Artiles
Review
02 December 2024The Interplay of Heart Failure and Lung Disease: Clinical Correlations, Mechanisms, and Therapeutic Implications
Heart failure (HF) is a common clinical syndrome marked by reduced cardiac output, elevated intracardiac pressures, and heart dysfunction. Chronic HF (CHF) is a syndrome characterized by a lack of blood flow and impaired pumping ability to the heart over time, while acute HF (AHF) arises suddenly due to incidents like myocardial infarction or cardiac arrest. HF has a significant impact on pulmonary health and function, leading to conditions such as pulmonary edema and restrictive lung patterns. Clinical evidence highlights the bidirectional relationship between HF and lung dysfunction. Declining lung function serves as a predictor for HF progression and severity, while HF contributes to worsening lung health. Animal models that induce HF through surgical methods further demonstrate the connection between heart and lung pathology. The main mechanisms linking HF and lung dysfunction are pressure overload and chronic systemic inflammation, with changes in the extracellular matrix (ECM) also playing a role. Additionally, environmental factors like air pollution exacerbate lung inflammation, increasing the risk of both HF and chronic obstructive pulmonary disease (COPD) incidence. Combined treatment approaches involving pharmaceutical drugs such as statins, Angiotensin-converting enzyme (ACE) inhibitors, and Angiotensin receptor blockers (ARBs) may benefit by reducing inflammation. This review will explore the complex interplay between HF and lung function, emphasizing their interconnected pathophysiology and potential integrated treatment strategies.
Article
28 November 2024Correlations of System Degradation, Losses and Significant Parameters for 49 MW Large Scale Solar Plant with Real Site Data Validations
A smooth transition towards a clean and sustainable environment will heavily rely on the continuous increase of renewable energy (RE) integration. Malaysian authorities have set targets to increase the RE capacity to 31% by the end of 2025 and achieve 40% by 2035, specifically through the power generation plan. Solar PV systems have been widely used, from industries to residential homes, because Malaysia receives a high irradiation potential of up to 5000 Wh/year. The increase in the potential of solar PV usage has allowed solar companies to provide this system regardless of its complexity and system size. However, a drop in efficiency due to system parameters within the photovoltaic (PV) system is evident over time. This study aims to analyze the relationship between solar PV system parameters and their energy performance, particularly in a tropical climate region, for a large-scale solar (LSS) plant. This project was undertaken with two objectives: First, it is to develop an optimum solar PV system by adhering to and implementing GCPV standards in Malaysia. Stage 1 will primarily focus on managing and manipulating various PV system parameters to ensure the optimum energy yield received from the plant. The system parameters analyzed are tilt angle, module technology and its effect on different temperatures, the effect of the optimizer, sizing and thermal loss. Stage 2 will then incorporate the industry data of the LSS plant by creating a Pearson’s Correlation model on how energy yield is correlated against real time system parameter values obtained. An optimum tilt angle of 10°, monocrystalline module and inclusion of optimizer increases the overall energy production from 88,986 MWh/year to 89,782 MWh/year and performance ratio (PR) from 78.9% to 79.8%. The outcome of this study demonstrates the significant parameters of the PV system to maximize the energy output to the grid. This will further support the government’s plan to reduce GHG emissions by 45% through the use of renewable energy, with the aim of producing up to 2.5 GW from LSS systems by 2030.
Article
28 November 2024A Review of the Energy Policy in Greece in the Last 50 Years and Its Implications for Prosperity
This paper elucidates the development of electricity production and distribution in Greece from the 1950s to date, in correlation with national and European energy policy. During this period, Greece experienced a multifaceted energy transition, including both the transition of ownership of energy generation companies from public to private and a transition from an energy mix in which coal (lignite) served as a major and inexpensive resource to a mix in which wind power, solar power and natural gas gained a primary role, but with high costs for energy generation. The correlation between electrical energy consumption and economic growth is explored in this context, revealing an increase in consumption before the 2009 recession and a decline thereafter. The study investigates the correlation between escalating electricity prices and legislative dependencies that mandated the purchase of wind- and solar-generated electricity at exorbitant rates, the closure of cost-effective lignite units, and the reliance on natural gas—a commodity susceptible to geopolitical shifts. It also shows that, given the structure of the Greek energy mix, the increase in the share of wind and solar energy in the mix is directly related to the increase in the price of electricity. Highlighting the importance of energy costs for prosperity, this paper underscores, through the detailed review of the Greek energy “landscape”, that the major determinants of electricity prices are both the accessibility to natural resources but also their proper and judicious management.
Article
28 November 2024Forensic Dental Age Estimation: Reliability Rating Compared to Clavicula
This study aimed to investigate the age determination in forensic expert opinions at the Institute of Forensic Medicine (Mainz) over the last ten years and to determine the reliability rate of wisdom teeth in comparison to the clavicle. A total of 112 expert opinions were prepared between 2011 and 2021, following the guidelines established by the Working Group for Forensic Age Diagnostics (AGFAD). Five indicators were studied: clavicle development coded according to Wittschieber et al. using computed tomography and wisdom tooth development 18, 28, 38 and 48 coded according to Demirjian’s staging method in a dental panoramic radiograph. Following an ordinary least square regression analysis performed separately for each of the five indicators, it was possible to investigate whether the addition of more than one of the indicators would lead to a more predictive value for the age determination. The combination of the clavicle and tooth 48 showed the best value. Adding tooth 38, which showed the second-best prediction in the bivariate analyses, led to an increase of the explained variance of 11% to a total of 58% explained variance (p < 0.001). The addition of further wisdom teeth did not show any relevant effect. For the clinical performance of dental age diagnostics, the teeth of the mandible, in combination with the clavicle, should be primarily used.
Article
27 November 2024Photocatalytic CO2 Fixation into Formate under Visible Light by the Photo-Enzyme Hybrid of Gold Nanocapsules and Formate Dehydrogenase
The photo-enzyme hybrid system presents a promising approach for the selective conversion of CO2 into valuable chemicals. However, its high dependence on the expensive coenzyme nicotinamide adenine dinucleotide reduced form (NADH), coupled with the need for external electron mediators and highly active photocatalysts, limits its widespread application. Here, we developed a gold nanocapsule—formate dehydrogenase (FDH) hybrid system for in situ NADH regeneration to facilitate the light-driven conversion of CO2 to formate. The results demonstrated that gold nanocapsules (Au NCPs), in conjunction with triethanolamine (TEOA), protected 83.67% of NADH from photodegradation. Under light-driven conditions with TEOA as the electron donor and without external electron mediators, the Au NCPs catalyzed in situ NADH regeneration, achieving a regeneration yield of 22.65%. This process aided FDH in reducing CO2 to formate, resulting in a production rate of 67.40 µmol/L/h. This research provides valuable insights for developing photo-enzyme hybrid systems that efficiently convert CO2 without the need for external electron mediators.
Article
26 November 2024Identification of Cutting Workpiece Surface Defects Based on an Improved Single Shot Multibox Detector
In the mechanical cutting process, the surface defects of the workpiece are an important indicator of cutting quality and also reflect the condition of both the machine tool and the cutting tool. Effective detection of defects on the surface of the workpiece plays an important role in adjusting the processing conditions promptly, reducing losses, improving the utilization rate of the workpiece, and maintaining the normal operation of the equipment. To address the challenge of detecting surface defects on workpieces, an inspection method based on an improved Single Shot Multibox Detector (SSD) model is proposed. The method simplifies the detection model and reduces the computation by proposing a DH-MobileNet network instead of a VGG16 network in the SSD structure. The inverse residual structure is also used for position prediction, and null convolution is used instead of a down-sampling operation to avoid information loss. A scanning electron microscope was used to obtain the surface image of the workpiece. A dataset of workpiece surface defects was constructed and expanded, then used to train and test the model for detecting three common types of high-frequency defects: peel-off, chip adhesion, and scratches. The effect was compared with YOLO, Faster R-CNN, and the original SSD model. The detection results show that the method can detect the defects on the surface of the workpiece more accurately and quickly, which provides a new idea for defect detection in real industrial scenarios.
Article
26 November 2024Utilization of High Intensity Statins in Patients Hospitalized for Myocardial Infarction
High intensity statin (HIS) therapy decreases LDL cholesterol and risk of recurrent cardiovascular events after acute myocardial infarction (MI). Recognizing the therapeutic significance of HIS, the ACC/AHA cholesterol treatment guidelines have recommended HIS for all patients following acute MI since 2013.The authors sought to define factors that result in continued underutilization and limited adherence to HIS among individuals post MI. This is a retrospective observational analysis of patients who had a diagnosis of MI between 2013 and 2018 at a single, large academic medical center. There was a significant increase in HIS prescriptions upon discharge after MI following, versus prior to 2013. Within the first year of guideline change (2013–2014), only 35.3% of patients with MI were discharged on a HIS compared to 80.1% in 2018. There was no significant difference between race or gender regarding HIS utilization. However, older age predicted a lower likelihood of being appropriately discharged on HIS. The use of statin therapy prior to hospitalization decreased the probability of being appropriately up titrated to HIS on discharge. Strikingly, HIS use was associated with a reduction in the 30-day readmission rate (4.7% versus 6.8%). Increased age was associated with lower rates of HIS use, which could stem from prior statin exposure uncovering titrational statin intolerance prior to the index event, a process that would be much less likely in younger patients, who tend to be statin naive. Although HIS have historically been underutilized in Blacks, this was not observed in the current study. Individuals discharged on HIS had lower readmission rates; while confounding factors separate from a pure treatment effect of HIS attenuating readmission rate may be represented, this remains a key finding underscoring the benefits of statin therapy in lowering societal burden of cardiovascular disease and associated costs.
Article
25 November 2024Partial Duration Series of Wet and Dry Years Can Improve Flood Estimates in the Context of a Nonstationary Climate and Anthropogenic Disturbances
Accurately estimating flood levels is essential for effective infrastructure design, reservoir management, and flood risk mapping. Traditional methods for predicting these levels often rely on annual maximum flood (AMF) data, which may not always fit well to statistical models. To improve these estimates, we tested an approach that considers floods in relation to annual climate conditions—specifically, average, wet, and dry years—using daily streamflow data. We examined how well the Log Pearson Type III (LP3) distribution, a commonly used statistical model in flood frequency analysis, estimates flood levels when applied to these customized datasets instead of standard AMF data. Our study included over 70 years of data from 2028 basins across the United States, with drainage areas ranging from small (4.0 km2) to large (50,362 km2). We found that in some regions, LP3 better estimated frequent floods (recurrence interval of 2 to 25 years) when applied to AMF data. However, for less frequent, larger floods (recurrence interval of 50 to 200 years), the LP3 model worked better when applied to datasets representing wet or dry years. This approach could lead to more reliable flood predictions, which would benefit infrastructure planning and flood preparedness efforts.
Commentary
25 November 2024A Novel Mechanism for Photogenerated Thiyl Radical Cleavage of β-O-4 Bonds in Natural Lignin to Generate Functionalized Aromatic Compounds
The high-value conversion of native lignin into functionalized aromatic compounds under visible light holds significant promise yet presents considerable challenges. In a recent study published in Angewandte Chemie International Edition, Li and colleagues developed ultrathin ZnIn2S4 microribbons using mercaptoalkanoic acid ligands, enhancing the depolymerization efficiency of lignin under visible light. This approach provides a new mechanism for converting lignin into aromatic compounds by cleaving β-O-4 bonds in natural lignin under mild conditions.
Review
22 November 2024Dermal Fibrosis and the Current Scope of Hydrogel Strategies for Scarless Wound Healing
Dermal fibrosis poses a significant challenge in wound healing, affecting both the appearance and functionality of the scarred skin tissue. Beyond aesthetic implications, fibrosis can lead to pruritus, chronic pain, loss of mechanical flexibility, and impeded restoration of skin appendages, blood vessels, and nerves. Therefore, scar prevention remains a priority in wound management, and hydrogels, with their hydrophilic three-dimensional network and extracellular matrix-mimicking properties, have emerged as promising biomaterials for achieving scarless wound regeneration. In this review, we explore advancements in various hydrogel strategies designed to regulate myofibroblast differentiation, control the wound microenvironment, and mitigate dermal fibrosis. We provide an overview of dermal fibrosis, the scar-forming cells involved, and the various types of dermal scars. We then summarise advancements made in antifibrotic hydrogel formulations, emphasizing their practical applications in scarless skin wound healing. By reviewing the current research landscape and highlighting key hydrogel-based biomaterial strategies employed in this field, we aim to offer insights into design principles and underlying mechanisms of action. We intend for this review to serve as a valuable resource for researchers and clinicians interested in entering this field or exploring the potential of hydrogels to promote scarless wound healing.
