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Search Results (739)

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Keywords = two-stage conversion

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23 pages, 4912 KiB  
Article
A Dynamic Analysis of Oscillating Water Column Systems: Design of a 16 kW Wells Turbine for Coastal Energy Generation in Ecuador
by Brayan Ordoñez-Saca, Mayken Espinoza-Andaluz, Carlos Vallejo-Cervantes, Julio Barzola-Monteses, Marcos Guamán-Macias and Christian Aldaz-Trujillo
Processes 2025, 13(8), 2349; https://doi.org/10.3390/pr13082349 - 24 Jul 2025
Abstract
The work presents the design of an Oscillating Water Column (OWC) system with a nominal capacity of 16 kW, proposed as a contribution to reducing the energy gap in Ecuador, where electricity demand surpasses supply. The province of Santa Elena was selected as [...] Read more.
The work presents the design of an Oscillating Water Column (OWC) system with a nominal capacity of 16 kW, proposed as a contribution to reducing the energy gap in Ecuador, where electricity demand surpasses supply. The province of Santa Elena was selected as a promising site due to its favorable wave conditions and coastal location. The design process involved identifying areas with high wave energy potential, conducting a brief mathematical modeling analysis, and defining the parameters required for the system. Computational Fluid Dynamics (CFD) simulations were carried out in two stages: In the first stage, OpenFOAM was used to evaluate wave behavior, specifically flow velocity and pressure, before the water enters the generation chamber. In the second stage, a different CFD tool was used, incorporating the output data from OpenFOAM to simulate the energy conversion process inside the Wells turbine. This analysis focused on how the turbine captures and transforms the wave energy into usable power. The results show that, under ideal conditions, the system achieves an average power output of 11 kW. These findings suggest that implementing this type of system in coastal regions of Ecuador is both viable and beneficial for local energy development. Full article
(This article belongs to the Special Issue Advances in Hydraulic Machinery and Systems)
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18 pages, 7456 KiB  
Article
Eurycomanone Blocks TGF-β1-Induced Epithelial-to-Mesenchymal Transition, Migration, and Invasion Pathways in Human Non-Small Cell Lung Cancer Cells by Targeting Smad and Non-Smad Signaling
by Pratchayanon Soddaen, Kongthawat Chairatvit, Pornsiri Pitchakarn, Tanongsak Laowanitwattana, Arisa Imsumran and Ariyaphong Wongnoppavich
Int. J. Mol. Sci. 2025, 26(15), 7120; https://doi.org/10.3390/ijms26157120 - 23 Jul 2025
Abstract
Non-small cell lung cancer (NSCLC) is a predominant form of lung cancer that is often diagnosed at an advanced metastatic stage. The processes of cancer cell migration and invasion involve epithelial-to-mesenchymal transition (EMT), which is crucial for metastasis. Targeting cancer aggressiveness with effective [...] Read more.
Non-small cell lung cancer (NSCLC) is a predominant form of lung cancer that is often diagnosed at an advanced metastatic stage. The processes of cancer cell migration and invasion involve epithelial-to-mesenchymal transition (EMT), which is crucial for metastasis. Targeting cancer aggressiveness with effective plant compounds has gained attention as a potential adjuvant therapy. Eurycomanone (ECN), a bioactive quassinoid found in the root of Eurycoma longifolia Jack, has demonstrated anti-cancer activity against various carcinoma cell lines, including human NSCLC cells. This study aimed to investigate the in vitro effects of ECN on the migration and invasion of human NSCLC cells and to elucidate the mechanisms by which ECN modulates the EMT in these cells. Non-toxic doses (≤IC20) of ECN were determined using the MTT assay on two human NSCLC cell lines: A549 and Calu-1. The results from wound healing and transwell migration assays indicated that ECN significantly suppressed the migration of both TGF-β1-induced A549 and Calu-1 cells. ECN exhibited a strong anti-invasive effect, as its non-toxic doses significantly suppressed the TGF-β1-induced invasion of NSCLC cells through Matrigel and decreased the secretion of MMP-2 from these cancer cells. Furthermore, ECN could affect the TGF-β1-induced EMT process in various ways in NSCLC cells. In TGF-β1-induced A549 cells, ECN significantly restored the expression of E-cadherin by inhibiting the Akt signaling pathway. Conversely, in Calu-1, ECN reduced the aggressive phenotype by decreasing the expression of the mesenchymal protein N-cadherin and inhibiting the TGF-β1/Smad pathway. In conclusion, this study demonstrated the anti-invasive activity of eurycomanone from E. longifolia Jack in human NSCLC cells and provided insights into its mechanism of action by suppressing the effects of TGF-β1 signaling on the EMT program. These findings offer scientific evidence to support the potential of ECN as an alternative therapy for metastatic NSCLC. Full article
(This article belongs to the Special Issue Natural Products with Anti-Inflammatory and Anticancer Activity)
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20 pages, 5297 KiB  
Article
The Validation and Discussion of a Comparative Method Based on Experiment to Determine the Effective Thickness of Composite Glass
by Dake Cao, Xiaogen Liu, Zhe Yang, Jiawei Huang, Ming Xu and Detian Wan
Buildings 2025, 15(14), 2542; https://doi.org/10.3390/buildings15142542 - 19 Jul 2025
Viewed by 156
Abstract
This study introduces and validates a comparative experiment-based method for determining the effective thickness of composite glass, including polymeric laminated glass (with polyvinyl butyral (PVB) and SentryGlas® (SGP) interlayers) and vacuum glazing. This method employs comparative four-point bending tests, defining effective thickness [...] Read more.
This study introduces and validates a comparative experiment-based method for determining the effective thickness of composite glass, including polymeric laminated glass (with polyvinyl butyral (PVB) and SentryGlas® (SGP) interlayers) and vacuum glazing. This method employs comparative four-point bending tests, defining effective thickness by equating the bending stress of a composite specimen to that of a reference monolithic glass specimen under identical loading and boundary conditions. Specimens with varying configurations (glass thicknesses of 5 mm, 6 mm and 8 mm) were tested using non-destructive four-point bending tests under a multi-stage loading protocol (100 N–1000 N). Strain rosettes measured maximum strains at each loading stage to calculate bending stress. Analysis of the bending stress state revealed that vacuum glazing and SGP laminated glass exhibit superior load-bearing capacity compared to PVB laminated glass. The proposed method successfully determined the effective thickness for both laminated glass and vacuum glazing. Furthermore, results demonstrate that employing a 12 mm monolithic reference glass provides the highest accuracy for effective thickness determination. Theoretical bending stress calculations using the effective thickness derived from the 12 mm reference glass showed less than 10% deviation from experimental values. Conversely, compared to established standards and empirical formulas, the proposed method offers superior accuracy, particularly for vacuum glazing. Additionally, the mechanical properties of the viscoelastic interlayers (PVB and SGP) were investigated through static tensile tests and dynamic thermomechanical analysis (DMA). Distinct tensile behaviors and differing time-dependent shear transfer capacities between the two interlayer materials are found out. Key factors influencing the reliability of the method are also discussed and analyzed. This study provides a universally practical and applicable solution for accurate and effective thickness estimation in composite glass design. Full article
(This article belongs to the Section Building Materials, and Repair & Renovation)
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16 pages, 410 KiB  
Article
Effects of Dietary Supplementation with Extruded Linseed on Growth Performance and Meat Quality of Young Holstein Bulls
by Stella Dokou, Maria Eleni Filippitzi, Anestis Tsitsos, Vasiliki Papanikolopoulou, Stergios Priskas, Vangelis Economou, Eleftherios Bonos, Ilias Giannenas and Georgios Arsenos
Animals 2025, 15(14), 2123; https://doi.org/10.3390/ani15142123 - 17 Jul 2025
Viewed by 208
Abstract
Beef production in Greece is a sector that has been characterized by a decline in both the output and the number of beef-producing animals over the last decades. The major challenge is low beef self-sufficiency; only 19.1% of demand is met by domestic [...] Read more.
Beef production in Greece is a sector that has been characterized by a decline in both the output and the number of beef-producing animals over the last decades. The major challenge is low beef self-sufficiency; only 19.1% of demand is met by domestic production. The latter leads to a growing reliance on imports of both live animals and carcasses. Hence, the fattening of young bulls from dairy breeds could be an option to address this challenge subject to improving the quality of produced meat. The objective of the present study was to investigate the effects of extruded linseed in the diet of young bulls on their performance and meat quality. Sixty-eight young Holstein bulls were equally assigned in two experimental groups: the control group (CON, n = 34) and Linseed Group (LS, n = 34). Bulls in the CON group received a basal total mixed ration while LS young bulls were offered the same basal ration supplemented with linseed (5% on dry matter basis) during the final fattening stage. All bulls were subjected to three individual weightings at the beginning, the middle and the end of the trial. The feed offered was recorded daily and feed refusals were weighed for each pen to calculate feed intake. After slaughter, the Longissimus dorsi muscle from each carcass was collected to evaluate meat pH, color, chemical composition, tenderness and fatty acid profile. Analysis of variance was used to evaluate the effect of dietary intervention on performance and examined meat parameters, with significance set at p < 0.05, using SPSS software (version 29.0). Average daily gain, dry matter intake and feed conversion ratio were not affected by the dietary intervention (p > 0.05). Similarly, carcass yield and dressing percentage remained unaffected (p > 0.05). Adding extruded linseed did not result in differences in meat quality traits (p > 0.05), except for meat pH, which was significantly decreased in the LS group (p < 0.05), indicating more efficient post-mortem glycolysis. Finally, the inclusion of extruded linseed resulted in higher levels of α-linolenic acid in the meat (p < 0.05). These results suggest that including 5% extruded linseed (on a DM basis) in the diet of young Holstein bulls increased meat n-3 content, improved beef pH and maintained production performance. Full article
(This article belongs to the Special Issue Beef Cattle Feedlot: Nutrition, Production and Management)
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28 pages, 22195 KiB  
Article
Investigating Attributes of Oil Source Rocks by Combining Geochemical Approaches and Basin Modelling (Central Gulf of Suez, Egypt)
by Moataz Barakat, Mohamed Reda, Dimitra E. Gamvroula, Robert Ondrak and Dimitrios E. Alexakis
Resources 2025, 14(7), 114; https://doi.org/10.3390/resources14070114 - 16 Jul 2025
Viewed by 407
Abstract
The present study focused on the Upper Cretaceous to Middle Miocene sequence in the Central Gulf of Suez, Egypt. The Upper Cretaceous to Middle Miocene sequence in the October field is thick and deeply buried, consisting mainly of brown limestone, chalk limestone, and [...] Read more.
The present study focused on the Upper Cretaceous to Middle Miocene sequence in the Central Gulf of Suez, Egypt. The Upper Cretaceous to Middle Miocene sequence in the October field is thick and deeply buried, consisting mainly of brown limestone, chalk limestone, and reefal limestone intercalated with clastic shale. This study integrated various datasets, including total organic carbon (TOC), Rock-Eval pyrolysis, visual kerogen examination, vitrinite reflectance (%Ro), and bottom-hole temperature measurements. The main objective of this study is to delineate the source rock characteristics of these strata regarding organic richness, thermal maturity, kerogen type, timing of hydrocarbon transformation and generation. The Upper Cretaceous Brown Limestone Formation is represented by 135 samples from four wells and is considered to be a fair to excellent source rock, primarily containing type I and II kerogen. It is immature to early mature, generating oil with a low to intermediate level of hydrocarbon conversion. The Eocene Thebes Formation is represented by 105 samples from six wells and is considered to be a good to fair oil source rock with some potential for gas, primarily containing type II and II/III kerogen. Most samples are immature with a low level of hydrocarbon conversion while few are mature having an intermediate degree of hydrocarbon conversion. The Middle Miocene Lower Rudeis Formation is represented by 8 samples from two wells and considered to be a fair but immature source rock, primarily containing type III kerogen with a low level of conversion representing a potential source for gas. The Middle Miocene Belayim Formation is represented by 29 samples from three wells and is considered to be a poor to good source rock, primarily containing kerogen type II and III. Most samples are immature with a low level of hydrocarbon conversion while few are mature having an intermediate degree of hydrocarbon conversion. 1D basin model A-5 well shows that the Upper Cretaceous Brown Limestone source rock entered the early oil window at 39 Ma, progressed to the main oil window by 13 Ma, and remains in this stage today. The Eocene Thebes source rock began generating hydrocarbons at 21.3 Ma, advanced to the main oil window at 11 Ma, and has been in the late oil window since 1.6 Ma. The Middle Miocene Lower Rudeis source rock entered the early oil window at 12.6 Ma, transitioned to the main oil window at 5.7 Ma, where it remains active. In contrast, the Middle Miocene Belayim source rock has not yet reached the early oil window and remains immature, with values ranging from 0.00 to 0.55 % Ro. The transformation ratio plot shows that the Brown Limestone Formation began transforming into the Upper Cretaceous (73 Ma), reaching 29.84% by the Miocene (14.3 Ma). The Thebes Formation initiated transformation in the Late Eocene (52.3 Ma) and reached 6.42% by 16.4 Ma. The Lower Rudeis Formation began in the Middle Miocene (18.7 Ma), reaching 3.59% by 9.2 Ma. The Belayim Formation started its transformation at 11.2 Ma, reaching 0.63% by 6.8 Ma. Full article
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21 pages, 664 KiB  
Article
Trust, Privacy Fatigue, and the Informed Consent Dilemma in Mobile App Privacy Pop-Ups: A Grounded Theory Approach
by Ming Chen and Meimei Chen
J. Theor. Appl. Electron. Commer. Res. 2025, 20(3), 179; https://doi.org/10.3390/jtaer20030179 - 14 Jul 2025
Viewed by 309
Abstract
As data becomes a core driver of modern business innovation, mobile applications increasingly collect and process users’ personal information, posing significant challenges to the effectiveness of informed consent and the legitimacy of user authorization. Existing research on privacy informed consent mechanisms has predominantly [...] Read more.
As data becomes a core driver of modern business innovation, mobile applications increasingly collect and process users’ personal information, posing significant challenges to the effectiveness of informed consent and the legitimacy of user authorization. Existing research on privacy informed consent mechanisms has predominantly focused on privacy policy texts and normative legal discussions, often overlooking a critical touchpoint—the launch-time privacy pop-up window. Moreover, empirical investigations from the user’s perspective remain limited. To address these issues, this study employs a two-stage approach combining compliance audit and grounded theory. The preliminary audit of 21 mobile apps assesses the compliance of privacy pop-ups, and the formal study uses thematic analysis of interviews with 19 participants to construct a dual-path explanatory framework. Key findings reveal that: (1) while the reviewed apps partially safeguarded users’ right to be informed, compliance deficiencies still persist; (2) trust and privacy fatigue emerge as dual motivations driving user consent. Trust plays a critical role in amplifying the impact of positive messages within privacy pop-ups by enhancing the consistency among users’ cognition, affect, and behavior, thereby reducing resistance to privacy consent and improving the effectiveness of the current informed consent framework. Conversely, privacy fatigue increases the inconsistency among these factors, undermining consent effectiveness and exacerbating the challenges associated with informed consent. This study offers a user-centered framework to explain the dynamics of informed consent in mobile privacy pop-ups and provides actionable insights for regulators, developers, and privacy advocates seeking to enhance transparency and user autonomy. Full article
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12 pages, 2491 KiB  
Article
Feasibility and Clinical Outcomes of Robot-Assisted Sacrocolpopexy Using Autologous Round Ligament Grafts: A Novel Non-Mesh Surgical Approach for Pelvic Organ Prolapse
by Shinichi Togami, Takashi Ushiwaka, Nozomi Furuzono, Yusuke Kobayashi, Chikako Nagata, Mika Fukuda, Mika Mizuno, Shintaro Yanazume and Hiroaki Kobayashi
Medicina 2025, 61(7), 1242; https://doi.org/10.3390/medicina61071242 - 9 Jul 2025
Viewed by 224
Abstract
Background and Objectives: To evaluate the feasibility and clinical outcomes of a novel non-mesh robot-assisted sacrocolpopexy (RSC) using autologous round ligament (ARL) grafts in patients with pelvic organ prolapse (POP). Materials and Methods: This retrospective study included 92 patients who underwent non-mesh RSC [...] Read more.
Background and Objectives: To evaluate the feasibility and clinical outcomes of a novel non-mesh robot-assisted sacrocolpopexy (RSC) using autologous round ligament (ARL) grafts in patients with pelvic organ prolapse (POP). Materials and Methods: This retrospective study included 92 patients who underwent non-mesh RSC with ARL grafts at Kagoshima University Hospital between August 2020 and June 2024. All patients met the inclusion criteria for symptomatic POP-Q stage II or higher and elected to undergo non-mesh RSC. The procedures were performed using the da Vinci® Xi or the hinotori™ Surgical Robot System. The clinical characteristics, operative data, complications, and recurrence rates were analyzed. Results: ARL harvesting was feasible in all patients, and the non-mesh RSC procedure was completed without conversion to open surgery or any intraoperative complications. The median operative time was 251 min, and the median blood loss was 30 mL. Postoperative complications of Clavien-Dindo grade ≥ 2 occurred in five patients (5%), all of whom developed pelvic infections. De novo stress urinary incontinence was observed in one patient (1%). POP recurrence occurred in seven patients (8%) during a median follow-up of 3 months (range, 3–18 months), all of whom presented with cystocele. Five patients underwent reoperation, and two were managed conservatively. All patients experienced postoperative symptomatic improvement. A higher BMI and advanced POP-Q stage were significant predictors of recurrence. Conclusions: This is the first report of non-mesh RSC using an ARL graft. The procedure is feasible and effective, avoids the use of synthetic mesh, and offers short-term outcomes comparable to those of mesh-based RSC. ARL-based RSC represents a promising alternative, especially for patients at risk of mesh-related complications. Long-term follow-up is required to confirm durability. Full article
(This article belongs to the Section Obstetrics and Gynecology)
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9 pages, 339 KiB  
Article
Plyometric Training in Prepubertal Soccer Players: Is It Really Effective for Soccer Performance?
by Edoardo Lo Russo, Matteo Levi Micheli, Andrea Vieri, Pascal Izzicupo and Gabriele Mascherini
Biomechanics 2025, 5(3), 50; https://doi.org/10.3390/biomechanics5030050 - 1 Jul 2025
Viewed by 354
Abstract
Background/Objectives: Plyometric training is a method of increasing soccer performance which leverages the muscle stretch-shortening cycle. This study aimed to evaluate the safety and effectiveness of plyometric training in prepubertal soccer players. Methods: Twenty-three young athletes (age 9.4 ± 0.3 years) from an [...] Read more.
Background/Objectives: Plyometric training is a method of increasing soccer performance which leverages the muscle stretch-shortening cycle. This study aimed to evaluate the safety and effectiveness of plyometric training in prepubertal soccer players. Methods: Twenty-three young athletes (age 9.4 ± 0.3 years) from an elite club, training three times per week, were enrolled. During one of the weekly training sessions, twelve players formed the experimental group (PLYO), incorporating a 45 min plyometric training component into their routine, while the control group (CON), consisting of eleven players continued with their usual training program. At baseline and after 12 weeks, anthropometric parameters, flexibility, lower limb strength, and agility were assessed. Results: At baseline, no differences were observed between the two groups in anthropometric or physical performance parameters. No injuries occurred during the study. After 12 weeks, both groups showed significant growth and performance improvements. However, the PLYO showed a significantly greater increase in lower limb strength (Δ + 10.7%) compared to the CON (Δ + 6.0%). Conversely, although not statistically significant, agility improvements were greater in the CON (Δ + 12.4%) than in the PLYO (Δ + 8.6%). Conclusions: Plyometric training appears to be a safe and effective method for enhancing lower limb strength in prepubertal athletes. However, this strength gain did not directly translate into greater agility, which may benefit more from sport-specific training during this developmental stage. Full article
(This article belongs to the Collection Locomotion Biomechanics and Motor Control)
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18 pages, 1859 KiB  
Article
PET and SPECT Tracer Development via Copper-Mediated Radiohalogenation of Divergent and Stable Aryl-Boronic Esters
by Austin Craig, Frederik J. Sachse, Markus Laube, Florian Brandt, Klaus Kopka and Sven Stadlbauer
Pharmaceutics 2025, 17(7), 837; https://doi.org/10.3390/pharmaceutics17070837 - 26 Jun 2025
Viewed by 442
Abstract
Background/Objectives: Positron emission tomography (PET) and single-photon emission computed tomography (SPECT) are highly sensitive clinical imaging modalities, frequently employed in conjunction with magnetic resonance imaging (MRI) or computed tomography (CT) for diagnosing a wide range of disorders. Efficient and robust radiolabeling methods [...] Read more.
Background/Objectives: Positron emission tomography (PET) and single-photon emission computed tomography (SPECT) are highly sensitive clinical imaging modalities, frequently employed in conjunction with magnetic resonance imaging (MRI) or computed tomography (CT) for diagnosing a wide range of disorders. Efficient and robust radiolabeling methods are needed to accommodate the increasing demand for PET and SPECT tracer development. Copper-mediated radiohalogenation (CMRH) reactions enable rapid late-stage preparation of radiolabeled arenes, yet synthetic challenges and radiolabeling precursors’ instability can limit the applications of CMRH approaches. Methods: A series of aryl-boronic acids were converted into their corresponding aryl-boronic acid 1,1,2,2-tetraethylethylene glycol esters [ArB(Epin)s] and aryl-boronic acid 1,1,2,2-tetrapropylethylene glycol esters [ArB(Ppin)s] as stable and versatile precursor building blocks for radiolabeling via CMRH. General protocols for the preparation of 18F-labeled and 123I-labeled arenes utilizing CMRH of these substrates were developed and applied. The radiochemical conversions (RCC) were determined by radio-(U)HPLC. Results: Both ArB(Epin)s and ArB(Ppin)s-based radiolabeling precursors were prepared in a one-step synthesis with chemical yields of 49–99%. Radiolabeling of the aryl-boronic esters with fluorine-18 or iodine-123 via CMRH furnished the corresponding radiolabeled arenes with RCC of 7–99% and 10–99%, respectively. Notably, a radiohalogenated prosthetic group containing a vinyl sulfone motif was obtained with an activity yield (AY) of 18 ± 3%, and applied towards the preparation of two clinically relevant PET tracers. Conclusions: This approach enables the synthesis of stable radiolabeling precursors and thus provides increased versatility in the application of CMRH, thereby supporting the development of novel PET and SPECT radiotracers. Full article
(This article belongs to the Section Clinical Pharmaceutics)
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19 pages, 1769 KiB  
Article
Penile Cancer Profile in a Central European Context: Clinical Characteristics, Prognosis, and Outcomes—Insights from a Polish Tertiary Medical Center
by Mateusz Czajkowski, Michał Falis, Agata Błaczkowska, Agnieszka Rybarczyk, Piotr M. Wierzbicki, Jakub Gondek, Marcin Matuszewski and Oliver W. Hakenberg
Cancers 2025, 17(13), 2140; https://doi.org/10.3390/cancers17132140 - 25 Jun 2025
Viewed by 338
Abstract
Background: Penile cancer is an uncommon malignancy in European and North America countries, accounting for less than 1% of malignant neoplasms. The etiology of penile cancer involves a complex interplay of clinical and behavioral factors, including phimosis, smoking, excess body weight, and HPV [...] Read more.
Background: Penile cancer is an uncommon malignancy in European and North America countries, accounting for less than 1% of malignant neoplasms. The etiology of penile cancer involves a complex interplay of clinical and behavioral factors, including phimosis, smoking, excess body weight, and HPV infection. The significance of these factors varies according to geographical and socioeconomic contexts. A comprehensive understanding of these interactions is essential for developing targeted prevention strategies and improving outcomes across diverse populations. However, the majority of existing studies originate from South America or Africa; there is a lack of data regarding these associations and prognoses in European populations, particularly in Central Europe, including Poland. Objectives: This study aimed to investigate the prevalence of well-established clinical and behavioral characteristics associated with penile cancer and their influence on penile cancer prognosis in a cohort of 153 patients who underwent surgical intervention at a single tertiary medical center in Central Europe. Materials and Methods: This retrospective study was conducted from October 2011 to October 2024 at a single tertiary medical center and included 153 patients who underwent surgical treatment for penile cancer during this period. Demographic and histopathological data were collected. A comprehensive, self-administered patient survey was conducted to identify the presence of potentially relevant clinical and lifestyle characteristics. Moreover, the prevalence of human papillomavirus (HPV) in penile cancer specimens was determined using p16 immunohistochemistry. Results: The median age of the participants in the study was 64 years (range: 30–87). The predominant identified features were phimosis (47.06%), residence in small agglomerations (43.14%), obesity (43.14%), overweight (40.52%), and smoking (38.56%). HPV infection was detected in only 14.38% of the patients. Phimosis was associated with a more locally advanced penile cancer stage (T-stage). The stage of the primary tumor, lymph node involvement, and histopathological grading significantly affected patient survival, with a poorer prognosis observed in more advanced stages and associated with poorly differentiated histopathological features. Among all the examined clinical and lifestyle characteristics, only smoking demonstrated a significant two-fold higher risk of mortality and was associated with a significantly lower overall survival compared to the absence of smoking (p = 0.047). Conversely, human papillomavirus (HPV) infection was associated with a six-fold reduction in the risk of death (p = 0.063). Conclusions: Phimosis was the most frequently observed clinical characteristic in our cohort study and was correlated with a more advanced penile cancer tumor stage. Smoking was associated with lower rates of patient survival, while HPV-positive patients demonstrated a trend toward lower mortality compared to HPV-negative patients. Full article
(This article belongs to the Section Cancer Causes, Screening and Diagnosis)
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11 pages, 606 KiB  
Systematic Review
Salvage Pulmonary Resection After Immune Checkpoint or Tyrosine Kinase Inhibitor Therapy for Initially Unresectable Non-Small-Cell Lung Cancer: A Systematic Review
by Vasile Gaborean, Catalin Vladut Ionut Feier, Razvan Constantin Vonica, Alaviana Monique Faur, Vladut Iosif Rus and Calin Muntean
Biomedicines 2025, 13(7), 1541; https://doi.org/10.3390/biomedicines13071541 - 24 Jun 2025
Viewed by 329
Abstract
Background and Objectives: Systemic conversion of stage III–IV non-small-cell lung cancer (NSCLC) to a surgically resectable state with immune checkpoint inhibitors (ICIs) or tyrosine kinase inhibitors (TKIs) creates an emerging cohort of candidates for “salvage” pulmonary resection. No comprehensive evidence synthesis has yet [...] Read more.
Background and Objectives: Systemic conversion of stage III–IV non-small-cell lung cancer (NSCLC) to a surgically resectable state with immune checkpoint inhibitors (ICIs) or tyrosine kinase inhibitors (TKIs) creates an emerging cohort of candidates for “salvage” pulmonary resection. No comprehensive evidence synthesis has yet evaluated the feasibility, safety, or oncologic value of this strategy. We aimed to systematically review peri-operative and survival outcomes of salvage lung resection following ICI or TKI therapy. Methods: MEDLINE, Embase, and PubMed were searched (inception–1 May 2025). Studies reporting ≥5 adult NSCLC patients who underwent anatomical lung resection after at least one cycle of ICI or TKI were eligible. Two reviewers screened records, extracted predefined variables, and assessed risk of bias with the Newcastle–Ottawa Scale. Pooled proportions were calculated with a random-effects model. Results: Fourteen observational series (n = 312 patients) met inclusion. Median age was 62 years (range 38–81); 58% were male. Lobectomy (63%) and segmentectomy (21%) were most frequent. Video-assisted/robotic approaches were achieved in 48%. The pooled R0 rate was 93% (95% CI 89–97%); pathologic complete response occurred in 27% (95% CI 19–36%). Major complications (Clavien–Dindo ≥ III) were 11% (95% CI 7–16%), and 30-day mortality was 1.3% (95% CI 0–3%). One-year disease-free and overall survival were 68% and 88%, respectively. Conclusions: Current evidence—albeit heterogeneous—indicates that salvage pulmonary resection after modern systemic conversion therapy is technically feasible, associated with acceptably low morbidity, and yields encouraging short-term oncologic outcomes. Prospective, registry-based studies are needed to define selection criteria and long-term benefit. Full article
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18 pages, 3971 KiB  
Article
Impact of Ammonia Energy Ratio on the Performance of an Ammonia/Diesel Dual-Fuel Direct Injection Engine Across Different Combustion Modes
by Cheng Li, Sheng Yang and Yuqiang Li
Processes 2025, 13(7), 1953; https://doi.org/10.3390/pr13071953 - 20 Jun 2025
Viewed by 313
Abstract
The ammonia energy ratio (AER) is a critical parameter influencing the performance of ammonia/diesel dual-fuel engines. In this study, a numerical simulation was conducted based on a high-pressure dual-fuel (HPDF) direct injection ammonia/diesel engine to investigate the impact of the AER on combustion [...] Read more.
The ammonia energy ratio (AER) is a critical parameter influencing the performance of ammonia/diesel dual-fuel engines. In this study, a numerical simulation was conducted based on a high-pressure dual-fuel (HPDF) direct injection ammonia/diesel engine to investigate the impact of the AER on combustion and emissions under two distinct combustion modes. By adjusting the ammonia start of injection timing (ASOI), the combustion mode was transitioned from diffusion combustion (HPDF1) to partially premixed combustion (HPDF2). The results show that under the HPDF1 mode, a three-stage heat release pattern is observed, and the evolution curves of NO and NO2 exhibit fluctuations similar to the heat release process. As the AER increases, the second heat release stage is suppressed, the high-temperature region narrows, the ignition delay is extended, and the CA10–CA50 interval shortens, leading to a higher maximum pressure rise rate (MPRR) at a high AER. Conversely, in the HPDF2 mode, the combustion process is characterized by a two-stage heat release. With an increasing AER, the high-temperature region expands, the ignition delay and CA10–CA50 interval are prolonged, while the CA50–CA90 interval shortens, and the MPRR becomes the lowest at a high AER. For both combustion modes, total greenhouse gas (GHG) emissions decrease with an increasing AER. However, in the HPDF2 mode with an AER = 95%, N2O accounts for up to 78% of the total GHG emissions. Additionally, a trade-off relationship exists between NOx emissions and indicated thermal efficiency (ITE). When the ASOI is set to −8°CA ATDC, the engine operates in a transitional combustion mode between HPDF1 and HPDF2. At this point, setting the AER to 95% effectively mitigates the trade-off, achieving an ITE of 53.56% with NOx emissions as low as 578 ppm. Full article
(This article belongs to the Section Energy Systems)
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33 pages, 13278 KiB  
Article
Effect of Blade Profile on Flow Characteristics and Efficiency of Cross-Flow Turbines
by Ephrem Yohannes Assefa and Asfafaw Haileselassie Tesfay
Energies 2025, 18(12), 3203; https://doi.org/10.3390/en18123203 - 18 Jun 2025
Viewed by 727
Abstract
This study presents a comprehensive numerical investigation into the influence of blade profile geometry on the internal flow dynamics and hydraulic performance of Cross-Flow Turbines (CFTs) under varying runner speeds. Four blade configurations, flat, round, sharp, and aerodynamic, were systematically evaluated using steady-state, [...] Read more.
This study presents a comprehensive numerical investigation into the influence of blade profile geometry on the internal flow dynamics and hydraulic performance of Cross-Flow Turbines (CFTs) under varying runner speeds. Four blade configurations, flat, round, sharp, and aerodynamic, were systematically evaluated using steady-state, two-dimensional Computational Fluid Dynamics (CFD) simulations. The Shear Stress Transport (SST) k–ω turbulence model was employed to resolve the flow separation, recirculation, and turbulence across both energy conversion stages of the turbine. The simulations were performed across runner speeds ranging from 270 to 940 rpm under a constant head of 10 m. The performance metrics, including the torque, hydraulic efficiency, water volume fraction, pressure distribution, and velocity field characteristics, were analyzed in detail. The aerodynamic blade consistently outperformed the other geometries, achieving a peak efficiency of 83.5% at 800 rpm, with improved flow attachment, reduced vortex shedding, and lower exit pressure. Sharp blades also demonstrated competitive efficiency within a narrower optimal speed range. In contrast, the flat and round blades exhibited higher turbulence and recirculation, particularly at off-optimal speeds. The results underscore the pivotal role of blade edge geometry in enhancing energy recovery, suppressing flow instabilities, and optimizing the stage-wise performance in CFTs. These findings offer valuable insights for the design of high-efficiency, site-adapted turbines suitable for micro-hydropower applications. Full article
(This article belongs to the Special Issue Optimization Design and Simulation Analysis of Hydraulic Turbine)
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13 pages, 566 KiB  
Article
Evaluation of Statins Use in Hemodialysis Patients: A Retrospective Analysis of Clinical and Safety Outcomes
by Abdulmalik S. Alotaibi, Mohamed A. Albekery, Ahmed A. Alanazi, Ibrahim S. Alhomoud, Khalid A. Alamer, Mohammad Shawaqfeh, Reem H. Alshammari, Fayez Alhejaili, Muthana Al Sahlawi, Ibrahim Aldossary, Hajar Adel Aljuayl, Mohammad Alkathiri, Shmeylan Alharbi, Abdulkareem Albekairy and Abdulmalik Alkatheri
Pharmaceuticals 2025, 18(6), 911; https://doi.org/10.3390/ph18060911 - 18 Jun 2025
Viewed by 607
Abstract
Background: Lipid metabolism disturbances are common in end-stage renal disease (ESRD) patients on hemodialysis (HD), leading to dyslipidemia, which is characterized by abnormal plasma lipids and lipoproteins. Although large randomized controlled trials have generally not demonstrated a survival benefit associated with statin therapy [...] Read more.
Background: Lipid metabolism disturbances are common in end-stage renal disease (ESRD) patients on hemodialysis (HD), leading to dyslipidemia, which is characterized by abnormal plasma lipids and lipoproteins. Although large randomized controlled trials have generally not demonstrated a survival benefit associated with statin therapy among patients receiving hemodialysis, limited observational studies have reported potential associations with improved clinical outcomes in this population. Methods: This retrospective cohort study investigated the clinical and safety outcomes of statin use in ESRD patients on HD with documented dyslipidemia over a two-year period from 1 January 2018 to 30 December 2019. The primary endpoints evaluated the clinical outcomes of statins by assessing changes in specific lipid parameters, including low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), total cholesterol (TC), and high-density lipoprotein cholesterol (HDL-C). The secondary endpoints assessed safety by monitoring liver enzymes and creatine kinase (CK) levels. Results: Among 179 participants, diabetes mellitus was present in 134 patients (74.9%), while 168 patients (93.9%) had hypertension. Cardiovascular events occurred in 95 patients (53.1%). Statin therapy was administered to 146 patients (82.0%), with atorvastatin being the most frequently prescribed statin (69.3%). Modest reductions in LDL-C levels were observed in the rosuvastatin and atorvastatin groups, whereas slight increases were noted in the simvastatin and non-statin groups. None of these within-group changes were statistically significant. In the atorvastatin group, LDL-C decreased slightly from 2.058 to 2.003 mmol/L. The rosuvastatin group experienced a more pronounced LDL-C reduction from 2.607 to 2.113 mmol/L. Conversely, the simvastatin group showed an LDL-C increase from 1.550 to 1.901 mmol/L. Among the non-statin group, LDL-C increased from 2.678 to 2.820 mmol/L. Liver enzyme and CK levels fluctuated slightly but remained within normal ranges. Conclusions: This study evaluated statin therapy in hemodialysis patients with dyslipidemia. Although modest reductions in LDL-C levels were observed in the atorvastatin and rosuvastatin groups, statin therapy did not reduce the incidence of atherosclerotic events in hemodialysis patients with dyslipidemia. Additionally, statin use was not associated with any clinically or statistically significant effects. Full article
(This article belongs to the Special Issue New Development in Pharmacotherapy of Kidney Diseases)
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24 pages, 1368 KiB  
Review
Bacteria Under Metal Stress—Molecular Mechanisms of Metal Tolerance
by Ewa Oleńska, Wanda Małek, Izabela Swiecicka, Małgorzata Wójcik, Sofie Thijs and Jaco Vangronsveld
Int. J. Mol. Sci. 2025, 26(12), 5716; https://doi.org/10.3390/ijms26125716 - 14 Jun 2025
Viewed by 903
Abstract
Metals are natural components of the lithosphere, whose amounts and bioavailability are increasing in many areas due to their continuous release from both natural sources and intensive human activities. Some metals are essential or beneficial for living organisms, while others are non-essential and [...] Read more.
Metals are natural components of the lithosphere, whose amounts and bioavailability are increasing in many areas due to their continuous release from both natural sources and intensive human activities. Some metals are essential or beneficial for living organisms, while others are non-essential and potentially toxic. When present at higher concentrations, even essential and beneficial metal ions can become harmful to all forms of life. Bacteria, unicellular organisms that have been exposed to metals since the earliest stages of life on Earth, have evolved metabolic pathways involving essential metals as well as diverse strategies to cope with metal toxicity. In the domain Bacteria, two main strategies have been identified: (i) metal exclusion, which includes cell wall sequestration and immobilization of metals in extracellular exopolysaccharides, siderophores, and other soluble microbial products, as well as (ii) metal tolerance, involving intracellular sequestration of metals (e.g., by metallothioneins, or low molecular weight thiols) as well as enzymatic conversion of metals to less toxic forms and/or its active efflux. Microorganisms possessing such adaptive traits are considered valuable agents for potential application in medicine, environmental sciences, and bioengineering (e.g., bioremediation and/or biomining). Full article
(This article belongs to the Section Molecular Microbiology)
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