings and explore other aspects of short-stem THA. Full article

Hurricanes are powerful tropical storms that can severely damage mangrove forests through uprooting trees, sediment erosion, and saltwater intrusion, disrupting their critical role in coastal protection and biodiversity. After a hurricane, evaluating mangrove damage helps prioritize rehabilitation efforts, as these ecosystems play a key ecological role in coastal regions. Thus, we analyzed the defoliation of mangrove forest canopies and their early recovery, approximately 2.5 years after the landfall of Category 3 Hurricane Roslyn in October 2002 in Marismas Nacionales, Mexico. The following mangrove traits were analyzed: (1) the yearly time series of the Combined Mangrove Recognition Index (CMRI) standard deviation from 2020 to 2025, (2) the CMRI rate of change (slope) following the hurricane’s impact, and (3) the canopy height model (CHM) before and after the hurricane using satellite and UAV-LiDAR data. Hurricane Roslyn caused a substantial decrease in canopy cover, resulting in a loss of 47,202 ha, which represents 82.8% of the total area of 57,037 ha. The CMRI standard deviation indicated early signs of canopy recovery in one-third of the mangrove-damaged areas 2.5 years post-impact. The CMRI slope indicated that areas near the undammed rivers had a maximum recovery rate of 0.05 CMRI units per month, indicating a predicted canopy recovery of ~2.5 years. However, most mangrove areas exhibited CMRI rates between 0.01 and 0.03 CMRI units per month, anticipating a recovery time between 40 months (approximately 3.4 years) and 122 months (roughly 10 years). Unfortunately, most of the already degraded Laguncularia racemosa forests displayed a negative CMRI slope, suggesting a lack of canopy recovery so far. Additionally, the CHM showed a median significant difference of 3.3 m in the canopy height of fringe-type Rhizophora mangle and Laguncularia racemosa forests after the hurricane’s landfall. Full article

Background: Secukinumab is a fully human monoclonal antibody that targets interleukin (IL)-17A and is used to treat axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA). Treating axSpA and PsA can be challenging in patients with comorbidities. In this multicenter retrospective study, we aimed to evaluate the efficacy and safety of secukinumab treatment in patients with axSpA and PsA who had a history of tuberculosis, multiple sclerosis (MS), or congestive heart failure (CHF). Methods: The study included 44 patients with a diagnosis of axSpA and PsA and a history of tuberculosis, MS, or CHF who received secukinumab treatment at 13 centers in our country. Erythrocyte sedimentation rate, C-reactive protein (CRP), Bath Ankylosing Spondylitis Disease Activity Index, Ankylosing Spondylitis Disease Activity Score CRP, visual analog scale, and Disease Activity Score-28 CRP markers at months 0, 3, and 12 of secukinumab treatment were analyzed. Alongside this, tuberculosis, MS, and CHF were evaluated at follow-up using clinical assessments and imaging methods such as chest radiographs, brain magnetic resonance, and echocardiography. Results: A statistically significant improvement in inflammatory markers and disease activity scores was observed in patients treated with secukinumab. There was no reactivation in patients with a history of tuberculosis. In most MS patients, the disease was stable, while clinical and radiological improvement was observed in one patient. No worsening of CHF stage was observed in patients with a history of CHF. Conclusions: With regular clinical monitoring, secukinumab may be an effective and safe treatment option for axSpA and PsA patients with a history of tuberculosis, MS, or CHF. Full article

Background: Staphylococcus aureus is a significant pathogen causing both local and systemic infections in children, with deep tissue involvement leading to severe complications. This study aimed to assess clinical manifestations and identify risk factors for deep tissue involvement in pediatric S. aureus infections. Methods: All children between 1 month and 18 years who had S. aureus growth in blood, pus, or joint fluid culture were included. Results: A total of 61 patients (median age 55 months) were included, with 22.9% having deep tissue infections. Osteoarticular infections, pyomyositis, and pulmonary involvement were common. Deep-seated infections were significantly associated with community-acquired infections and positive hemocultures after 72 h (p < 0.01). Laboratory results showed significantly higher levels of C-reactive protein, sedimentation rate, D-dimer, and fibrinogen in the group with deep-seated infections (p = 0.02, p = 0.018, p = 0.01, and p = 0.015, respectively). The decision tree model showed that the first indicator of deep-seated infection was a D-dimer level above 1.15 mg/L, followed by a fibrinogen level above 334 mg/dL. Conclusions: Deep-seated S. aureus infections are more frequently associated with community-acquired cases, persistent hemoculture positivity, and methicillin-susceptible Staphylococcus aureus (MSSA) strains. Additionally, elevated D-dimer and fibrinogen levels may serve as valuable markers for identifying deep-seated infections in pediatric patients. Full article

Over the past 50 years, coastal erosion has become an increasingly critical issue worldwide, and Colombia’s Caribbean coast is no exception. In urban areas, this challenge is further complicated by hard protection structures, which, while often implemented as immediate solutions, can disrupt sediment transport and trigger unintended long-term consequences. This study examines shoreline changes in Riohacha, the capital of La Guajira Department, over a 35-year period (1987–2022), focusing on the impacts of coastal protection structures—specifically, the construction of seven groins and a seawall between 2006 and 2009—on coastal dynamics. Using twelve images (photographs and satellite) and the Digital Shoreline Analysis System (DSAS), the evolution of both beaches and cliffs has been analyzed. The results reveal a dramatic shift in shoreline behavior: erosion rates of approximately 0.5 m/year prior to the interventions transitioned to accretion rates of up to 11 m/year within the groin field, where rapid infill occurred. However, this sediment retention has exacerbated erosion in downstream cliff areas, with retreat rates reaching 1.8 ± 0.2 m/year. To anticipate future coastal evolution, predictive models were applied through 2045, providing insights into potential risks for infrastructure and urban development. These findings highlight the need for a strategic, long-term approach to coastal management that considers both the benefits and unintended consequences of engineering interventions. Full article

Underwater jet scouring is an efficient, flexible underwater dredging technique, yet its complex physical mechanisms and dynamic evolution hinder dredging effectiveness evaluation. Existing studies mostly use empirical formulas and neglect the sediment properties’ influence on scour holes. This study integrates numerical simulation, theoretical derivation, and sediment characteristics to develop a universal model for efficiently predicting underwater jet scour hole morphology, overcoming existing models’ limitations of over-simplifying complex physics and insufficient experimental data alignment. Using CFD–DEM coupling to simulate scouring, it correlates key physical parameters (average/maximum shear rate, average/maximum shear velocity) with jet characteristics (nozzle diameter, velocity, distance) via theoretical derivation and simplifications, validated using multi-condition simulation data. Comparative analysis shows maximum relative errors of 13% for depth and 7% for width, confirming the engineering applicability in scour hole prediction. Full article