Search Results (1,089)

Magnetic gears (MGs) are attracting increasing attention in power transmission systems due to their contactless operation principles, low frictional losses, and high efficiency. However, the broad application potential of these technologies requires a comprehensive evaluation of engineering parameters, such as material selection, energy efficiency, and structural design. This review focuses solely on solid-core magnetic gear systems designed using laminated electrical steels, soft magnetic composites (SMCs), and high-saturation alloys. This review systematically examines the topological diversity, torque transmission principles, and the impact of various core materials, such as electrical steels, soft magnetic composites (SMCs), and cobalt-based alloys, on the performance of magnetic gear systems. Literature-based comparative analyses are structured around topological classifications, evaluation of material properties, and performance analyses based on losses. Additionally, the study highlights that aligning material properties with appropriate manufacturing methods, such as powder metallurgy, wire electrical discharge machining (EDM), and precision casting, is essential for the practical scalability of magnetic gear systems. The findings reveal that coaxial magnetic gears (CMGs) offer a favorable balance between high torque density and compactness, while soft magnetic composites provide significant advantages in loss reduction, particularly at high frequencies. Additionally, application trends in fields such as renewable energy, electric vehicles (EVs), aerospace, and robotics are highlighted. Full article

Background/Objective: In-hospital cardiac arrest has high incidence and poor survival rates, posing a significant healthcare challenge. It is important to intervene in the hours before the cardiac arrest to prevent poor outcomes. The modified early warning score (MEWS) is a validated tool for identifying a deteriorating patient. It is an aggregate of vital signs and level of consciousness. We retrospectively evaluated MEWS for trends that might predict patient outcomes. Methods: We performed a single-center, one-year, retrospective study. A comprehensive review was conducted for patients aged 18 years and above who experienced a cardiac arrest. Cases that occurred within an intensive care unit, emergency department, during a procedure, or outside the hospital were excluded. A total of 87 cases met our predefined inclusion criteria. We collected data at 12 h, 6 h and 1 h time periods prior to the cardiac arrest. A trend analysis using a linear model with analysis of variance with Bonferroni correction was performed. Results: Out of 87 patients included in the study, 59 (67.8%) had an immediate return of spontaneous circulation (ROSC). Among those who achieved ROSC, 41 (69.5%) died during the admission. Only 20.7% of the patients that sustained a cardiac arrest survived to discharge. A significant increase in the average MEWS was noted from the 12 h period (MEWS = 3.95 ± 2.4) to the 1 h period (MEWS = 5.98 ± 3.5) (p ≤ 0.001) and the 6 h period (4.65 ± 2.6) to the 1 h period (5.98 ± 3.5) (p = 0.023) prior to cardiac arrest. Conclusions: An increase in the MEWS may be a valuable tool in identifying at-risk patients and provides an opportunity to intervene at least 6 h before a cardiac arrest event. Further research is needed to validate the results of our study. Full article

In response to the European Union’s revised Urban Wastewater Treatment Directive, which mandates enhanced monitoring and advanced treatment of micropollutants, this study was conducted. It took place within the Coastal Landscape Park (CLP), a Natura 2000 protected area in northern Poland. The focus was on the municipal wastewater treatment plant in Jastrzębia Góra, located in a region exposed to seasonal tourist pressure and discharging effluent into the Czarna Wda River. A total of 90 wastewater samples were collected during five monitoring campaigns (July, September 2021; February, May, July 2022) and analysed for 13 pharmaceuticals and personal care products (PPCPs) using ultra-high-performance liquid chromatography tandem mass spectrometry with electrospray ionisation (UHPLC-ESI-MS/MS). The monitoring included both untreated (UTWW) and treated wastewater (TWW) to assess the PPCP removal efficiency and persistence. The highest concentrations in the treated wastewater were observed for metoprolol (up to 472.9 ng/L), diclofenac (up to 3030 ng/L), trimethoprim (up to 603.6 ng/L) and carbamazepine (up to 2221 ng/L). A risk quotient (RQ) analysis identified diclofenac and LI-CBZ as priority substances for monitoring. Multivariate analyses (PCA, HCA) revealed co-occurrence patterns and seasonal trends. The results underline the need for advanced treatment solutions and targeted monitoring, especially in sensitive coastal catchments with variable micropollutant presence. Full article

Accelerated urbanization and intensified urban development globally lead to increased sewage discharge, challenging environmental protection. Therefore, exploring the correlation mechanism between the economic development level (EDL) and sewage discharge intensity (SDI) is crucial for sustainable development. This study uses panel data from 288 Chinese cities between 2003 and 2021, employs spatial analysis techniques to uncover the spatiotemporal evolution characteristics of SDI, and investigates the influence of economic development on this intensity using spatial panel models. The results reveal that (1) while the spatial distribution of SDI in China generally exhibits a downward trend, changes in the Northeast region are relatively modest, with SDI remaining higher than in other regions. Global autocorrelation analysis further indicates significant spatial agglomeration and positive correlation effects in urban SDI. (2) Economic development exerts a notable inhibitory effect on SDI, with a 0.570% decrease for every 1% rise in GDP per capita, thus demonstrating a significant spatial spillover effect. (3) For megacities, large cities, and small and medium-sized cities, EDLs have significant negative spatial spillover effects on SDI, with a more pronounced impact on large cities. This study provides a theoretical foundation for sewage management and empirical support for environmental policies, crucial for sustainable urban development. Full article

Selecting an appropriate model for discharge simulation remains a fundamental challenge in modeling. While artificial neural networks (ANNs) have been widely accepted due to detecting streamflow patterns, they require large datasets for efficient training. However, when short-term datasets are available, training ANNs becomes problematic. Autoregressive integrated moving average (ARIMA) models offer a promising alternative; however, severe volatility, nonlinearity, and trends in hydrological time series can still lead to significant errors. To address these challenges, this study introduces a new adaptive hybrid model, ARIMA-iGARCH, designed to account volatility, variance inconsistency, and nonlinear behavior in short-term hydrological datasets. We apply the model to four hourly discharge time series from the Schwarzbach River at the Nauheim gauge in Hesse, Germany, under the assumption of normally distributed residuals. The results demonstrate that the specialized parameter estimation method achieves lower complexity and higher accuracy. For the four events analyzed, R² values reached 0.99, 0.96, 0.99, and 0.98; RMSE values were 0.031, 0.091, 0.023, and 0.052. By delivering accurate short-term discharge predictions, the ARIMA-iGARCH model provides a basis for enhancing water resource planning and flood risk management. Overall, the model significantly improves modeling long memory, nonlinear, nonstationary shifts in short-term hydrological datasets by effectively capturing fluctuations in variance. Full article

Modern utilities face unprecedented pressures as trends in digital transformation and democratized energy choice empower consumers to engage in peak shaving, flexible load management, and adopt grid automation and intelligence solutions. A powerful confluence of architectural, technological, and socio-economic forces is transforming the U.S. electricity market, triggering significant changes in electricity production, transmission, and consumption. Utilities are embracing digital twins and repurposed Utility 2.0 concepts—distributed energy resources, microgrids, innovative electricity market designs, real-time automated monitoring, smart meters, machine learning, artificial intelligence, and advanced data and predictive analytics—to foster operational flexibility and market efficiency. This analysis qualitatively evaluates how digitalization, Battery Energy Storage Systems (BESSs), and adaptive strategies to mitigate rebound effects collectively advance smart duck curve management. By leveraging digital platforms for real-time monitoring and predictive analytics, utilities can optimize energy flows and make data-driven decisions. BESS technologies capture surplus renewable energy during off-peak periods and discharge it when demand spikes, thereby smoothing grid fluctuations. This review explores the benefits of targeted digital transformation, BESSs, and managed rebound effects in mitigating the duck curve problem, ensuring that energy efficiency gains translate into actual savings. Furthermore, this integrated approach not only reduces energy wastage and lowers operational costs but also enhances grid resilience, establishing a robust framework for sustainable energy management in an evolving market landscape. Full article

The widespread integration of electric vehicles (EVs) into smart grid infrastructures necessitates intelligent and robust battery health diagnostics to ensure system resilience and performance longevity. While numerous studies have addressed the estimation of State of Health (SOH) and the prediction of remaining useful life (RUL) using machine and deep learning, most existing models fail to capture both short-term degradation trends and long-range contextual dependencies jointly. In this study, we introduce V2G-HealthNet, a novel hybrid deep learning framework that uniquely combines Long Short-Term Memory (LSTM) networks with Transformer-based attention mechanisms to model battery degradation under dynamic vehicle-to-grid (V2G) scenarios. Unlike prior approaches that treat SOH estimation in isolation, our method directly links health prediction to operational decisions by enabling SOH-informed adaptive load scheduling and predictive maintenance across EV fleets. Trained on over 3400 proxy charge-discharge cycles derived from 1 million telemetry samples, V2G-HealthNet achieved state-of-the-art performance (SOH RMSE: 0.015, MAE: 0.012, $R^2$: 0.97), outperforming leading baselines including XGBoost and Random Forest. For RUL prediction, the model maintained an MAE of 0.42 cycles over a five-cycle horizon. Importantly, deployment simulations revealed that V2G-HealthNet triggered maintenance alerts at least three cycles ahead of critical degradation thresholds and redistributed high-load tasks away from ageing batteries—capabilities not demonstrated in previous works. These findings establish V2G-HealthNet as a deployable, health-aware control layer for smart city electrification strategies. Full article

Background and Objectives: Hospital mortality rates have repeatedly been used as important indicators of the quality of care provided and as a good monitoring and evaluation tool. Studies on hospital mortality in Saudi Arabia are scant, with most of the available literature focusing on the COVID-19 era. In this study, the patterns and trends in inpatient mortality at King Fahad Central Hospital in southwest Saudi Arabia from 2018 to 2022 were analyzed. Mortality characteristics, including age-specific mortality rates and associated factors, were also investigated. Materials and Methods: This was a retrospective study analyzing hospital mortality data in King Fahad Central Hospital (KFCH) from 2018 to 2022 using the largest hospital discharge database in the Jazan region. The mortality rates were calculated, and 95% confidence intervals (CIs) were reported. The analysis also documented some associations using logistic regression models. Results: Of the 62,534 patients admitted, 36,971 (59.1%) were females, and 25,543 (40.9%) were males. The mean age (standard deviation) was 24.6 (22.8) years. The overall hospital mortality was 4.8% [95% CI: 4.6–5.0] and was significantly higher among males [7.0%, 95% CI: 6.7–7.3] than females [3.2% 95% CI: 3.1–3.4] (p < 0.05). Mortality was significantly higher in the population aged 60 years and above [17.25%, 95% CI: 16.3–18.2] (p < 0.001). During the five-year period analyzed, mortality was low in 2018 (3.3%), with remarkably high rates during the COVID-19 period of 2020 and 2021 (5.6% and 6.0%, respectively). The disease groups with the highest prevalence of mortality include certain conditions originating in the perinatal period. In the logistic regression model, the male sex [odds ratio OR = 2.3, 95% CI = 2.01–2.43) was associated with an increased mortality risk. Compared to intensive care beds, general bed departments are associated with a 98% lower risk of mortality [OR = 0.015, 95% CI = 0.014–0.017]. Conclusions: This analysis of hospital data statistics revealed a relatively low hospital mortality rate in Jazan. However, the high mortality rates among male patients require further analysis and investigation. Customized interventions targeting high-mortality diseases are recommended. Full article

Background: Pulmonary embolism (PE) increases right ventricular (RV) afterload, potentially leading to myocardial stress and electrocardiographic abnormalities. Although QTc prolongation has been suggested as a marker of RV dysfunction, its prevalence, clinical significance, and prognostic value in acute PE remain poorly defined. Objective: The objective of this study is to evaluate the prevalence and clinical implications of QTc prolongation in patients with intermediate–high and high-risk acute PE. Methods: We retrospectively analyzed 95 consecutive patients admitted with intermediate–high or high-risk PE between September 2021 and December 2023. QTc prolongation was defined as ≥470 ms in males and ≥480 ms in females. Clinical, imaging, and laboratory data were compared between patients with normal and prolonged QTc intervals. QTc was assessed at admission, after treatment, and prior to discharge. Results: QTc prolongation was observed in 28.4% of patients at presentation. This group had significantly higher lactate levels (2.3 vs. 1.8 mmol/L, p = 0.03) and a non-significant trend toward elevated troponin and lower oxygen saturation. No differences were observed in echocardiographic or CT-based RV dysfunction parameters. QTc values normalized by discharge irrespective of treatment modality. There was no association between QTc prolongation and in-hospital or long-term mortality. A trend toward more aspiration thrombectomy was noted in the prolonged QTc group (29.6% vs. 11.8%, p = 0.06). Conclusions: QTc prolongation is common in acute intermediate–high and high-risk PE and may reflect transient myocardial stress. While not predictive of clinical outcomes, it should be considered in the differential diagnosis of QTc prolongation in patients presenting with dyspnea and chest pain. Full article

Poyang Lake, a large floodplain lake, plays a crucial role in the ecological safety and quality of life in surrounding areas. Over the past decade (2013–2022), amid economic development and environmental changes, the water environment of Poyang Lake has encountered complex challenges. This study evaluated the water quality of Poyang Lake in a recent 10-year span by the water quality index (WQI), trophic level index (TLI) and a newly constructed comprehensive evaluation index, and it analyzed the trend of water quality change under extreme events. Meanwhile, the main factors affecting the water quality of Poyang Lake were analyzed by partial least squares (PLS), a multivariate statistical method that accounts for multicollinearity. The results indicate that: (1) The water quality of Poyang Lake in summer and autumn is slightly worse than that in spring and winter. Each water quality index reflects the distinct states of the water environment in Poyang Lake. (2) Each water quality evaluation index responds differently to influencing factors. (3) Extreme flood and drought events have markedly different impacts on the water environment of Poyang Lake, exhibiting significant spatial heterogeneity. Domestic sewage discharge and total water resources have a relatively great impact on the water environment of Poyang Lake. The results of this study provide important insights for water quality management and policy formulation in Poyang Lake, supporting sustainable regional development. Full article

The increasing deployment of photovoltaic and energy storage systems (ESSs) in modern power grids has highlighted the critical challenge of component degradation, which significantly impacts system efficiency, operational costs, and long-term reliability. Conventional energy dispatch and optimization approaches fail to adequately mitigate the progressive efficiency loss in PV modules and battery storage, leading to suboptimal performance and reduced system longevity. To address these challenges, this paper proposes a quantum-enhanced degradation pathway optimization framework that dynamically adjusts operational strategies to extend the lifespan of PV storage systems while maintaining high efficiency. By leveraging quantum-assisted Monte Carlo simulations and hybrid quantum–classical optimization, the proposed model evaluates degradation pathways in real time and proactively optimizes energy dispatch to minimize efficiency losses due to aging effects. The framework integrates a quantum-inspired predictive maintenance algorithm, which utilizes probabilistic modeling to forecast degradation states and dynamically adjust charge–discharge cycles in storage systems. Unlike conventional optimization methods, which struggle with the complexity and stochastic nature of degradation mechanisms, the proposed approach capitalizes on quantum parallelism to assess multiple degradation scenarios simultaneously, significantly enhancing computational efficiency. A three-layer hierarchical optimization structure is introduced, ensuring real-time degradation risk assessment, periodic dispatch optimization, and long-term predictive adjustments based on PV and battery aging trends. The framework is tested on a 5 MW PV array coupled with a 2.5 MWh lithium-ion battery system, with real-world degradation models applied to reflect light-induced PV degradation (0.7% annual efficiency loss) and battery state-of-health deterioration (1.2% per 100 cycles). A hybrid quantum–classical computing environment, utilizing D-Wave’s Advantage quantum annealer alongside a classical reinforcement learning-based optimization engine, enables large-scale scenario evaluation and real-time operational adjustments. The simulation results demonstrate that the quantum-enhanced degradation optimization framework significantly reduces efficiency losses, extending the PV module’s lifespan by approximately 2.5 years and reducing battery-degradation-induced wear by 25% compared to conventional methods. The quantum-assisted predictive maintenance model ensures optimal dispatch strategies that balance energy demand with system longevity, preventing excessive degradation while maintaining grid reliability. The findings establish a novel paradigm in degradation-aware energy optimization, showcasing the potential of quantum computing in enhancing the sustainability and resilience of PV storage systems. This research paves the way for the broader integration of quantum-based decision-making in renewable energy infrastructure, enabling scalable, high-performance optimization for future energy systems. Full article

Background/Objectives: Dyspnea is one of the main causes of visits to the Emergency Department (ED) and hospitalization, with its differential diagnosis representing a challenge for the clinician. Lung ultrasound (LUS) is a widely used tool in ED. The objective of this study was to evaluate the impact of LUS, performed by a non-expert operator, in determining diagnosis and prognosis of patients with dyspnea. Methods: A total of 60 patients presenting with dyspnea at the ED were prospectively enrolled and underwent LUS examination by a medical student, after brief training, within 3 h of triage. LUS findings were classified into four patterns: N.1, absence of notable ultrasound findings, attributable to COPD/ASMA exacerbation; N.2, bilateral interstitial syndrome, suggestive of acute heart failure; N.3, subpleural changes/parenchymal consolidations, suggestive of pneumoniae; and N.4, isolate polygonal triangular consolidation, attributable to infarction in the context of pulmonary thromboembolism. Results: The diagnostic hypothesis formulated after LUS was compared with the final diagnosis after further investigations in the ED, showing agreement in 90% of cases. The mean LUS score value was higher in patterns N.2 (18.4 ± 8.5) and N.3 (17 ± 6.6), compared to patterns N.1 and N.4 (9.8± 6.7 and 11.5 ± 2.1). Given the high prevalence of pattern N.2, the diagnostic accuracy of LUS in this context was further evaluated, showing a sensitivity of 82% and specificity of 100%. In terms of the prognostic value of LUS, hospitalized patients had a higher LUS score compared to those discharged (17.3 ± 8.1 vs. 8.5 ± 6.8, p value 0.004). A similar trend was obtained in the subgroup of patients requiring non-invasive ventilation (NIV), who present a higher LUS score (21.1 ± 6.6 vs. 13.1 ± 8.1, p value 0.002). When considering a combined outcome (death and NIV), patients with worse outcomes more often had a LUS score > 15 (p value < 0.001). Conclusions: In conclusion, this study confirms that LUS is a very useful tool in the ED, assisting the clinical evaluation for diagnosis, treatment decision, and determination of the appropriate care setting for patients with acute dyspnea. Its short learning curve allows even non-expert staff to use it effectively. Full article

Hydrological processes in river systems are changing due to climate variability and human activities, making it crucial to understand and quantify these changes for effective water resource management. This study examines long-term trends in hydroclimate variables (1990–2022) and land use/land cover (LULC) changes (1988, 2002, and 2022) within the Continental Reach of the Gambia River Basin (CGRB). Trend analyses of the Standardized Precipitation-Evapotranspiration Index (SPEI) at 12-month and 24-month scales, along with river discharge at the Simenti station, reveal a shift from dry conditions to wetter phases post-2008, marked by significant increases in rainfall and discharge variability. LULC analysis revealed significant transformations in the basin. LULC analysis highlights significant transformations within the basin. Forest and savanna areas decreased by 20.57 and 4.48%, respectively, between 1988 and 2002, largely due to human activities such as agricultural expansion and deforestation for charcoal production. Post-2002, forest cover recovered from 32.36 to 36.27%, coinciding with the wetter conditions after 2008, suggesting that climatic shifts promoted vegetation regrowth. Spatial analysis further highlights an increase in bowe and steppe areas, especially in the north, indicating land degradation linked to human land use practices. Bowe areas, marked by impermeable laterite outcrops, and steppe areas with sparse herbaceous cover result from overgrazing and soil degradation, exacerbated by the region’s drier phases. A notable decrease in burned areas from 2.03 to 0.23% suggests improvements in fire management practices, reducing fire frequency, which is also supported by wetter conditions post-2008. Agricultural land and bare soils expanded by 14%, from 2.77 to 3.07%, primarily in the northern and central regions, likely driven by both population pressures and climatic shifts. Correlations between precipitation and land cover changes indicate that wetter conditions facilitated forest regrowth, while drier conditions exacerbated land degradation, with human activities such as deforestation and agricultural expansion potentially amplifying the impact of climatic shifts. These results demonstrate that while climatic shifts played a role in driving vegetation recovery, human activities were key in shaping land use patterns, impacting both precipitation and stream discharge, particularly due to agricultural practices and land degradation. Full article

Rivers play a crucial role in the hydrological cycle and serve as essential freshwater resources for both human populations and ecosystems. Climate change significantly alters precipitation patterns and river discharge variability. However, the impact of precipitation patterns (rainfall and snowfall) and air temperature on river discharge in coastal zones remains inadequately understood. This study focused on Toyama Prefecture, located along the Sea of Japan, as a representative coastal area. We analyzed over 30 years of datasets, including air temperature, precipitation, snowfall, and river discharge, to assess the effects of climate change on river discharge. Trends in hydroclimatic datasets were assessed using the rescaled adjusted partial sums (RAPS) method and the Mann–Kendall (MK) non-parametric test. Furthermore, a correlation analysis and the Structural Equation Model (SEM) were applied to construct a relationship between precipitation, temperature, and river discharge. Our findings indicated a significant increase in air temperature at a rate of 0.2 °C per decade, with notable warming observed in late winter (January and February) and early spring (March). The average river fluxes for the Jinzu, Oyabe, Kurobe, Shou, and Joganji rivers were 182.52 m³/s, 60.37 m³/s, 41.40 m³/s, 38.33 m³/s, and 18.72 m³/s, respectively. The tipping point for snowfall decline occurred in 1992, marked by an obvious decrease in snowfall depth. The SEM showed that, although rainfall dominated the changes in river discharge (loading = 0.94), the transition from solid (snow) to liquid (rain) precipitation may alter the river discharge regime. The percentage of flood occurrence increased from 19% (1940–1992) to 41% (1993–2020). These changes highlight the urgent need to raise awareness about the impacts of climate change on river floods and freshwater resources in global coastal regions. Full article

Background/Objectives: Elderly patients who suffer a hip fracture often have a high risk of complications and mortality, which can be made worse by anemia during and after surgery. Although restrictive transfusion strategies are recommended, the role of preoperative intravenous iron, particularly ferric carboxymaltose (FCM), remains unclear. This study aimed to investigate whether preoperative IV FCM reduces mortality and transfusion requirements in geriatric hip fracture patients managed under a restrictive transfusion strategy. Methods: A study was conducted in which 220 patients aged 65 years and over who had undergone surgery for a hip fracture were included. These patients were allocated to receive either a single 1000 mg dose of intravenous FCM approximately 12 h before surgery or no iron supplementation. All the patients were managed with a standardized restrictive transfusion strategy. The primary outcome was all-cause mortality at 6 and 12 months. The secondary outcomes included perioperative transfusion requirement, hemoglobin trends, and length of hospital stay. Results: The FCM group demonstrated significantly lower mortality at both 6 months (22.9% vs. 39.0%, p = 0.011) and 12 months (28.4% vs. 42.9%, p = 0.028) compared to the control group. Multivariate logistic regression identified preoperative FCM administration as one of the independent protective factors for mortality. The FCM group had significantly lower transfusion rates (30.9% vs. 45.5%, p = 0.02). No significant difference was observed at the 6-week follow-up in terms of the higher discharge hemoglobin levels seen in the control group. The difference in hospital stay duration did not reach statistical significance. Conclusions: Preoperative intravenous FCM administration could reduce both short- and long-term mortality and transfusion needs in geriatric hip fracture patients managed under a restrictive transfusion protocol. These findings support further investigation of high dose IV iron as a component of perioperative blood management in this high-risk population. Full article