Search Results (611)

This study investigates the influence of heavy-layer thickness on shock-accelerated interfacial instabilities in single-mode stratifications using high-order discontinuous Galerkin simulations at a fixed shock Mach number ($M_s=1.22$). By systematically varying the layer thickness, we quantify how acoustic transit time, shock attenuation, and phase synchronization modulate vorticity deposition, circulation growth, and interface deformation. The results show that thin layers ($d=2.5$–5 mm) generate strong and early baroclinic vorticity due to frequent reverberations, leading to rapid circulation growth, vigorous Kelvin–Helmholtz roll-up, and early jet pairing. In contrast, thick layers ($d=20$–40 mm) attenuate and dephase shock returns, producing weaker baroclinic reinforcement, delayed shear-layer growth, and smoother interfaces with reduced small-scale activity, while the intermediate case ($d=10$ mm) exhibits transitional behavior. Integral diagnostics reveal that thin layers amplify dilatational, baroclinic, and viscous vorticity production; sustain stronger circulation and enstrophy growth; and transfer bulk kinetic energy more efficiently into interface deformation and small-scale mixing. Full article

In this paper, a method to improve the protection of a four-core power cable of a salt-producing floating platform equipped with an automatic breaker with an independent tripping mechanism is suggested. The use of this automatic breaker in combination with a suggested protection device ensures reliable protection of not only the power cables of the platform against all faults but also the personnel of the platform and animals on the reservoir banks against electric shock in the event of a single-phase ground fault in reservoir water. This would be possible due to a voltage sensor made in the form of a metal ring on the power cable and a relay; one terminal of the relay winding is connected to the voltage sensor by a single-core control cable, and the other to the neutral of a power source on the platform. The typically open contacts of this relay are connected to an electric circuit which includes a power source and a coil for an independent tripping mechanism of the automatic breaker. This design ensures reliable operation of the suggested protection device in the event of a single-phase ground fault in the power cable of the platform when underwater cable insulation is damaged. Full article

Escherichia coli displays strong adaptability for growth and reproduction at low temperatures, with ribosome biogenesis being a critical process for its growth in cold environments. The cold-shock proteins (CSPs) encompass a protein family that can assist bacterial growth at low temperatures by acting as molecular chaperones. In this study, we investigated whether CSP CspA, CspE, and CspI affect ribosomal RNA (rRNA) transcription. Deletion of the single genes encoding these proteins had only a very marginal effect on cellular growth at low temperatures, and rRNA synthesis was hardly affected. Double and triple deletion of the genes encoding these proteins resulted in a much stronger phenotype providing evidence that CspA, CspE, and CspI play an essential role in maintaining 16S rRNA synthesis and enabling optimal cellular growth at low temperatures. These findings suggest the existence of efficient backup mechanisms able to compensate for the absence of a single CSP. Full article

Evaluating and enhancing system resilience is essential to strengthen the regional ability to external shocks and promote the synergistic development of environment, economy and society. Taking the Upper Yellow River (UYR) as an example, this paper constructed a resilience evaluation index system for the environment—economy—society (EES) composite system. A three-dimensional space vector model was built to calculate the resilience development index (RDI) of three subsystems and the composite system from 2009 to 2022. Pathways supporting high resilience levels of the composite system were examined using the fuzzy-set qualitative comparative analysis (fsQCA) method from a configuration perspective. The results revealed that (1) the RDI of three subsystems and the composite system in the UYR showed an increasing trend; relatively, the environment and economy subsystems were lower, and their RDI fluctuated between 0.01 and 0.06 for most cities. (2) The emergence of high resilience is not absolutely dominated by a single factor, but rather the interaction of multiple factors. To achieve high resilience levels, all the cities must prioritize both environmental protection and economic structure as core strategic pillars. The difference is that eastern cities need to further consider social development and life quality, while western cities need to consider social development, life quality, and social security. Other cities including Lanzhou, Baiyin, Tianshui, and Ordos should focus on social construction and social security. Exploring the interactive relationship between various influencing factors of the resilience of the composite system from a configuration perspective has to some extent promoted the transformation from a single contingency perspective to a holistic and multi-dimensional perspective. These findings provide policy recommendations for achieving sustainable development in the UYR and other ecologically fragile areas around the world. Full article

Background: Shock index (SI) is calculated by dividing heart rate (HR) by systolic blood pressure (sBP) and is a useful tool for predicting the prognosis of trauma patients. This study aimed to determine whether SI is useful in predicting mortality in patients undergoing emergency surgery for trauma. Methods: We analyzed 1657 patients who underwent emergency surgery for trauma. Patients were divided into SI < 1 and SI ≥ 1 groups and the Glasgow Coma Scale (GCS), Injury Severity Score (ISS), revised trauma score (RTS), Korean Triage and Acuity Scale (KTAS), transfusion amount, and mortality were compared. Binary logistic regression analysis was performed to identify factors associated with mortality. Results: There were significant differences in GCS, ISS, RTS, and KTAS in the SI ≥ 1 group compared to the SI < 1 group (all p-values < 0.001). In the SI < 1 cohort, the mortality rate was 11% (144/1283), and in the SI ≥ 1 group the mortality rate was 33% (125/374) (p < 0.001). Age, GCS, ISS, SI ≥ 1, and KTAS were determined to be predictors of mortality by logistic regression analysis. In particular, SI ≥ 1 group members exhibited a high association with elevated mortality (OR, 2.498; 95% CI, 1.708–3.652; p < 0.01). Conclusions: Although SI alone has limitations in predicting the patient’s prognosis, patients with SI ≥ 1 upon arrival at the emergency room are associated with mortality of patients undergoing emergency surgery for trauma, along with already known trauma assessment systems such as GCS, ISS, and KTAS. Full article

Grifola frondosa is a valuable medicinal and edible mushroom whose industrial cultivation and developmental mechanisms remain poorly understood. In this study, we systematically investigated the optimal cultivation parameters and molecular basis of fruiting body development using the white strain Gr0001+3 through integrated physiological and transcriptomic approaches. The results showed that the optimal liquid medium composition was glucose (28.5 g/L), yeast extract (11.5 g/L), and MgSO₄ (2 g/L), with a C/N ratio of 10:1. This composition achieved a mycelial biomass of 2.333 g/L via an orthogonal design. Ideal culture conditions were 100 mL/250 mL liquid volume, 10% inoculum size, and pH 4.0 in single-factor experiments. The fruiting body developmental transcriptomes were analyzed in four stages: early primordia (EP), middle primordia (MP), late primordia (LP), and mature fruiting body (FB). Principal component analysis revealed distinct transcriptional profiles, with greater similarities among later developmental stages. Differential gene expression peaked during the LP vs. FB transition. Functional enrichment (GO/KEGG) showed conserved biological processes in the MP-LP-FB transitions. Heat shock proteins (hsp_78/hsp_82) and the cAMP signaling pathway component (PKAC) were involved in fruiting body development, based on RT-qPCR. This work establishes practical cultivation parameters and offers fundamental insights into the molecular regulation of G. frondosa development, providing a comprehensive foundation for advancing the industrial production of this mushroom. Full article

Tuberculosis (TB), primarily caused by Mycobacterium tuberculosis (Mtb), remains a leading cause of infectious disease mortality worldwide. Global TB control efforts face several hurdles, including the lack of a broadly effective vaccine, limited sensitivity of current diagnostics, particularly for paucibacillary and extrapulmonary TB, and significant adverse effects associated with prolonged small-molecule drug regimens. The growing prevalence of multidrug-resistant (MDR) and extensively drug-resistant (XDR) strains further underscores the urgent need for innovative therapeutic strategies. We outline characteristics of next-generation TB therapeutics. We show that antibody (Ab)-drug conjugates (ADCs) satisfy many of those desirable characteristics. Since a major hurdle to this approach lies in Mtb-specific Abs, we highlight an open-access resource comprising a broad panel of Mtb-specific mouse monoclonal antibodies targeting key factors involved in Mtb survival, immune evasion, and pathogenesis. These critical Mtb virulence factors include heat shock proteins (GroES, DnaK, and HspX), surface-associated or secreted proteins (LAM, Ag85, HBHA, Mpt64/CFP-21, and PhoS1/PstS1), cell wall/envelope-associated proteins (LprG/p27), and detoxifying enzymes (KatG and SodA). The resource provides full-length sequences of the immunoglobulin variable regions, enabling antibody engineering and facilitating translational TB research across vaccine design, diagnostic development, and immunotherapeutic applications, in addition to ADCs. This ADC targeted delivery strategy holds promise for overcoming TB heterogeneity and eliminating both active and dormant Mtb populations within a single therapeutic formulation and offers a novel avenue for precision TB treatment. Full article

Background: Severe acute pancreatitis (SAP) presents with Multiple Organ Dysfunction Syndrome (MODS) in ~15% of cases, accounting for ~35% of early deaths within 48 h. Major complications—shock, renal failure, and respiratory insufficiency—arise from an overwhelming systemic inflammatory response driven by markedly elevated pro-inflammatory cytokines. Massive release of IL-2, IL-6, and TNF-α underlies the systemic inflammatory response syndrome (SIRS). Continuous veno-venous hemofiltration (CVVH) with the oXiris filter, adsorbing endotoxins and cytokines, has been used in sepsis and applied early in SAP to reduce cytokine load and organ injury. Aims: To evaluate the efficacy and safety of early CVVH with the oXiris filter in modulating the systemic inflammatory response by removing toxic cytokines from the bloodstream in patients with SAP complicated by organ dysfunction and refractory sepsis. Methods: This single-centre, retrospective, observational study was conducted at a tertiary university hospital between 2000 and 2022. Forty-eight consecutive patients with SAP at onset, defined according to the 2012 Atlanta Classification, with an APACHE II score ≥ 19 and persistent organ dysfunction (>48 h), were included. All patients were unresponsive to initial intensive care within the first 24 h and underwent urgent laparotomy with extensive peritoneal lavage, pancreatic necrosectomy, and placement of multiple abdominal drains, followed by transfer to the intensive care unit. CVVH (Prismax system) with the oXiris filter was initiated within 12 h post-surgery. IL-6 and TNF-α were selected as inflammatory markers and measured in both serum and ultrafiltrate at baseline (0 h) and at 24, 48, 72, and 96 h. These measurements were correlated with clinical parameters and prognostic scores (APACHE II, SOFA). Results: Treatment was well tolerated in all patients. The 28-day survival rate was 97.9%. There was a significant time-dependent decrease in IL-6 (p = 0.019) and TNF-α (p = 0.008) concentrations in the ultrafiltrate, consistent with high early adsorption followed by a reduced cytokine burden, whereas serum levels showed a non-significant downward trend (IL-6 p = 0.08; TNF-α p = 0.310). The APACHE II score decreased from 23 postoperatively to 8 by the second week (−65.2%; p = 0.013), with a statistically significant correlation between cytokine reduction and clinical improvement. Adverse events were rare and manageable. Conclusions: Early CVVH with the oXiris filter in SAP, complicated by MODS and refractory sepsis, proved safe, well-tolerated, and potentially effective in reducing cytokine burden and improving prognostic indices. These findings support the hypothesis of a relevant immunomodulatory effect, warranting prospective controlled trials to confirm its true impact on survival and organ recovery. Full article

This work presents a numerical investigation of Richtmyer–Meshkov instability (RMI) in shock-driven single-mode stratified heavy fluid layers, with emphasis on the influence of the Atwood number. High-order modal discontinuous Galerkin simulations are carried out for Atwood numbers ranging from $A=0.30$ to $0.72$, allowing a systematic study of interface evolution, vorticity dynamics, and mixing. The analysis considers diagnostic quantities such as interface trajectories, normalized interface length and amplitude, vorticity extrema, circulation, enstrophy, and kinetic energy. The results demonstrate that the Atwood number plays a central role in instability development. At low A, interface deformation remains smooth and coherent, with weaker vorticity deposition and delayed nonlinear roll-up. As A increases, baroclinic torque intensifies, leading to rapid perturbation growth, stronger vortex roll-ups, and earlier onset of secondary instabilities such as Kelvin–Helmholtz vortices. Enstrophy, circulation, and interface measures show systematic amplification with increasing density contrast, while the total kinetic energy exhibits relatively weak sensitivity to A. Overall, the study highlights how the Atwood number governs the transition from linear to nonlinear dynamics, controlling both large-scale interface morphology and the formation of small-scale vortical structures. These findings provide physical insight into shock–interface interactions and contribute to predictive modeling of instability-driven mixing in multicomponent flows. Full article

Purpose: The venous-to-arterial carbon dioxide partial pressure difference [P(v-a)CO₂] reflects the adequacy of tissue perfusion, with elevated values suggesting impaired clearance of CO₂. While its prognostic role has been investigated in septic shock and high-risk surgery, evidence in postoperative critically ill patients remains limited. This study aimed to evaluate the prognostic value of ΔP(v-a)CO₂ after major abdominal surgery and its relationship with microcirculatory markers. Methods: We retrospectively analyzed 86 patients admitted to the intensive care unit (ICU) after major abdominal surgery between September 2020 and October 2023. Arterial and central venous blood gas analyses were performed immediately postoperatively and at 24 h. Patients were stratified into groups according to ΔP(v-a)CO₂ (≤ 0 vs. >0). Postoperative outcomes and correlations with central venous oxygen saturation (ScvO₂) were assessed. Results: In the subgroup analysis of patients with an initial P(v-a)CO₂ > 6 mmHg, those in the ΔP(v-a)CO₂ > 0 group required mechanical ventilation (54.5% vs. 22.2%, p = 0.033) and continuous renal replacement therapy (36.4% vs. 8.9%, p = 0.020) more frequently, with longer durations of both interventions (p = 0.011 and p = 0.016, respectively). ICU length of stay and the incidence of acute kidney injury were significantly lower in the ΔP(v-a)CO₂ ≤ 0 group. In addition, a modest negative correlation was observed between ScvO₂ measured at 24 h postoperatively and ΔP(v-a)CO₂. Conclusions: ΔP(v-a)CO₂ may serve as a useful marker for postoperative risk stratification in critically ill patients undergoing major abdominal surgery. However, given the retrospective design, small sample size, and single-center setting, these findings should be considered hypothesis-generating and require confirmation in larger, prospective multicenter studies. Full article

Although laser cavitation was discovered half a century ago, novel geometries and regimes to excite this effect have been vigorously explored during the past few decades. This research is driven by a variety of applications of laser cavitation in demanding branches of science and technology, such as microfabrication, synthesis of nanoparticles, manipulation of cells, surgery, and lithotripsy. In this work, we combine experimental studies using high-repetition-rate imaging and numerical simulations to uncover a novel regime of the laser cavitation observed upon excitation of a liquid by a train of laser pulses with the pulse energy of 140 mJ and duration of 1.2 μs delivered through a quartz optical fiber. Once the lifetime of the initial cavitation bubble (excited by the first laser pulse) is larger than the period between pulses, which is 34.3 μs, the secondary pulses in the train pass the gas in a bubble and evaporate additional liquid. This results in the formation of a cascaded cavitation bubble of larger volume and elongated shape of $4.6$ mm length compared to $3.8$ mm in case of excitation by a single laser pulse. In addition, the results of acoustic measurements confirm the presence of shock waves in the applied liquid. Finally, potential applications of the uncovered laser cavitation regime are discussed. Full article

Background/Objectives: Schizophrenia (SCZ) is a highly heritable mental disorder with a complex polygenic genetic architecture. The heat shock protein 90 alpha (HSP90α), encoded by the HSP90AA1 gene, is a molecular chaperone that is required for the proper folding and activity of many of the client proteins that are involved in numerous essential cellular pathways. In addition to its general chaperone activity, HSP90α plays a role in other neuronal contexts and was found to have an altered expression in SCZ, which makes HSP90AA1 an attractive gene for association studies. The aim of this study was to determine whether the HSP90AA1 polymorphisms (rs8005905, rs10873531, rs11621560, rs4947 and rs2298877) are involved in the risk of developing SCZ and its clinical picture in a Polish Caucasian population. Methods: A total of 1088 unrelated subjects (409 patients and 679 healthy controls) were included in the study. The SNPs were genotyped using a TaqMan 5′-exonuclease allelic discrimination assay. The results of the Positive and Negative Syndrome Scale (PANSS) were presented in the five-dimensional model. Results: None of the SNPs were associated with a predisposition to developing SCZ in either the single-marker or haplotype analysis including the results of gender-stratified analyses. However, the genotypes of rs11621560, rs4947 and rs2298877 SNPs were associated with the emotional distress (EMO) dimension score. Conclusions: The results of the present study indicate that HSP90AA1 variants may have an impact on the psychopathology of SCZ, although larger studies are needed to clarify these findings. Full article

Background: Cardiogenic shock (CS) is a life threatening condition marked by inadequate tissue perfusion due to impaired cardiac output. Despite advances in diagnosis and management, mortality remains unacceptably high. Objective: This prospective, single-center observational study aimed to characterize the clinical profile, management strategies, and short- and long-term outcomes of patients with CS. Methods: Seventy patients (SCAI stages B–E) admitted to the Cardiac Intensive Care Unit (CICU) of a tertiary university hospital over a 24-month period were enrolled. Demographic, clinical, hemodynamic, echocardiographic, and biochemical data were collected. The primary outcomes were in-hospital, 1-month, and 1-year mortality. Secondary outcomes included the use of mechanical circulatory support (MCS), mechanical ventilation (MV), and continuous renal replacement therapy (CRRT). Results: Acute myocardial infarction-related CS (AMI-CS) and heart failure-related CS (HF-CS) accounted for 64% of cases. The overall in-hospital mortality was 49%. SCAI stage C was independently associated with higher mortality at all time points compared with stage B. Key predictors of mortality included higher SCAI stage, elevated lactate and creatinine levels, and reduced cardiac output. Intra-aortic balloon pump (IABP) use was more frequent in AMI-CS. Conclusions: CS continues to be associated with poor prognosis, particularly in patients with higher SCAI stages. Standardized clinical pathways and national registries are urgently needed to guide evidence-based and resource-appropriate care. Full article

This systematic review critically evaluates the efficacy and safety of monoclonal (mAb) and polyclonal (pAb) antibody therapies in adult sepsis and septic shock by synthesizing data from 29 randomized controlled trials (RCTs) encompassing over 10,000 patients. Sepsis and septic shock continue to be major critical-care mortality causes worldwide because of simultaneous hyperinflammatory and immunosuppressive responses. The clinical results from using targeted antibody therapies to manage this dysregulated response have shown inconsistent results. We conducted a comprehensive search of MEDLINE, Embase, Cochrane CENTRAL, Web of Science, and Google Scholar (through February 2025) to identify RCTs that compared mAb and pAb treatments to placebo or standard care in adult patients with sepsis or septic shock. Monoclonal antibodies against single cytokines e.g., Tumor Necrosis Factor-alpha (TNF-α) and endotoxin, did not significantly reduce 28-day mortality in unselected cohorts, though subgroup analyses of patients with elevated Interleukin-6 (IL-6) or early septic shock showed trends toward benefit. Intravenous Immunoglobulin (IVIG) enriched for Immunoglobulin M (IgM) demonstrated the most consistent mortality reduction when administered early in hyperinflammatory phases. Emerging precision strategies—including checkpoint inhibitors targeting Programmed Cell Death Protein 1/Programmed Death-Ligand 1 inhibitors (anti–PD-1/PD-L1), complement component 5a inhibitors (anti–C5a), and anti–adrenomedullin—were safe and improved organ-support-free days and Sequential Organ Failure Assessment (SOFA) scores. According to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach, evidence showed moderate confidence for mortality, high certainty for safety and low to moderate certainty for secondary outcomes. The use of broad single-target monoclonal treatments has failed to deliver significant improvements in sepsis patient outcomes. The most promising approaches for sepsis treatment involve biomarker-guided precision strategies and polyclonal IgM-enriched IVIG. Future sepsis trials need to implement rapid immune profiling and adaptive designs and combination regimens to achieve optimal efficacy and establish personalized guideline-based sepsis management. Full article

Arch structure is a crucial interface between the human body and the ground during landing tasks, but the biomechanical effects of arch support stiffness remain insufficiently explored. This study examines the effects of arch supports with different stiffnesses on lower-limb biomechanics during landing. Twelve male participants (six normal arches, six flat feet) performed a single-leg drop landing from a 45 cm height under four arch support conditions: no arch support pad (NAP), soft-stiffness arch support pad (SAP), medium-stiffness arch support pad (MAP), and high-stiffness arch support pad (HAP). Dominant lower-limb joint angles and moments in the sagittal plane and vertical ground reaction force (vGRF)-related parameters—time to peak vGRF, peak vGRF, and max loading rate—were recorded using a motion capture system and force plate. Data were analyzed using one-way repeated measures analysis of variance (ANOVA). Arch pad stiffness significantly affected ankle and knee kinematics. The NAP condition exhibited significantly higher ankle plantarflexion at initial contact (p ≤ 0.01), as well as larger range of motion (ROM) of the knee (p = 0.03) and hip (p < 0.01), compared to the use of a SAP or MAP. The use of a HAP resulted in a significantly lower peak ankle dorsiflexion moment and larger peak knee flexion angle than the other conditions (p ≤ 0.04). The peak knee extension moment was the highest when using a NAP, and was significantly higher than that shown with the use of a MAP or HAP (p ≤ 0.02). No significant differences were observed in hip joint moments or vGRF-related parameters across conditions (p ≥ 0.52). These results indicate that hard-stiffness arch support pads modulate lower-limb mechanics during landing, potentially enhancing shock absorption and reducing knee loading. Full article