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15 pages, 4944 KiB  
Article
The Geochemical Characteristics of the Fatty Acids in the Core Sediments in the Northern South Yellow Sea
by Jinxian He, Xiaoli Zhang, Ruihua Ma, Zhengxin Huang, Juhao Li, Peilin Sun and Jiayao Song
J. Mar. Sci. Eng. 2025, 13(8), 1511; https://doi.org/10.3390/jmse13081511 - 5 Aug 2025
Abstract
The geochemistry of the fatty acids in the modern sediments in the Northern South Yellow Sea is still poorly studied, and studies on the geochemistry of the fatty acids in relatively long-core sediment samples are lacking. Thus, the fatty acids in the core [...] Read more.
The geochemistry of the fatty acids in the modern sediments in the Northern South Yellow Sea is still poorly studied, and studies on the geochemistry of the fatty acids in relatively long-core sediment samples are lacking. Thus, the fatty acids in the core sediments in the Northern South Yellow Sea were separated and identified to study their components and distribution characteristics, and the sources of organic matter and the early diagenetic evolution of the fatty acids in the sediments were discussed. The results show that saturated straight-chain fatty acids (methyl ester) have the highest content in the core sediments in the Northern South Yellow Sea, which account for 83.89% of the total fatty acids (methyl ester). nC16:0 is dominant, accounting for 30.48% of the n-saturated fatty acids (methyl ester). Unsaturated fatty acids (methyl ester) account for 7.59% of the total fatty acids (methyl ester). Binary unsaturated fatty acids (methyl ester) can only be detected in some samples, which are low in content and dominated by C18:2. Based on the components and distribution of the fatty acids (methyl ester) in the core sediments in the Northern South Yellow Sea, combined with the characteristics of other lipid biomarker compounds, the actual geological background, and previous research results, it is considered that the sources of organic matter in the core sediments are marine–terrestrial mixed materials, with terrestrial materials dominating. The fatty acids’ (methyl ester) CPI, the relative content of short-chain saturated fatty acids (methyl ester), and the unsaturated fatty acids (methyl ester) in the core sediments show non-obvious variation as the burial depth increases, reflecting that the fatty acids in the core sediments are strongly degraded at the early diagenetic stage, and this degradation is controlled by various complicated factors. Full article
(This article belongs to the Section Geological Oceanography)
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14 pages, 504 KiB  
Article
Comparative Efficacy of pHA130 Haemoadsorption Combined with Haemodialysis Versus Online Haemodiafiltration in Removing Protein-Bound and Middle-Molecular-Weight Uraemic Toxins: A Randomized Controlled Trial
by Shaobin Yu, Huaihong Yuan, Xiaohong Xiong, Yalin Zhu and Ping Fu
Toxins 2025, 17(8), 392; https://doi.org/10.3390/toxins17080392 - 5 Aug 2025
Abstract
Protein-bound uraemic toxins (PBUTs), such as indoxyl sulphate (IS) and p-cresyl sulphate (PCS), are poorly cleared by conventional haemodialysis (HD) or haemodiafiltration (HDF). Haemoadsorption combined with HD (HAHD) using the novel pHA130 cartridge may increase PBUT removal, and this trial aimed to compare [...] Read more.
Protein-bound uraemic toxins (PBUTs), such as indoxyl sulphate (IS) and p-cresyl sulphate (PCS), are poorly cleared by conventional haemodialysis (HD) or haemodiafiltration (HDF). Haemoadsorption combined with HD (HAHD) using the novel pHA130 cartridge may increase PBUT removal, and this trial aimed to compare its efficacy and safety with HDF in patients with end-stage renal disease (ESRD). In this single-centre, open-label trial, 30 maintenance HD patients were randomized (1:1:1) to HDF once every two weeks (HDF-q2w), HAHD once every two weeks (HAHD-q2w), or HAHD once weekly (HAHD-q1w) for 8 weeks, with the primary endpoint being the single-session reduction ratio (RR) of IS. The combined HAHD group (n = 20) demonstrated a significantly greater IS reduction than the HDF-q2w group (n = 10) (46.9% vs. 31.8%; p = 0.044) and superior PCS clearance (44.6% vs. 31.4%; p = 0.003). Both HAHD regimens significantly reduced predialysis IS levels at Week 8. Compared with HDF, weekly HAHD provided greater relief from pruritus and improved sleep quality, with comparable adverse events among groups. In conclusion, HAHD with the pHA130 cartridge is more effective than HDF for enhancing single-session PBUT removal and alleviating uraemic symptoms in patients with ESRD, with weekly application showing optimal symptomatic benefits. Full article
(This article belongs to the Section Uremic Toxins)
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13 pages, 1028 KiB  
Article
Survival and Prognostic Factors in Unresectable Head and Neck Cancer Patients
by Natsuki Oishi, Sara Orozco-Núñez, José Ramón Alba-García, Mar Gimeno-Coret and Enrique Zapater
J. Clin. Med. 2025, 14(15), 5517; https://doi.org/10.3390/jcm14155517 - 5 Aug 2025
Abstract
Background/Objectives: This single-cohort follow-up study describes the median overall survival (OS) in patients with unresectable head and neck squamous cell carcinoma (HNSCC) due to invasion of vital structures, which is under-represented in the current literature. Secondarily, subgroups were evaluated according to the type [...] Read more.
Background/Objectives: This single-cohort follow-up study describes the median overall survival (OS) in patients with unresectable head and neck squamous cell carcinoma (HNSCC) due to invasion of vital structures, which is under-represented in the current literature. Secondarily, subgroups were evaluated according to the type of presentation, in order to identify clinical characteristics and contribute to developing an appropriate treatment plan and managing patient’s expectations. Methods: This single-cohort observational study analysed the OS of 39 patients from the Otolaryngology Department with advanced-stage head and neck cancer with invasion of vital anatomical structures considered ineligible for surgical treatment. Secondarily, subgroups were evaluated according to type of presentation and various clinical characteristics. Results: A total of 39 patients radiologically classified as having unresectable HNSCC (i.e., unsuitable for surgical resection), with a mean age of 66.87 years, were included during a 24-month follow-up. By the end of the study, 56.4% of the patients had died. The median OS was 16.09 months. Statistically significant differences were observed when comparing human papilloma virus (HPV)-positive and -negative status and when comparing initial and recurrent tumours. Conclusions: The invasion of anatomical structures such as the skull base, internal carotid artery, and prevertebral space was associated with a marked decrease in survival, with an OS time of 16 months. This study provides valuable evidence in patients with unresectable HNSCC, highlighting tumour recurrence and HPV-negative status as important indicators of poor prognosis. Full article
(This article belongs to the Section Otolaryngology)
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31 pages, 13266 KiB  
Article
Emission of Total Volatile Organic Compounds from the Torrefaction Process: Meadow Hay, Rye, and Oat Straw as Renewable Fuels
by Justyna Czerwinska, Szymon Szufa, Hilal Unyay and Grzegorz Wielgosinski
Energies 2025, 18(15), 4154; https://doi.org/10.3390/en18154154 - 5 Aug 2025
Abstract
This study aims to quantify total VOC emissions and evaluate how torrefaction alters the heat of combustion of three agricultural residues. The work examines the amount of VOC emissions during the torrefaction process at various temperatures and investigates the changes in the heat [...] Read more.
This study aims to quantify total VOC emissions and evaluate how torrefaction alters the heat of combustion of three agricultural residues. The work examines the amount of VOC emissions during the torrefaction process at various temperatures and investigates the changes in the heat of combustion of agri-biomass resulting from the torrefaction process. The process was carried out at the following temperatures: 225, 250, 275, and 300 °C. Total VOC emission factors were determined. The reaction kinetics analysis revealed that meadow hay exhibited the most stable thermal behavior with the lowest activation energy. At the same time, rye straw demonstrated higher thermal resistance and complex multi-step degradation characteristics. The authors analyze three types of agricultural biomass: meadow hay, rye straw, and oat straw. The research was divided into five stages: determination of moisture content in the sample, determination of ash content, thermogravimetric analysis, measurement of total VOC emissions from the biomass torrefaction process, and determination of the heat of combustion of the obtained torrefied biomass. Based on the research, it was found that torrefaction of biomass causes the emission of torgas containing VOC in the amount of 2–10 mg/g of torrefied biomass, which can be used energetically, e.g., to support the torrefaction process, and the torrefied biomass shows a higher value of the heat of combustion. Unlike prior studies focused on single feedstocks or limited temperature ranges, this work systematically compares three major crop residues across four torrefaction temperatures and directly couples VOC quantifications. Full article
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23 pages, 1610 KiB  
Article
Unraveling the Systemic and Local Immune Response of Rainbow Trout (Oncorhynchus mykiss) to the Viral Hemorrhagic Septicemic Virus
by Mariana Vaz, Gonçalo Espregueira Themudo, Felipe Bolgenhagen Schöninger, Inês Carvalho, Carolina Tafalla, Patricia Díaz-Rosales, Lourenço Ramos-Pinto, Benjamín Costas and Marina Machado
Biology 2025, 14(8), 1003; https://doi.org/10.3390/biology14081003 - 5 Aug 2025
Abstract
Viral outbreaks have caused significant mortality and economic losses in aquaculture, highlighting the urgent need for effective therapies and a deeper understanding of antiviral and immune mechanisms in key species. This study investigates the constitutive and virus-induced antiviral responses in juvenile rainbow trout [...] Read more.
Viral outbreaks have caused significant mortality and economic losses in aquaculture, highlighting the urgent need for effective therapies and a deeper understanding of antiviral and immune mechanisms in key species. This study investigates the constitutive and virus-induced antiviral responses in juvenile rainbow trout (Oncorhynchus mykiss) following infection with viral hemorrhagic septicemia virus (VHSV). Trout (30 g) were infected by immersion with VHSV (TCID50 = 105 mL−1) for two hours. Samples were collected at 24, 72, and 120 h post-infection to assess hematology, innate immunity, viral load, and transcriptomic response. At 24 h post-infection, no immune response or increase in viral load was detected, suggesting the host had not yet recognized the virus and was still in the incubation phase. By 72 h, viral replication peaked, with high viral loads observed in mucosal tissues (skin and gills) and immune organs (kidney, spleen, liver), alongside strong up-regulation of antiviral genes, such as viperin. This gene maintained high expression through the final sampling point, indicating its key role in the antiviral response. At this stage, reduced immune competence was observed, marked by elevated nitric oxide and circulating thrombocytes. At 120 h, modest increases in peripheral monocyte, plasma lysozyme, and peroxidase activity were detected; however, these responses were insufficient to reduce viral load, suggesting the resolution phase had not yet begun. In summary, while a limited immune response was observed by the end of the trial, the consistent antiviral activity of viperin from peak infection to 120 h post-infection underscores its importance in the defence against VHSV in rainbow trout. Full article
(This article belongs to the Section Immunology)
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10 pages, 5588 KiB  
Article
Anti-Viral Activity of Conessine Against Influenza A Virus
by Won-Kyung Cho and Jin Yeul Ma
Int. J. Mol. Sci. 2025, 26(15), 7572; https://doi.org/10.3390/ijms26157572 (registering DOI) - 5 Aug 2025
Abstract
Conessine is a steroidal alkaloid found in many plants. The pharmacological efficacies of conessine on various ailments, including antiviral effects against Zika, Herpes, and Coronavirus, were reported. However, the effect of conessine on the influenza virus was still unknown. In this study, conessine [...] Read more.
Conessine is a steroidal alkaloid found in many plants. The pharmacological efficacies of conessine on various ailments, including antiviral effects against Zika, Herpes, and Coronavirus, were reported. However, the effect of conessine on the influenza virus was still unknown. In this study, conessine exhibited a strong inhibitory effect against influenza A virus (IAV) infection. We examined the effect of conessine on IAV using green fluorescent protein (GFP)-expressing Influenza A/PR8/34 and wild-type A/PR8/34. The fluorescence-activated cell sorting, fluorescence microscopy, cytopathic effect analysis, and plaque assay demonstrated that conessine significantly inhibits IAV infection. Consistently, immunofluorescence results showed that conessine strongly reduces the expression of IAV proteins. The time-of-drug-addition assay revealed that conessine could affect the viral attachment and entry into the cells upon IAV infection. Further, conessine eradicated the virus before binding to the cells in the early stage of viral infection. Our results suggest that conessine has strong anti-viral efficacy against IAV infection and could be developed as an anti-influenza viral agent. Full article
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17 pages, 2283 KiB  
Article
A Remote Strawberry Health Monitoring System Performed with Multiple Sensors Approach
by Xiao Du, Jun Steed Huang, Qian Shi, Tongge Li, Yanfei Wang, Haodong Liu, Zhaoyuan Zhang, Ni Yu and Ning Yang
Agriculture 2025, 15(15), 1690; https://doi.org/10.3390/agriculture15151690 - 5 Aug 2025
Abstract
Temperature is a key physiological indicator of plant health, influenced by factors including water status, disease and developmental stage. Monitoring changes in multiple factors is helpful for early diagnosis of plant growth. However, there are a variety of complex light interference phenomena in [...] Read more.
Temperature is a key physiological indicator of plant health, influenced by factors including water status, disease and developmental stage. Monitoring changes in multiple factors is helpful for early diagnosis of plant growth. However, there are a variety of complex light interference phenomena in the greenhouse, so traditional detection methods cannot meet effective online monitoring of strawberry health status without manual intervention. Therefore, this paper proposes a leaf soft-sensing method based on a thermal infrared imaging sensor and adaptive image screening Internet of Things system, with additional sensors to realize indirect and rapid monitoring of the health status of a large range of strawberries. Firstly, a fuzzy comprehensive evaluation model is established by analyzing the environmental interference terms from the other sensors. Secondly, through the relationship between plant physiological metabolism and canopy temperature, a growth model is established to predict the growth period of strawberries based on canopy temperature. Finally, by deploying environmental sensors and solar height sensors, the image acquisition node is activated when the environmental interference is less than the specified value and the acquisition is completed. The results showed that the accuracy of this multiple sensors system was 86.9%, which is 30% higher than the traditional model and 4.28% higher than the latest advanced model. It makes it possible to quickly and accurately assess the health status of plants by a single factor without in-person manual intervention, and provides an important indication of the early, undetectable state of strawberry disease, based on remote operation. Full article
(This article belongs to the Section Artificial Intelligence and Digital Agriculture)
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22 pages, 1820 KiB  
Article
Can a Commercially Available Smartwatch Device Accurately Measure Nighttime Sleep Outcomes in Individuals with Knee Osteoarthritis and Comorbid Insomnia? A Comparison with Home-Based Polysomnography
by Céline Labie, Nils Runge, Zosia Goossens, Olivier Mairesse, Jo Nijs, Anneleen Malfliet, Dieter Van Assche, Kurt de Vlam, Luca Menghini, Sabine Verschueren and Liesbet De Baets
Sensors 2025, 25(15), 4813; https://doi.org/10.3390/s25154813 - 5 Aug 2025
Abstract
Sleep is a vital physiological process for recovery and health. In people with knee osteoarthritis (OA), disrupted sleep is common and linked to worse clinical outcomes. Commercial sleep trackers provide an accessible option to monitor sleep in this population, but their accuracy for [...] Read more.
Sleep is a vital physiological process for recovery and health. In people with knee osteoarthritis (OA), disrupted sleep is common and linked to worse clinical outcomes. Commercial sleep trackers provide an accessible option to monitor sleep in this population, but their accuracy for detecting sleep, wake, and sleep stages remains uncertain. This study compared nighttime sleep data from polysomnography (PSG) and Fitbit Sense in individuals with knee OA and insomnia. Data were collected from 53 participants (60.4% women, mean age 51 ± 8.2 years) over 62 nights using simultaneous PSG and Fitbit recording. Fitbit Sense showed high accuracy (85.76%) and sensitivity (95.95%) for detecting sleep but lower specificity (50.96%), indicating difficulty separating quiet wakefulness from sleep. Agreement with PSG was higher on nights with longer total sleep time, higher sleep efficiency, shorter sleep onset, and fewer awakenings, suggesting better performance when sleep is less fragmented. The device showed limited precision in classifying sleep stages, often misclassifying deep and REM sleep as light sleep. Despite these issues, Fitbit Sense may serve as a useful complementary tool for monitoring sleep duration, timing, and regularity in this population. However, sleep stage and fragmentation data should be interpreted cautiously in both clinical and research settings. Full article
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16 pages, 4423 KiB  
Article
Assessing the Variation in Maize Water Footprint Under Different Tillage Practices: A Case Study from Jilin Province, China
by Bo Li, Lijie Qin, Mingzhu Lv, Yongcai Dang and Hang Qi
Agriculture 2025, 15(15), 1691; https://doi.org/10.3390/agriculture15151691 - 5 Aug 2025
Abstract
Studying the impact of different tillage practices on crop water consumption can help us identify optimal tillage practice choices. The traditional tillage (TT) and conservation tillage (CT) methods are the dominant practices in Jilin Province, China. Few studies have explored the differences in [...] Read more.
Studying the impact of different tillage practices on crop water consumption can help us identify optimal tillage practice choices. The traditional tillage (TT) and conservation tillage (CT) methods are the dominant practices in Jilin Province, China. Few studies have explored the differences in crop water consumption between TT and CT. To address this knowledge gap, this study utilized maize as its research object and employed the water footprint (WF) as the indicator to assess crop water consumption under TT and CT. This study aimed to investigate when differences in water consumption between TT and CT appear and whether the differences are significant. The results of this study demonstrated that the total WF under CT (339.65 m3 t−1) was less than that under TT (378.19 m3 t−1), and the spatial difference was distinct. The total WF exhibited a clear change under different CT durations. At the initial stage of CT implementation, the total WF decreased slightly compared to that under TT. With an increase in CT duration, the total WF was significantly reduced. The findings of this study demonstrate that CT is an effective measure to ensure sustainable crop production and that it could lead policymakers to choose CT to reduce water consumption. Full article
(This article belongs to the Section Agricultural Water Management)
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27 pages, 11710 KiB  
Article
Assessing ResNeXt and RegNet Models for Diabetic Retinopathy Classification: A Comprehensive Comparative Study
by Samara Acosta-Jiménez, Valeria Maeda-Gutiérrez, Carlos E. Galván-Tejada, Miguel M. Mendoza-Mendoza, Luis C. Reveles-Gómez, José M. Celaya-Padilla, Jorge I. Galván-Tejada and Antonio García-Domínguez
Diagnostics 2025, 15(15), 1966; https://doi.org/10.3390/diagnostics15151966 - 5 Aug 2025
Abstract
Background/Objectives: Diabetic retinopathy is a leading cause of vision impairment worldwide, and the development of reliable automated classification systems is crucial for early diagnosis and clinical decision-making. This study presents a comprehensive comparative evaluation of two state-of-the-art deep learning families for the task [...] Read more.
Background/Objectives: Diabetic retinopathy is a leading cause of vision impairment worldwide, and the development of reliable automated classification systems is crucial for early diagnosis and clinical decision-making. This study presents a comprehensive comparative evaluation of two state-of-the-art deep learning families for the task of classifying diabetic retinopathy using retinal fundus images. Methods: The models were trained and tested in both binary and multi-class settings. The experimental design involved partitioning the data into training (70%), validation (20%), and testing (10%) sets. Model performance was assessed using standard metrics, including precision, sensitivity, specificity, F1-score, and the area under the receiver operating characteristic curve. Results: In binary classification, the ResNeXt101-64x4d model and RegNetY32GT model demonstrated outstanding performance, each achieving high sensitivity and precision. For multi-class classification, ResNeXt101-32x8d exhibited strong performance in early stages, while RegNetY16GT showed better balance across all stages, particularly in advanced diabetic retinopathy cases. To enhance transparency, SHapley Additive exPlanations were employed to visualize the pixel-level contributions for each model’s predictions. Conclusions: The findings suggest that while ResNeXt models are effective in detecting early signs, RegNet models offer more consistent performance in distinguishing between multiple stages of diabetic retinopathy severity. This dual approach combining quantitative evaluation and model interpretability supports the development of more robust and clinically trustworthy decision support systems for diabetic retinopathy screening. Full article
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18 pages, 304 KiB  
Article
Biological Aging and Chemotoxicity in Patients with Colorectal Cancer: A Secondary Data Analysis Using EHR Data
by Claire J. Han, Ashley E. Rosko, Jesse J. Plascak, Alai Tan, Anne M. Noonan and Christin E. Burd
Curr. Oncol. 2025, 32(8), 438; https://doi.org/10.3390/curroncol32080438 - 5 Aug 2025
Abstract
Background: Biological aging influences cancer outcomes, but its changes during chemotherapy and impact on chemotoxicity in colorectal cancer (CRC) remain underinvestigated. We examined (1) trajectories of biological aging (using Levine Phenotypic Age) during six months of chemotherapy, (2) sociodemographic and clinical risk [...] Read more.
Background: Biological aging influences cancer outcomes, but its changes during chemotherapy and impact on chemotoxicity in colorectal cancer (CRC) remain underinvestigated. We examined (1) trajectories of biological aging (using Levine Phenotypic Age) during six months of chemotherapy, (2) sociodemographic and clinical risk factors for biological aging, and (3) links between biological aging and chemotoxicity. Methods: Using data from electronic health records (2013–2019) from 1129 adult CRC patients, we computed biological aging (raw Levine Phenotypic Age and its age acceleration [Levine Phenotypic Age–chronological age]) from routine blood tests (e.g., complete blood counts, hepatorenal/inflammatory markers). Chemotoxicity was identified primarily via International Classification of Diseases (ICD-9 and -10) codes. Results: Chemotherapy accelerated biological aging over time. Biological aging at baseline and changes over time predicted chemotoxicity. However, changes in biological aging over time showed stronger associations than baseline biological aging. Advanced cancer stages, higher comorbidity burden, and socioeconomic disadvantage (especially area-level deprivation) were associated with accelerated biological aging at baseline and over time. Biological aging occurred across both young and older adults. Conclusions: Levine Phenotypic Age, computed from routine blood tests in EHRs, offers a feasible clinical tool for aging-related chemotoxicity risk stratification. Validation in diverse cohorts and the development of predictive models are needed. Full article
(This article belongs to the Special Issue Health Disparities and Outcomes in Cancer Survivors)
11 pages, 468 KiB  
Article
Association of Therapeutic Plasma Exchange-Treated Thrombotic Thrombocytopenic Purpura with Improved Mortality Outcome in End-Stage Renal Disease
by Brenna S. Kincaid, Kiana Kim, Jennifer L. Waller, Stephanie L. Baer, Wendy B. Bollag and Roni J. Bollag
Diseases 2025, 13(8), 247; https://doi.org/10.3390/diseases13080247 - 5 Aug 2025
Abstract
Background/Objectives: Thrombotic thrombocytopenic purpura (TTP) is a microangiopathic hemolytic anemia exhibiting 90% mortality without prompt treatment. The aim of this study was to investigate the association of therapeutic plasma exchange (TPE)-treated TTP in end-stage renal disease (ESRD) patients with mortality, demographics, and [...] Read more.
Background/Objectives: Thrombotic thrombocytopenic purpura (TTP) is a microangiopathic hemolytic anemia exhibiting 90% mortality without prompt treatment. The aim of this study was to investigate the association of therapeutic plasma exchange (TPE)-treated TTP in end-stage renal disease (ESRD) patients with mortality, demographics, and clinical comorbidities. We queried the United States Renal Data System for ESRD patients starting dialysis between 1 January 2005 and 31 December 2018, using International Classification of Diseases (ICD)-9 and ICD-10 codes for thrombotic microangiopathy, with a TPE procedure code entered within 7 days. Methods: Cox proportional hazards models were used to assess mortality, adjusting for demographic and clinical factors. Results: Among 1,155,136 patients, increased age [adjusted odds ratio (OR) = 0.96, 95% confidence interval (CI): 0.94–0.96]; black race (OR = 0.67, CI: 0.51–0.89); and Hispanic ethnicity (OR = 0.43, CI: 0.28–0.66) were associated with a lower risk of TPE-treated TTP diagnosis, whereas female sex (OR = 1.59, CI: 1.25–2.02) and tobacco use (OR = 2.08, CI: 1.58–2.75) had a higher risk. A claim for TPE-treated TTP carried a lower risk of death (adjusted hazard ratio = 0.024, CI: 0.021–0.028). Female sex, black race, Hispanic ethnicity, and hypothyroidism were also associated with decreased all-cause mortality. Conclusions: These findings suggest that ESRD patients with TPE-treated TTP are significantly protected from mortality compared with ESRD patients without this diagnosis. Full article
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17 pages, 545 KiB  
Article
Concordance Index-Based Comparison of Inflammatory and Classical Prognostic Markers in Untreated Hepatocellular Carcinoma
by Natalia Afonso-Luis, Inés Monescillo-Martín, Joaquín Marchena-Gómez, Pau Plá-Sánchez, Francisco Cruz-Benavides and Carmen Rosa Hernández-Socorro
J. Clin. Med. 2025, 14(15), 5514; https://doi.org/10.3390/jcm14155514 - 5 Aug 2025
Abstract
Background/Objectives: Inflammation-based markers have emerged as potential prognostic tools in hepatocellular carcinoma (HCC), but comparative data with classical prognostic factors in untreated HCC are limited. This study aimed to evaluate and compare the prognostic performance of inflammatory and conventional markers using Harrell’s [...] Read more.
Background/Objectives: Inflammation-based markers have emerged as potential prognostic tools in hepatocellular carcinoma (HCC), but comparative data with classical prognostic factors in untreated HCC are limited. This study aimed to evaluate and compare the prognostic performance of inflammatory and conventional markers using Harrell’s concordance index (C-index). Methods: This retrospective study included 250 patients with untreated HCC. Prognostic variables included age, BCLC stage, Child–Pugh classification, Milan criteria, MELD score, AFP, albumin, Charlson comorbidity index, and the inflammation-based markers neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), Systemic Inflammation Response Index (SIRI), and Systemic Immune-inflammation Index (SIII). Survival was analyzed using Cox regression. Predictive performance was assessed using the C-index, Akaike Information Criterion (AIC), and likelihood ratio tests. Results: Among the classical markers, BCLC showed the highest predictive performance (C-index: 0.717), while NLR ranked highest among the inflammatory markers (C-index: 0.640), above the MELD score and Milan criteria. In multivariate analysis, NLR ≥ 2.3 remained an independent predictor of overall survival (HR: 1.787; 95% CI: 1.264–2.527; p < 0.001), along with BCLC stage, albumin, Charlson index, and Milan criteria. Including NLR in the model modestly improved the C-index (from 0.781 to 0.794) but significantly improved model fit (Δ–2LL = 10.75; p = 0.001; lower AIC). Conclusions: NLR is an accessible, cost-effective, and independent prognostic marker for overall survival in untreated HCC. It shows discriminative power comparable to or greater than most conventional predictors and may complement classical stratification tools for HCC. Full article
(This article belongs to the Section General Surgery)
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22 pages, 2669 KiB  
Article
Data-Driven Fault Diagnosis for Rotating Industrial Paper-Cutting Machinery
by Luca Viale, Alessandro Paolo Daga, Ilaria Ronchi and Salvatore Caronia
Machines 2025, 13(8), 688; https://doi.org/10.3390/machines13080688 - 5 Aug 2025
Abstract
Machine learning and artificial intelligence have transformed fault detection and maintenance strategies for industrial machinery. This study applies well-established data-driven techniques to a rarely explored industrial application—the condition monitoring of high-precision paper cutting machines—enhancing condition-based maintenance to improve operational efficiency, safety, and cost-effectiveness. [...] Read more.
Machine learning and artificial intelligence have transformed fault detection and maintenance strategies for industrial machinery. This study applies well-established data-driven techniques to a rarely explored industrial application—the condition monitoring of high-precision paper cutting machines—enhancing condition-based maintenance to improve operational efficiency, safety, and cost-effectiveness. A key element of the proposed approach is the integration of an infrared pyrometer into vibration monitoring, utilizing accelerometer data to evaluate the state of health of machinery. Unlike traditional fault detection studies that focus on extreme degradation states, this work successfully identifies subtle deviations from optimal, which even expert technicians struggle to detect. Building on a feasibility study conducted with Tecnau SRL, a comprehensive diagnostic system suitable for industrial deployment is developed. Endurance tests pave the way for continuous monitoring under various operating conditions, enabling real-time industrial diagnostic applications. Multi-scale signal analysis highlights the significance of transient and steady-state phase detection, improving the effectiveness of real-time monitoring strategies. Despite the physical similarity of the classified states, simple time-series statistics combined with machine learning algorithms demonstrate high sensitivity to early-stage deviations, confirming the reliability of the approach. Additionally, a systematic analysis to downgrade acquisition system specifications identifies cost-effective sensor configurations, ensuring the feasibility of industrial implementation. Full article
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38 pages, 1997 KiB  
Article
Modeling the Evolutionary Mechanism of Multi-Stakeholder Decision-Making in the Green Renovation of Existing Residential Buildings in China
by Yuan Gao, Jinjian Liu, Jiashu Zhang and Hong Xie
Buildings 2025, 15(15), 2758; https://doi.org/10.3390/buildings15152758 - 5 Aug 2025
Abstract
The green renovation of existing residential buildings is a key way for the construction industry to achieve sustainable development and the dual carbon goals of China, which makes it urgent to make collaborative decisions among multiple stakeholders. However, because of divergent interests and [...] Read more.
The green renovation of existing residential buildings is a key way for the construction industry to achieve sustainable development and the dual carbon goals of China, which makes it urgent to make collaborative decisions among multiple stakeholders. However, because of divergent interests and risk perceptions among governments, energy service companies (ESCOs), and owners, the implementation of green renovation is hindered by numerous obstacles. In this study, we integrated prospect theory and evolutionary game theory by incorporating core prospect-theory parameters such as loss aversion and perceived value sensitivity, and developed a psychologically informed tripartite evolutionary game model. The objective was to provide a theoretical foundation and analytical framework for collaborative governance among stakeholders. Numerical simulations were conducted to validate the model’s effectiveness and explore how government regulation intensity, subsidy policies, market competition, and individual psychological factors influence the system’s evolutionary dynamics. The findings indicate that (1) government regulation and subsidy policies play central guiding roles in the early stages of green renovation, but the effectiveness has clear limitations; (2) ESCOs are most sensitive to policy incentives and market competition, and moderately increasing their risk costs can effectively deter opportunistic behavior associated with low-quality renovation; (3) owners’ willingness to participate is primarily influenced by expected returns and perceived renovation risks, while economic incentives alone have limited impact; and (4) the evolutionary outcomes are highly sensitive to parameters from prospect theory, The system’s evolutionary outcomes are highly sensitive to prospect theory parameters. High levels of loss aversion (λ) and loss sensitivity (β) tend to drive the system into a suboptimal equilibrium characterized by insufficient demand, while high gain sensitivity (α) serves as a key driving force for the system’s evolution toward the ideal equilibrium. This study offers theoretical support for optimizing green renovation policies for existing residential buildings in China and provides practical recommendations for improving market competition mechanisms, thereby promoting the healthy development of the green renovation market. Full article
(This article belongs to the Section Building Energy, Physics, Environment, and Systems)
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