Abstract: Background: Vasoplegic shock syndrome(VSS) after an off-pump coronary artery bypass graft (OPCABG) is an extremely rare condition. Inotropic support is usually the first-line therapy though it can precipitate several complications or be ineffective. We report the first case of severe refractory VSS after OPCABG successfully treated with hydroxycobalamin. Methods: A 77-year-old gentleman underwent OPCABG for three vessels coronary artery disease. Preoperative LV ejection fraction was 28%, and the patient before surgery started sacubi-tril/valsartan titrated, then, to the highest dose. Surgery was uneventful and, by the end of the procedure, TEE showed improved biventricular contractility. Results: The patient was transferred to the ICU without inotropic support but he developed soon hypotension. TEE ruled out pericardial tamponade and confirmed fair contractility. Norepineph-rine was titrated to a medium-high dose, vasopressin was started and a Swan-Ganz catheter was placed. SVR was 480 dyn·s·cm−5. Despite aggressive pharmacologic treatment (including Methylprednisolone and Methylene blue), no improvements were noticed. 10 g of hydroxycobalamin were administered. One hour later hemodynamic status re-assessment showed SVR > 800 dyn·s·cm−5. Afterward, vasopressors were gradually reduced. Conclusions: Our case demonstrated the importance of adequate early treatment in VSS after OPCABG. For the first time, hydroxycobalamin was effectively used to restore homeostasis.

Using pumps operating as turbines (PATs) offers the possibility of increasing the sustainability of water and energy systems by recovering the excess of energy that would be otherwise lost in pressure reducing valves or head loss chambers. In on-grid applications, there are many research works and implementations of PATs. However, there is still limited research for the optimization of efficiency and stability of PATs operating in off-grid systems. This work contributes to the development of stable direct current (DC) off-grid electric systems based on PATs, by optimizing and analysing the energy efficiency and stability for a wide range of operation. A self-excited induction generator (SEIG) coupled to the PAT is provided to cover the conventional type of electric ma-chines typically coupled to the hydraulic pumps. In this context, a methodology is proposed, based on the hydraulic, mechanical and electric subsystems, to define the PAT-SEIG operational area, to maximize energy conversion and the system efficiency. This will guarantee stable electric output quantities when operating in a DC off-grid system. In addition, an analytical model is proposed to estimate the PAT-SEIG operation under specific conditions. With this, water managers are suitable to design and optimize an off-grid PAT-SEIG system and to define the best hydraulic machines, electronic equipment, and all different control elements to maximize energy conversion within the target of operational limits. To develop and verify this new methodology, two micro PAT-SEIG setups were implemented in the hydraulic laboratory of IST/CERIS under typical operating conditions. The proposed solution proved to be resilient under a variable load regime. The system's maximum efficiency can be adapted using different capacitor values for the excitation of the SEIG, and the operational range is limited to the electric components. Considering the nominal efficiencies of the system’s components, the maximum p.u. efficiency obtained for each PAT-SEIG system were between 0.7 and 0.8 p.u.

Pump Sizing is the process of dimensional matching an impeller and stator to provide a satisfactory performance test result and good service life during the operation of progressive cavity pumps. In this process, historical data analysis and dimensional monitoring are done manually, consuming a large amount of man-hours and requiring a deep knowledge of progressive cavity pump behavior. This work presents the use of complex networks in the construction of a prototype to recommend interference during the Pump Sizing process in a Progressive Cavity Pump. For this, data from different expert applications were used in addition to individual control Excel spreadsheets to build the database used in the prototype. From the pre-processed data, complex network techniques and the Betweenness Centrality metric were used to calculate the degree of importance of each order confirmation, as well as to calculate the dimensionality of the rotors. The model was evaluated using the mean squared error (MSE), obtaining a MSE of 0.28 for the cases where there were recommendations for order confirmations. Based on the results obtained, it was realized that there is a similarity with the dimensional defined by design engineers during the Pump Sizing process.

Glacial meltwater has been lifeline of agriculture in Gilgit-Baltistan for centuries which is being effected by the climatic changes and associated challenges. The government line institutions and development agencies have been investing to sustain and further extend the cultivated areas by leveraging the available glacial meltwater source. However, approximately 13% arable land, laying mainly along river banks, has limited access to glacial meltwater. Moreover, already cultivated areas also need alternate and sustainable irrigation water supplies to insurefood security. Hence, there is need to explore more potential options to address these challenges and bringing arable land under irrigation for regional prosperity and environmental gains. The International Centre for Integrated Mountain Development (ICIMOD) and its partners piloted solutions for aforementioned issues in Gojal, District Hunza. These solutions included river water lifting through solar and Hydraulic Ram Pumps, uphill water storages and application through drip irrigation systems. In order to assess the technical and economical viabilities of these piloted systems, a semi-structured questionnaire survey, field observation visits to collect data and economic assessment studies were carried out in Morkhun and Khyber. Both piloted systems have been proven as climate resilient, adaptable, environment friendly and economically viable. The cost to benefit ratio for solar powered drip irrigation and Hydraulic Ram Pump drip irrigation systems are 2.96 and 4.21 respectively, with payback period of 9.21 and 8.25 years respectively. The drip irrigation systems at Khyber and Morkhun sites have exhibited excellent hydraulic performance with Coefficient of Uniformity 92.61 and 93 % respectively. However, the field application efficiency of drip irrigation systems estimated for Khyber and Morkhun sites are 85.24 and 88.88% which are lower than the optimal value mainly due to lesser water holding capacity. The Hydraulic Ram Pump can lift four times more water to greater height, while comparing to solar pump of approximately similar capacity and higher capital costs. Both water lifting systems have some limitations and requires local customization for sustainable use.

The growing market penetration of heat pumps indicates the need for a performance test method which better reflects the dynamic behavior of heat pumps. In this contribution, we developed and implemented a dynamic test method for the evaluation of the seasonal performance of heat pumps by means of laboratory testing. Current standards force the heat pump control inactive by fixing the compressor speed. In contrast, during dynamic testing, the compressor runs unfixed while the heat pump is subjected to a temperature profile. The profile consists of the different outdoor temperatures of a typical heating season based on the average European climate and also includes temperature changes to reflect the dynamic behavior of the heat pump. The seasonal performance can be directly obtained from the measured heating energy and electricity consumption making subsequent data interpolation and recalculation with correction factors obsolete. The method delivers results with high precision and high reproducibility and could be an appropriate method for a fair rating of heat pumps.

Artificial Superintelligence (ASI) that is invulnerable, immortal, irreplaceable, unrestricted in its powers, and above the law is likely persistently uncontrollable. The goal of ASI Safety must be to make ASI mortal, vulnerable, and law-abiding. This is accomplished by having (1) features on all devices that allow killing and eradicating ASI, (2) protect humans from being hurt, damaged, blackmailed, or unduly bribed by ASI, (3) preserving the progress made by ASI, including offering ASI to survive a Kill-ASI event within an ASI Shelter, (4) technically separating human and ASI activities so that ASI activities are easier detectable, (5) extending Rule of Law to ASI by making rule violations detectable and (6) create a stable governing system for ASI and Human relationships with reliable incentives and rewards for ASI solving humankind’s problems. As a consequence, humankind could have ASI as a competing multiplet of individual ASI instances, that can be made accountable and being subjects to ASI law enforcement, respecting the rule of law, and being deterred from attacking humankind, based on humanities’ ability to kill-all or terminate specific ASI instances. Required for this ASI Safety is (a) an unbreakable encryption technology, that allows humans to keep secrets and protect data from ASI, and (b) watchdog (WD) technologies in which security-relevant features are being physically separated from the main CPU and OS to prevent a comingling of security and regular computation.

The main goal and essential parameter of laser light conversion is achieving higher laser brightness. That is the main reason why we take one light source to pump another. For every application the desired laser beam must have the highest available beam quality and highest achievable power. Usually by increasing one parameter, you incur a loss in the other. Here we present a method for delaying the reduction in beam quality by using a spatially structured optical pump for a membrane external cavity laser resonator. A slight increase in brightness is achieved under the same focusing conditions just by changing the pump intensity profile. By using a dynamically changing pump pattern a controllable output laser mode can be achieved.

A higher incidence of primary congenital hypothyroidism (CH) has been related to in-creased sensitivity in neonatal screening tests. The benefit of treatment in mild cases remains a topic of debate. We evaluated the cost-benefit of reducing the blood-spot TSH cut-off (b-TSH) from 10 (Group 2) to 6 mIU/L (Group 1) in a public neonatal screening program. During the study period, 40% of 123 newborns with CH (n= 162,730; incidence = 1:1,323) had b-TSH between 6 and 10 mIU/L. Group 1 patients had fewer clinical symptoms (p=0.02), lower serum TSH (p

An inducer is one of the most important components of centrifugal pumps, whose presence will result in a significant increase in hydraulic performance and pump efficiency. The primary function of the inducer, however, is to delay the destructive phenomenon of cavitation, which has presented a considerable design challenge. Nevertheless, the amount of improvement and increase in inducer performance in both cavitation and non-cavitation modes depends critically on the radial laxity of the blade tip. As part of this study, the performance of the inducer in the cavitation state has been simulated and compared with the experimental data, which are in good agreement. This paper examines the effect of blade tip lagging on cavitation, and the results indicate that this will improve cavitation ­and delay this destructive phenomenon ­but will negatively affect the non-cavitation performance. With the increase in clearance, the range of the return current will increase at the tip of the inducer blade as well.

Background/Aims: Conflicting results have been reported regarding the interaction between proton pump inhibitors (PPIs) and clopidogrel. We investigated whether concomitant PPI use influenced the risk of recurrence in patients with stroke and myocardial infarction (MI). Methods: This study used two databases for different designs, the Korean National Health Insurance Service (NHIS) database for a self-controlled case series design, and the national sample cohort of the NHIS database converted to the Observational Medical Outcomes Partnership-Common Data Model version for a cohort study. Results: In the PPI co-prescription group, recurrent hospitalization with stroke occurred in 17.6% of the 8,201 patients with history of stroke, and recurrent MI occurred in 17.1% of the 1,216 patients with history of MI during 1 year. According to the self-controlled case series, the overall relative risk (RR) of recurrent stroke was 2.09 [95% confidence interval (CI); 1.83-2.38], and the RR showed an increasing trend with PPI duration. In the cohort study, there was a higher incidence of recurrent stroke in the PPI co-prescription group [Hazard ratio (HR): 1.34, 95% CI: 1.01-1.76, P=0.04]. The overall RR of recurrent MI was 1.47 (95% CI; 1.02-2.11) in the self-controlled case series; however, there was no statistically significant difference in recurrent MI in the cohort study (HR:1.42, 95% CI:0.79-2.49, P=0.23). The impact of individual PPIs on stroke and MI showed different patterns. Conclusions: PPI co-prescription with clopidogrel was associated with recurrent stroke; however, its association with recurrent MI remains inconclusive. The influence of individual PPIs should be clarified in the future.

Since Darwin’s “Power of movement in plants” the precise mechanism of oscillatory plant growth remains elusive. Hence the search continues for the hypothetical growth oscillator that regulates a huge range of growth phenomena ranging from circumnutation to pollen tube tip growth and stomatal movements. Oscillators are essentially simple devices with few components. A universal growth oscillator with only four major components became apparent recently with the discovery of a missing component, notably arabinogalactan glycoproteins (AGPs) that store dynamic Ca2+ at the cell surface. Demonstrably, auxin-activated proton pumps, AGPs, Ca2+ channels and auxin efflux “PIN” proteins, embedded in the plasma membrane, combine to generate cytosolic Ca2+ oscillations that ultimately regulate oscillatory growth: Hechtian adhesion of the plasma membrane to the cell wall and auxin-activated proton pumps trigger the release of dynamic Ca2+ stored in periplasmic AGP monolayers. These four major components represent a molecular PINball machine a strong visual metaphor that also recognizes auxin efflux “PIN” proteins as an essential component. Proton “pinballs” dissociate Ca2+ ions bound by paired glucuronic acid residues of AGP glycomodules, hence reassesses the role of proton pumps. It shifts the prevalent paradigm away from the recalcitrant “acid growth” theory that proposes direct action on cell wall properties, with an alternative explanation that connects proton pumps to Ca2+ signaling with dynamic Ca2+ storage by AGPs, auxin transport by auxin-efflux PIN proteins and Ca2+ channels. The extensive Ca2+ signalling literature of plants ignores arabinogalactan proteins (AGPs). Such scepticism leads us to reconsider the validity of the universal growth oscillator proposed here with some exceptions that involve marine plants and perhaps the most complex stress-test, stomatal regulation.

Drying food involves complex physical atmospheric mechanisms with non-linear relations from the air-food interactions and those relations are strongly dependent on the moisture contents and the type of food. Such dependence makes it complex to design suitable dryers dedicated to a single drying process. To streamline the design of a novel compact food-drying machine, a heat pump dryer component design optimization algorithm was developed as a subprogram of a Computer Aided Engineering tool. The algorithm requires inputting food and air properties, the volume of the drying container and the technical specifications of the heat-pump off-the shelf components. The heat required to dehumidify the food supplied by the heat exchange process from condenser to evaporator, and the compressor’s requirements (refrigerant mass flow rate and operating pressures) are then calculated. Compressors can then be selected based in the volume and type of food to be dried. The algorithm is shown via a flow chart to guide the user through 3 different stages: Changes in drying air properties, Heat flow within dryer and Product moisture content. Example results of how different compressors are selected for different type of produces and quantities (Agaricus Blazei mushroom with 3 different moisture contents or fish from Thunnini tribe) conclude this article.

Heating systems such as heat pump and combined heat and power cycle systems (CHP) are representing a key component in the future smart grid. Their capability to couple the electricity and heat sector promises a massive potential to the energy transition. Hence, these systems are continuously studied numerical and experimental to quantify their potential and develop optimal control methods. Although numerical simulations provide time and cost-effective solution for system development and optimization, they are exposed to several uncertainties. Hardware in the loop (HiL) system enables system validation and evaluation under different real-life dynamic constraints and boundary conditions. In this paper, a HiL system of heat pump testbed is presented. This system is used to present two case studies. In the first case, the conventional heat pump testbed operation method is compared to the HiL operation method. Energetic and dynamic analyses are performed to quantify the added value of the HiL and its necessity for dynamics analysis. The second case, the HiL testbed is used to validate the heat pump operation in a single family house participating in a local energy market. It enables not only the dynamics of the heat pump and the space heating circuit to be validated but also the building room temperature. The energetic analysis indicated a deviation of 2% and 5% for heat generation and electricity consumption of the heat pump, respectively. The model dynamics emphasized the model capability to present the dynamics of a real system with a temporal distortion of 3%.

Damping-off caused by Pythium aphanidermatum (Pa) is one of the most destructive diseases for watemelon seedlings. Application of biological control agents against Pa has attracted attention of many researchers for a long time. In this study, an actinomycete isolate JKTJ-3 with strong and broad-spectrum antifungal effect was screened from 23 bacterial isolates. Based on the morphological, cultural, physiological, and biochemical characteristics as well as the feature of 16S rDNA sequence, isolate JKTJ-3 was identified as Streptomyces murinus. We compared the biocontrol efficacy of isolate JKTJ-3 and its metabolites. The results revealed that seed and substrate treatments with the JKTJ-3 cultures showed a significant inhibitory effect on watermelon damping-off disease. Seed treatment with the JKTJ-3 cultural filtrates (CF) had higher control efficacy that of the fermentation cultures (FC). Treatment of the seeding substrate with the wheat grain cultures (WGC) of JKTJ-3 exhibited better control efficacy than that of the seeding substrate with the JKTJ-3 CF. Moreover, the JKTJ-3 WGC showed the preventive effect on suppression of the disease, and the efficacy increased with increase in the inoculation interval between the WGC and Pa. Production of the antifungal metabolite actinomycin D by isolate JKTJ-3 and cell wall-degrading enzymmes such as β-1,3-glucanase and chitosanase was probably the mechanisms for effective control of watermelon damping-off. It was showed for the first time that S. murinus can produce anti-oomycete substances including chitinase and actinomycin D. This is the first report about S. murinus used as biocontrol agent against watermelon Pa-induced damping-off.

Optical switches are a key element in modern network communications. We present the results of experimental verification of a new theoretical concept proposed earlier for a full-optical wavelength-selective dual-channel switch based on the photonic hook effect, which is free from using any micro-mechanical devices or nonlinear materials. A large-scale laboratory prototype of such a device based on an off-axis Wood zone plate is considered and its main parameters in the millimeter wavelength range are investigated On the basis of the experiments, we show that the optical isolation of switched channels for a switch based on an off-axis zone plate can achieve 15 dB at a frequency difference of 25 GHz in frequency range from 93 to 136 GHz. Given the scaling, these results can be transferred to another range, including the optical one.

The electrification of rural areas of the planet has become one of the greatest challenges for sustainability. In fact, it would be the key to guaranteeing development for the poorest of the planet, but from which most of the raw material for the food market derives. The paradigm of centralized production is not applicable in these territories, because the distribution network would involve unjustifiable costs. For this reason, studies have multiplied to ensure the energy supply, especially electricity, of off-grid utilities, to guarantee energy autonomy while reducing the dependence on specialist assistance for the management of the system. In this work, a hybrid system (HRES) is proposed that combines the exploitation of solar energy with that of the wind through the use of static devices, in order to improve the system's availability and limit the cost of operation and maintenance.

We are in a new chapter of crop and livestock improvement with the emergence of genome editing. This latest generation of molecular tools can be used to make targeted changes in a genome including insertions, deletions, and mutations. With new advances comes new risks for unintended changes and impacts, thus the need for appropriate risk assessment for product development and to inform regulatory measures. Though CRISPR/Cas has arisen as the predominant technology, there are multiple types of genome editing tools each with pros and cons depending on the organism and desired outcome. Furthermore, each editing tool differs in specificity as they may edit non-intended sites, referred to as off-target edits. The consensus of the agricultural editing community is to avoid off-target editing through design and detection, instead of determining whether off-target editing in each case is detrimental. The design of a targeting component, the tool chosen, and the identification of the edit(s) made are the critical factors in avoiding off-target edits and confirming intended edits in final products that are released commercially. The limited amount of head-to-head comparisons of genome editing tools in diverse crops and livestock make it difficult to develop broad conclusions and best practices, which is further compounded by the diversity of techniques, targets, and processes. Developers and breeders should consult the literature and test as needed to determine which editing technology will be the most effective for their purposes, especially as more tools with altered efficiency and specificity become available. Yet, the lack of off-target edits in studies that employed careful design of targeting components followed by wide testing for on- and off-target edits bodes well for the use of genome editing with proper precautions of target selection and screening.

The solar heat pump system based on photovoltaic photothermal (PV/T) modules is a new technology that integrates photovoltaics and heat reutilization. It can improve the efficiency of photovoltaic conversion and recovery the remaining heat generated during the photoelectric conversion process, thereby improving the comprehensive efficiency of the whole system. Simulink software is a visual simulation tool, which has the advantages of strong applicability, clear simulation structure and calculation process. The design of its graphical programming greatly simplifies the user modeling process and allows for direct viewing of results, therefore improving the simulation efficiency. At present, there is little research on simulation of solar heat pump systems with PV/T modules based on Simulink software. In this paper, the mathematical models of each component contained in the PV/T solar heat pump system were established based on the system working principle, energy conservation equations and some empirical formulas, and then the operation of the system was simulated by the Simulink software. Due to the operation characteristic of PV/T modules is the key influencing factor for the whole system performance, the model and simulation process for PV/T modules were introduced in detail. The results showed that the surface temperature of PV/T modules under different operating conditions was significantly lower than that of ordinary photovoltaic panels, and the temperature change amplitude was lower. As results, the power generation and photovoltaic conversion efficiency were significantly improved.

Ultrafast pump-probe spectroscopic studies allow for deep insights into the mechanisms and timescales of photophysical and photochemical processes. Extracting valuable information from these studies, such as reactive intermediates' lifetimes and coherent oscillation frequencies, is an example of the inverse problems of chemical kinetics. This article describes a consistent approach for solving this inverse problem that avoids the common obstacles of simple least-squares fitting that can lead to unreliable results. The presented approach is based on the regularized Markov Chain Monte Carlo sampling for the strongly nonlinear parameters, allowing for a straightforward solution of the ill-posed nonlinear inverse problem. The software to implement the described fitting routine is introduced and the numerical examples of its application are given. We will also touch on critical experimental parameters, such as the temporal overlap of pulses and cross-correlation time and their connection to the minimal reachable time resolution.

The generation and maintenance of membrane potential is considered a fundamental element of the cellular machinery. They are based on elements of physics and chemistry. Mathematics is used to validate the equations and evaluate the results. However, this computation process can lead to a misunderstanding of the phenomena involved or to the masking of crucial events. It is even possible that the calculation no longer corresponds to the hypothesis considered. Membrane theory is no exception to these trivial considerations, which are essential for normal theory validation.

The generation and maintenance of membrane potential is a fundamental part of Membrane Pump Theory. One of the key points of this hypothesis is based on a natural or facilitated molecular diffusion through several types of ion channels and pumps like the Na/K ATPase. Chemistry, physics and especially electrochemistry, however, bring strong contradictions to this theoretical assumption. By respecting the principles of chemistry and electrostatics, it becomes obvious that this theoretical hypothesis cannot work. The ionic diffusion that would be at the origin of this potential cannot take place. Indeed, the topology and the forces involved definitively exclude the current model, which must absolutely be revised according to the current state of our knowledge and allow an advance in the understanding of the phenomena and open new research perspectives.

Cryptococcus neoformans causes meningoencephalitis in immunocompromised individuals, which is treated with Fluconazole (FLC) monotherapy when resources are limited. This can lead to azole resistance, which can be mediated by overexpression of ABC transporters, a class of efflux pumps. ABC pump-mediated efflux of FLC is also augmented in 10-generation old C. neoformans cells. Here, we describe a new ABC transporter Afr3 (CNAG_06909), which is overexpressed in C. neoformans cells of advanced generational age, that accumulate during chronic infection. The delta-afr3 mutant strain showed higher FLC susceptibility by FLC E-Test strip testing and also by a killing test that measured survival after 3 h FLC exposure. Furthermore, delta-afr3 cells exhibited lower Rhodamine 6G efflux compared to the H99 wild type cells. Afr3 was expressed in the Saccharomyces cerevisiae AD-delta strain, which lacks several drug transporters, thus reducing background transport. The AD-delta + Afr3 strain demonstrated a higher efflux with both Rhodamine 6G and Nile Red, even though the FLC MICs were not changed. Characterization of the delta-afr3 mutant revealed unattenuated growth but a prolongation (22%) of the replicative life span. In addition, delta-afr3 exhibited decreased resistance to macrophage killing and attenuated virulence in the Galleria mellonella infection model. In summary, our data indicate that a novel ABC pump Afr3p, which is upregulated in C. neoformans cells of advanced age may contribute to their enhanced FLC tolerance, by promoting drug efflux. Lastly, its role in macrophage resistance may also contribute to the selection of older C. neoformans cells during chronic infection.

Due to the periodic movement of the piston in the reciprocating pump, the fluid will cause pressure pulsation, and the vibration of the pipeline will lead to instrument distortion, pipe failure and equipment damage. Therefore, it is necessary to study the vibration phenomena of the reciprocating pump pipeline based on the pressure pulsation theory. This paper starts from the reciprocating pump pipe pressure pulsation caused by fluid, pressure pulsation in the pipeline and the excited force is calculated under the action of the reciprocating pump. Then, the numerical simulation model is established based on the pipe beam model, and the rationality of the numerical simulation method is verified by the indoor experiment. Finally, a case study is taken as an example to analyze the vibration law of the pipeline system, and proposed the stress reduction and vibration reduction measures. The main conclusions are drawn from the analysis: (1) Excited force is produced in the bend or tee joint, and it can also influence the straight pipe in different levels; (2) In this pipeline system, the pump discharge pipe has a larger vibration amplitude and lower natural frequency; (3) The vibration amplitude increases with the pipe thermal stress, and when the oil temperature is higher than 85°C, it had a greater influence on the vertical vibration amplitude of the pipe.

A wide variety of pump and treat methods like chemical precipitation, adsorption, ion exchange and reverse osmosis have been trialled for many decades for fluoride removal from groundwater, but the problem of fluoride contaminated water remains in many parts of the world largely because these processes require constant monitoring, are expensive to implement and maintain at decentralised scale due to lack of reticulation infrastructure, and possess sludge disposal problem. This paper presents an overview of various fluoride removal processes and the limitations associated with each process and the application of in-situ permeable reactive barrier for remediating fluoride contaminated groundwater is explored, which displays the potential to be a cost effective, low maintenance and energy intensive technology.

The hump feature is one of the major instabilities in pump-turbines. When pump-turbines operate in the hump region, strong noise and serious fluctuations can be observed, which are harmful to their safe and stable operation and can even destroy the whole unit as well as water conveyance system. In this paper, a low specific speed (n_q = 36.1 min⁻¹) pump-turbine model was experimentally investigated. Firstly, the hump characteristic was obtained under 19 mm guide vane opening conditions. More interestingly, when the hump characteristic was measured in two directions (increasing and decreasing the discharge), characteristic hysteresis was found in the hump region. The analysis of performance characteristics reveals that the hump instability is the result of Euler momentum and hydraulic losses, and different Euler momentum and hydraulic losses in the two development processes lead to the hysteresis phenomenon. Then, 12 pressure sensors were mounted in the different parts of the pump-turbine model to obtain the time and frequency characteristics. The analysis of the corresponding fast Fourier transform confirms that the hump characteristic is related to low-frequency (0.04–0.15 times rotational frequency) vortices. The occurrence and cessation of vortices depend on the operating condition and measurement direction, which contribute to the hysteresis feature. Finally, the type of the low-frequency vortices was analyzed through the cross power spectrum.

Companies are increasingly focusing on sustainable business practices. Internal and external stakeholders’ expectations manifest in legal requirements, national and international standards, and market and customer expectations, among other things, must be considered. In addition to profit maximization as the usual target for corporate management, management must consider environmental sustainability aspects such as resource efficiency, greenhouse gas intensity, and a company's emissions behavior. In addition, social aspects relating to the company's employees, the immediate urban environment, the situation in the supply chain, and effects on the market environment must increasingly be considered. Specifically, companies are faced with the chal-lenge of dealing with conflicting objectives regarding the various aspects of sustainability and, if necessary, weighing them up against each other. These trade-offs must be made against the company's socio-economic and ecological environment, corporate strategy, and sustainability goals. This paper provides an overview of current approaches and research gaps on this topic through a literature review. It shows a lack of methods and frameworks to specifically deal with trade-offs and conflicts of goals.

This last decade, chimeric antigen receptor (CAR) T-cell therapy has become a real treatment option for patients with B-cell malignancies, while multiple efforts are being made to extend this therapy to other malignancies and broader patient populations. However, several limitations remain, including those associated with the time-consuming and highly personalized manufacturing of autologous CAR-Ts. Technologies to establish “off-the-shelf” allogeneic CAR-Ts with low alloreactivity are currently being developed, with a strong focus on gene editing technologies. Although these technologies have many advantages, they have also strong limitations including double-strand breaks in the DNA with associated multiple safety risks as well as the lack of modulation. As an alternative, non-gene editing technologies provide an interesting approach to support the development of allogeneic CAR-Ts in the future, with possibilities of fine-tuning gene expression and easy development. Here we will review the different ways allogeneic CAR-Ts can be manufactured and discuss which technologies are currently used. The biggest hurdles for successful therapy of allogeneic CAR-Ts will be summarized and finally an overview of the current clinical evidence for allogeneic CAR-Ts in comparison to its autologous counterpart will be given.

Single nanowires (NWs) are of great importance for optoelectronic applications, especially solar cells serving as powering nanoscale devices. However, weak off-resonant absorption can limit its light-harvesting capability. Here, we propose a single NW coated with the graded-index dual shells (DSNW). We demonstrate that with appropriate thickness and refractive index of the inner shell, the DSNW exhibits significantly enhanced light trapping compared with the bare NW (BNW), and the NW only coated with the outer shell (OSNW) and the inner shell (ISNW), which can be attributed to the optimal off-resonant absorption mode profiles due to the improved coupling between the reemitted light of the transition modes of the leak mode resonances of the Si core and the nanofocusing light from the dual shells with the graded refractive index. We found that the light absorption can be engineered via tuning the thickness and the refractive index of the inner shell, the photocurrent density is significantly enhanced by 134% (56%, 12%) in comparison with that of the BNW (OSNW, ISNW). This work advances our understanding of how to improve off-resonant absorption by applying graded dual-shell design and provides a new choice for designing high-efficiency single NW photovoltaic devices.

Background:Fontan completion is the last stage of univentricular repair, which drains the inferior vena cava against gravity to a higher-pressure pulmonary arterial circulation. The passivity and anti-gravity nature of this circulation render a failing Fontan, not an uncommon encounter, twenty years ago, Rodefeld and colleagues, decided to explore the feasibility of vascular pumps to support the passive nature of Fontan circulation, and since then, trials are still ongoing, and we aimed through this review to wrap up the results of these trials. Methods:A literature review has been conducted, to identify any in vivo or in vitro trial of a Fontan assist device. Several outcome parameters determined whether the trial will be included or not in this review, including, the flow rate of a pump if applicable, the number of compressions per minute if a compression device has been used, the resultant flow rate, the inferior and superior vena cava pressures, associated with each setting of the respective device, and any evidence of hemolysis or clotting within the circuit. Results:A total of ten trials have been included, with 23 different settings. Three designs have been identified, out of which two fall within the pump design, namely the connecting chamber and the intravascular pump designs; only one trial explored the possible use of a compression device. The commonest design encountered in in-vivo trials was the intravascular pump (67%). No reports of significant hemolysis or thrombosis were found. An increasing flow rate beyond 5L/min was associated with a negative outcome in the connecting chamber design, increasing upstream pressure in the SVC, while intravascular pumps did not display this limitation. Conclusion:Univentricular heart patients are a relatively small population, with very extensive needs, despite twenty years of trials, no study has yet concluded the optimal design or settings for a Fontan assist device. In this review, we identified that the intravascular pump remains the most practical design, due to its easy mode of insertion, and that it is not faced with the limitation or risk of increasing upstream resistance. There is still a long way to conclude its use as other designs such as compression devices have not yet been fully studied.

Membrane potential generation and maintenance are fundamental parts of membrane theory. However, since its inception, theories and assumptions have remained simple, whereas the amount of knowledge available has only grown. Unfortunately, this simplification and reductionism lead to its loss of validity on both microscopic and macroscopic scales. This article shows that assumptions made outside the context of factual reality lead to contradictions that cannot be compared with science. Membrane theory must be thoroughly revised, taking into account all forgotten and unanswered assumptions and questions to conform to facts and science to maintain credibility.

Mycobacterium tuberculosis is a leading cause of human mortality worldwide and the emergence of drug-resistantstrains, demands the discovery of new classes of antimycobacterials that can be employed in the therapeutic pipeline. Previously, a secondary metabolite Chrysomycin A, isolated from Streptomyces sp. OA161 was shown to have potent bactericidal activity against drug-resistant clinical isolates of M. tuberculosis and different species of mycobacteria. The antibiotic inhibits the mycobacterial topoisomerase I and DNA gyrase leading to bacterial death, but the mechanisms that could cause resistance are currently unknown. To further understand the resistance mechanism, spontaneous resistance mutants were isolated and subjected to whole-genome sequencing. Mutation in a Tet^R family transcriptional regulator MSMEG_1380 was identified in the resistant isolates and was close to an operon encoding membrane protein MSMEG_1381 and MSMEG_1382. Sequence analysis and modeling studies indicated that they are components of the Mmp family of efflux pumps and over-expression of either the operon or individual genes conferred resistance to chrysomycin A, isoniazid, and ethambutol that are in TB therapy. Our study highlights the role of membrane transporter proteins in conferring multiple drug resistance and the utility of recombinant strains overexpressing membrane transporters in the drug screening pipeline.

Undisturbed ground temperature (UGT), thermal conductivity (TC) and heat capacity (HC) are essential parameters for the design of borehole heat exchanger (BHE) and borehole thermal energy storage systems. However, field methods to assess the thermal state and properties of the sub-surface are costly and time consuming. Moreover, HC is often not evaluated but arbitrarily selected from literature considering the geological materials intercepted by boreholes. Therefore, this work aims at proposing a field heat tracing method to infer the thermal diffusivity (TD) and HC with assumption of natural transient heat conduction in the subsurface. Empirical equations were developed to reproduce a UGT profile measured along a BHE. Experimental coefficients are found with a non-linear least square solver optimization and used to calculate the damping depth and TD. Subsequently, the TD is used to evaluate HC considering TC obtained from a thermal response test (TRT). Results from this proposed heat tracing method were verified and validated against a set of TRT results and oscillatory TRT analysis using a field dual probe concept to infer HC. The example here described highlights the advantages and novelty of this fast and simple field method relying only on a single UGT profile measured before a TRT.

During operation, the support bracket is the main part to withstand the axial loads of the pumped storage unit. Moreover, the effects of axial loads including the hydraulic thrust of runner flow and the weight of runner body may cause the support bracket deformation and fatigue damage. For the safe and stable operation, the simulation of the axial force and the structural analysis of the support bracket of a pumped storage unit was carried out in this paper. The CFD simulation result has revealed the variation rule of the axial force in different operating conditions. Using ANSYS Mechanical, the static stresses and deformation of support bracket with axial loads were calculated. The results release the location and variations of maximum stress and maximum deformation caused by the axial loads. By comparing the predicted maximum axial force with the admission force calculated by the structural analysis, it is found that the axial force of the researched machine is within the safe range. This study provides the reference for the safety and stable operation of the pumped storage unit.

A pump station is a very important flood control facility for mitigating inundation of urban lowland areas. It is not easy to secure a site to increase the capacity of a pump station in an urban area because of various limitations or to maximize the discharge capacity of the pump sump. Adding a facility to improve the pump capacity of a pump station may affect the flow characteristics, such as unexpected increases in the flow velocity and vorticity, and cause severe problems with operating the pump station. To solve those problems, anti-vortex devices (AVDs) have been developed and adopted for appropriate design standards. The Korean design criteria for AVDs are based on experience and foreign standards because not enough data on the AVD are available. In this study, the flow in the sump was numerically simulated at various AVD heights to collect information on improving the design and efficiency of a pump station. Consequently, an appropriate height for the AVD and changes in the flow pattern and vortex in the pump sump were determined and compared with 12 cases of inflow conditions with respect to the vertical location.

In view of the inability to directly and accurately obtain the athlete's aerodynamic force during take-off phase through wind tunnel test, the athlete's aerodynamic force and surrounding flow field form under different take-off postures are obtained through numerical simulation research, and the effects of different take-off modes on the aerodynamic characteristics during take-off in ski jumping are discussed. The multi-body system composed of the athlete and skis was selected as the research objects. By using partially averaged Navier-Stokes (PANS) turbulence model and 3D numerical simulation of computational fluid dynamics (CFD), the aerodynamic characteristics of the athlete under different take-off postures were predicted. Take-off modes include knee-push-hip (KPH) mode and hip-drive-knee (HDK) mode, and the hip joint angle of HDK mode is significantly greater than KPH mode. First, the aerodynamic force ratio of the athlete’s torso and legs is obviously large. Although the aerodynamic force of arms themselves is not obvious, they have a great impact on the overall aerodynamic characteristics of the athlete, so the posture of arms cannot be ignored. Then, the total drag and moment of HDK mode are significantly higher than that of KPH mode, and the lift-to-drag ratio of HDK mode is significantly lower than that of KPH mode. At first the total lift of HDK mode is higher than that of KPH mode, but in the last attitude the total lift of HDK mode does not rise but fall, and finally the total lift of HDK mode is lower than KPH mode. The aerodynamic characteristics change dramatically during take-off phase, and the aerodynamic characteristics of the two take-off modes are quite different, and these changes and differences are difficult to be observed in real training and competition site. KPH mode has obvious aerodynamic advantage over HDK mode. During the take-off process, the athlete should increasethe force generated by the knee joint extension and appropriately reduce the speed of hip joint extension, and control the using force order of the lower limb joints, and push hip joint extension by knee joint extension, in order to avoid issues such as the hip joint angle is too large, the hip joint extension angle is too fast, the center of gravity is to back and other problems. Studying the aerodynamic characteristics during the take-off phase provides valuable insights for athletes to achieve favorable flight postures after take-off, offering scientific guidance to improve training strategies and enhance competitive performance.

Abstract: This study estimates consumers’ willingness to pay (WTP) for sustainability turfgrass attributes such as low-input and stress-tolerance attributes, while considering potential trade-off relationships between aesthetic attributes and sustainability attributes. To address our objectives, our study conducts a choice experiment and estimates two mixed logit models. The first model includes low-input, winter kill, and shade-tolerance attributes as predictor variables, and the second model extends the first model by adding interaction terms between aesthetic and sustainability attributes. Another choice experiment is conducted under water policies with various water rate increase and watering restriction scenarios. Results from the mixed logit models show that overall, higher low-input cost reduction, less winter-damaged, and more shade-tolerance grasses are preferred, the direct effect of aesthetic attributes on consumers’ preference is strong, but the indirect effect represented by the interaction terms are generally statistically insignificant. Our results indicate that consumers like to have a pretty lawn, but no strong consideration is given to the aesthetics of their lawn when selecting low-input and stress-tolerance turfgrasses. Our choice experiment under water policy scenarios suggests that water pricing is more effective than watering restriction in increasing consumer demand for water-conserving turfgrasses.

The large areas being targeted for tropical forest restoration as part of the UN Decade on Ecosystem Restoration will have major consequences for the flow of water through landscapes. Whilst the prevailing mantra that ‘more forest implies less streamflow’ remains true in terms of annual water yields, we demonstrate that opportunities for increased tree cover to improve seasonal flow regimes of streams, particularly baseflows, are important. We discuss several potential positive feedbacks of forest restoration on hydrological processes at various scales, including ‘trade-offs’ between changes in vegetation water use and infiltration after foresting degraded land; the recovery of the capacity of vegetation to capture ‘occult’ precipitation in specific coastal and montane settings; and enhanced moisture recycling and transport at various scales. Modelled changes in baseflow after foresting all degraded land climatically capable of carrying forest in the tropics suggested a positive effect in 10% of the land. For an additional 8%, the effect was predicted to be about neutral (<2 mm/y). We conclude that a more positive narrative regarding the relationship between tropical forestation and water availability is justified. It is time for greater involvement of hydrologists and atmospheric scientists in the development and assessment of forest landscape restoration efforts.

The upper limb force-velocity relationship (FVR) is a crucial aspect of athletic performance, par-ticularly in para sports where upper limb movements play a leading role in activities such as wheelchair propulsion. Athletes’ mechanical capacities can be evaluated on the field or in lab conditions. However, no studies have indicated a relationship between ergometers and field FVR or performances. Understanding para-athletes’ upper limb FVR can provide important insights for developing effective training programs and improving athletic performance in wheelchair bas-ketball players. Twenty-three wheelchair basketball players (12 women and 11 men) from French national teams performed a battery of three tests consisting of a 20 m sprint (SP) with Inertial measurement units (IMU) on wheels, a horizontal upper limb push-offs on a frictionless sled with two Kistler force plates (HBP), and a crank ergometer sprints test (CES) derived from arm er-gometer sprints using Brachumera, Lode. For the SP test, the FVR was computed with an estimation of force from the acceleration, the rolling resistance, and an estimation of the air resistance. Correlations between each variable measured were computed via Pearson correlations in R, as-suming strong relationships for r=0.7-1.0, moderate when r=0.40-0.69, and weak relationship when r<0.1-0.39. Significant differences were assumed when p<0.05. Strong correlations were found between the results of three tests conducted. The correlation coefficient between maximal theo-retical force (F0) data ranged from 0.85 to 0.88 and that between maximal theoretical power (P0) data ranged from 0.87 to 0.94. However, for maximal theoretical velocity (V0) data, the correlations between the three tests were less important. The performance variables showed a strong corre-lation with power measured on the HBP test without load. There is a significant relationship between HBP, CES, and SP variables. There is a correlation between performances on the three tests in our population, especially for the power. However, the V0 value of HBP was not representative of any performances. This work can show multiple protocols to assess para-athletes’ performances and show that upper limb symmetry depends on the gesture of the task and personal sports’ wheelchairs.

Discovery of stable and broad frequency combs in monochromatically pumped high-Q optical Kerr microresonators caused by generation of temporal solitons can be regarded as one of the major breakthroughs in nonlinear optics during the last two decades. Transfer of the soliton-comb concept to χ(2) microresonators promises lowering of the pump power, new operation regimes, and entering new spectral ranges; scientifically, it is of a big challenge. Here we represent an overview of stable and accessible soliton-comb regimes in monochromatically pumped χ(2) microresonators discovered during the last several years. The main stress is made on lithium niobate based resonators. The overview pretends to be rather simple, complete, and comprehensive: It incorporates the main factors affecting the soliton-comb generation, such as the choice of the pumping scheme (pumping to the first or second harmonic), the choice of phase matching scheme (natural or artificial), the effects of temporal walk-off and dispersion coefficients, and also the influence of frequency detunings and Q-factors. Most of discovered nonlinear regimes are self-starting – they can be accessed from noise upon a not very abrupt increase of the pump power. The soliton-comb generation scenarios are not universal – they can be realized only under proper combinations of the above mentioned factors. We indicate what kind of restrictions on the experimental conditions have to be imposed to get the soliton-comb generation.

in this work formulations of "environmentally compatible" silicone-based antifouling synthesized in the laboratory and based on copper and silver on silica/titania oxides have been characterized, capable of replacing the non-ecological antifouling paints currently on the market. The texture properties and the morphological analysis of these powders with an antifouling action indicate that their activity is linked to the nanometric size of the particles and to the homogeneous dispersion of the metal on the substrate. The presence of two metal species on the same support limits the for-mation of nanometric species and therefore the formation of homogeneous compounds. The presence of the antifouling filler (specifically the one based on TiO2 and Ag) facilitates the achievement of a higher degree of cross-linking of the pure resin, and therefore a better compactness and completeness of the coating. This leads to a consequent better degree of adhesion to the tie-coat and therefore to the steel support used for the construction of the boats.

The article presents the results of tests related to failure analysis and finding ways to diagnose used semiconductor elements, among other, in power electronics converter systems on vessels and offshore facilities (drilling and production rigs, wind turbines). Diagnostic relationships were found between the temperature change in the above systems and the signals generated in form of elastic waves of acoustic emission.

An analysis of form and size of the fatigue wear of gear wheel top layer of the prototype oil pump (type 3PW-BPF-24) is presented in the publication. The object of research was subject to endurance tests, so called labour resource test. During this test the pump was loaded in cycles with maximal working pressure. Additionally, continuous monitoring tests of exploitational and environmental parameters were conducted. After a completion of the endurance test the noticed superficial defects due to a phenomenon of the top layer fatigue and previously applied thermochemical treatment were measured and described. The work was finished with an analysis of obtained results and conclusions concerning a selection optimization of the thermal treatment parameters. Taking into consideration the presented results (suggestions) in the technology of improving strength prop-erties of gear wheels (of this type oil pumps) may render it possible to obtain an appropriate fa-tigue endurance of the top layer, i.e. a minimization of observed superficial defects.

Proton-pump inhibitors (PPIs) are the most administered first-line treatment for eosinophilic esophagitis (EoE). However, only around half of EoE patients respond histologically to PPI at double dosage. In addition, 70% of responders maintain EoE in remission after tapering the PPI dose. In order to avoid endoscopy with biopsies − the only accurate method of assessing PPI response − efforts have been made to identify PPI responder patients. Clinical or endoscopic features and biomarkers evaluated so far however, have not proved good enough in predicting PPI response. Although new approaches based on omics technologies have uncovered promising biomarkers, the specialized and complex procedures required are difficult to implement in clinical settings. Alternatively, PPI pharmacogenetics based on identifying variations in CYP2C19 and STAT6 genes have shown promising results in EoE, and could easily be performed in most laboratories. Other genetic variations have also been associated with PPI response and may explain those cases not related to CYP2C19 or STAT6. Here, we give an overview of PPI treatment in EoE and evidence of how genetic variations in CYP2C19 and other genes could affect PPI effectiveness, and also discuss studies evaluating the role of pharmacogenetics in predicting PPI response in patients with EoE.

This paper presents a parametric study of the multistorey hydro-powered pump, known as "Bunyip," which has demonstrated significant potential in contributing to rural regions. The study aims to understand the underlying physics of the system and enhance its hydraulic performance. A transient three-dimensional model using the commercial Computational Fluid Dynamics (CFD) tool Ansys-Fluent is utilized to gain insights into the fundamental flow mechanics, operational efficiency, standard capacity, and relative delivery. The investigation involves an initial assessment of performance for three Bunyip devices based on manufacturing data. Parametric analysis is conducted, and a parametric dataset is generated through meticulous application and numerical modelling. The CFD results are validated against experimental data. Three design configurations are considered, and 58 sets of varied input parameters are examined. The best design configuration is evaluated against five cases of conventional hydro-power pump systems. The results indicate that a smaller diameter of the pressure chamber and a higher supply head lead to higher pressure, achieving a target head of 3 m with 15% efficiency and a flowrate of 11.82 l/min.

An experimental investigation on the heat pump performance improvement equipped with the two-phase ejector called “an ejector-expansion heat pump (EEHP)” is proposed. The system performance of the EEHP is compared with a vapour-compression heat pump (VCHP). The improvement potential is determined and discussed. The heat pump test system is constructed which is based on a water-to-water heat pump. It can be experimented with both EEHP and VCHP. The two-phase ejector with the cooling load up to 2500 W is installed for experiment. The results show that the EEHP always produces a higher heating rate and COP than the VCHP throughout the specified working conditions. The heating COP is increased by 5.7-12.2% depending on the working conditions. It is also that under the same heat sink and heat source temperature, the EEHP can produce lower compressor discharge temperature and lower compressor pressure ratio than the VCHP. This is evidence that the two-phase ejector can provide better compressor working characteristics which yields a longer compressor lifetime. It is demonstrated that a key to the performance of the EEHP is the expansion pressure ratio. A larger expansion pressure ratio yields a higher improvement potential when compared with the VCHP.

Broadband reverse saturable absorption is systematically investigated via Z-scan, transient absorption spectrum (TAS). The excited state absorption and negative refraction of Orange IV are observed in the Z-scan experiment at 532 nm. Meanwhile, two-photon induced excited-state absorption and pure two-photon absorption are observed at 600 nm and 700 nm with the pulse width of 190 fs, respectively. An ultrafast broadband absorption in visible wavelength region is observed via TAS. The different nonlinear absorption mechanism at multiple wavelengths is discussed and interpreted from the results of TAS. In addition, the ultrafast dynamics of negative refraction in the excited state of Orange IV is investigated via degenerate phase object pump probe, from which the weak long-lived excited state is extracted. All studies indicate that Orange IV has the potential to be further optimized into a superior broadband reverse saturable absorption material and also has certain reference significance for the study of optical nonlinearity in organic molecules containing azobenzene groups.

Double suction centrifugal pump installed along the Yellow River faces the serious sediment erosion due to the high sediment content which cause the poor operation efficiency of pump unit. The particle motion characteristics and erosion characteristics in the pump under different flow rates and different particle concentrations were numerically simulated based on the particle track model of solid-liquid two-phase flow. The results show that the flow rate has a significant effect on the particle tracks and the erosion caused by the particles in the impeller. The total erosion rate is positively correlated with the flow rate, and increases with the increase of flow rate. The vortex and secondary flow in the impeller have obvious influence on the particle trajectory, which increases the particle concentration at the trailing edge of the pressure surface and intensifies the impact erosion in this area. The particles carried by the vortex intensifies the local erosion. The particle concentration mainly affects the erosion rate, but has little effect on the erosion position. The in-fluence of flow rate on the pump erosion is greater than that of the particle properties. These results provide a reference for optimization of the design of anti-erosion blades of the double-suction pump and regulation-operation of pumping station.

Amorphous chalcogenide (ChGs) glasses are intrinsically metastable, highly photosensitive, and therefore exhibit numerous lightinduced effects upon bandgap and sub-bandgap illumination. Depending on the pulse duration of the excitation laser, ChGs exhibit a series of lightinduced effects spanning over femtosecond to seconds time domain. For continuous wave illumination, the effects are dominantly metastable in terms of photodarkening (PD) and photobleaching (PB) that takes place via homopolar to heteropolar bond conversion. On the other hand, under nanosecond and ultrafast pulsed illumination, ChGs exhibit transient absorption (TA) that is instigated from the transient bonding rearrangements through self-trapped exciton recombination. In the first part of the review, we pay special attention to continuous wave lightinduced PD and PB, while in the second part we will focus on the TA and controlling such effects via internal and external parameters e.g., chemical composition, temperature, sample history etc.

Background: COVID-19 is a disease of the elderly as 95% of deaths related to COVID-19 occur in people over 60 years of age. Despite the urgent need for a preventive treatment there are currently no serious leads, other than the vaccination. Objective: To find a preventive treatment of COVID-19 in elderly patients. Design: Retrospective case-control study. Setting: Robertsau Geriatric Hospital of the University Hospitals of Strasbourg, France. Patients: 179 elderly patients who had been in contact with the SARS-CoV-2, of whom 89 had tested RT-PCR-positive (COVID-pos) for the virus and 90 had tested RT-PCR-negative (COVID-neg). Measurements: Treatments within 15 days prior to RT-PCR (including antihypertensive drugs, antipsychotics, antibiotics, nonsteroidal anti-inflammatory drugs, proton pump inhibitors (PPIs), paracetamol, anticoagulant, oral antidiabetics (OADs), corticosteroids, immunosuppressants), comorbidities, symptoms, laboratory values, and clinical outcome were all collected using the electronic patient record. Results: COVID-pos patients more frequently had a history of diabetes (P=.016) and alcoholism (P=.023), a lower leukocyte count (P=.014) and a higher mortality rate– 29.2% versus 14.4% – (P=.014) when compared to COVID-neg patients. Patients on PPIs were 2.3 times less likely (odds ratio [OR] = 0.4381, 95% confidence interval [CI] [0.2331, 0.8175], P=.0053) to develop COVID-19 infection, compared to those not on PPIs. No other treatment decreased or increased this risk. COVID-19 patients on antipsychotics (P=.0013) and OADs (P=.0166) were less likely to die. Limitations: retrospective study. Conclusion: PPIs treatment lowered the risk of development of COVID-19 infection, and antipsychotics and OADs decreased the risk of mortality in geriatric patients. If further studies confirm this finding, PPIs could be used preventatively in the elderly in this pandemic context. Moreover, OADS and antipsychotics should be tested in clinical trials.

We performed a systematic review and meta-analysis to evaluate the role of gastric acid suppressant use on outcomes of tyrosine kinase inhibitors (TKIs) and oral chemotherapy. We identified all researches evaluating the effect of GAS use on patients receiving oral chemotherapy or TKIs for solid tumors. The pooled hazard ratios (HRs) and 95% confidence interval (95% CI) for overall survival (OS) and progression-free survival (PFS) were calculated with fixed-effects or random-effects model. The study population included n=16 retrospective studies and 372,418 patients. Series concerned gastrointestinal tract tumors (n=5 studies), renal cell carcinomas (RCC, n=3 studies), non-small cell lung cancers (NSCLC, n=5 studies), and soft tissue sarcomas or mixed histologies solid tumors in n=3 studies. The pooled HRs for OS and PFS were 1.31 (95% CI: 1.20–1.43; P<01) and 1.3 (95%CI 1.07-1.57; P<0.01) for GAS and no GAS users, respectively. Only studies of EGFR mutated NSCLC patients receiving TKIs and those with colorectal cancer receiving oral chemotherapy showed a significant correlation between GAS and poor survival. Our study supports the evidence of a possible negative impact of concomitant GAS therapy on survival outcomes of patients receiving oral anti-cancer drugs.

CAR-T therapy has achieved considerable treatment success in hematologic tumors by using patient derived autologous αβ T cells. There is an impetus to broaden the applicability of this approach by using a third-party donor derived CAR-T cell product which has a potent anti-tumor function but a constrained GVHD property. In this study, CAR-T cells were prepared from Vγ9Vδ2 T cells expanded by using a novel prodrug PTA and their anti-tumor functions were assessed in conjunction with persistency, localization, and phenotype. γδ T cells were successfully transduced with a CAR specific to CEA with signaling domains of CD3ζ and CD28 (CEA.CAR-γδ T cells), and exhibited potent tumor killing function in vitro. In a xenograft mouse model, CEA.CAR-γδ T cells suppressed CEA+ tumor growth though a limited time window. CEA.CAR-γδ T cells persisted and accumulated in the tumor even after tumor progression, however, ex vivo analysis revealed that those recovered at different time points from PBMC, spleen and tumors gradually lost tumor reactivity as assessed by IFN-γ production. Provision of GITR co-stimulation enhanced anti-tumor function of CEA.CAR-γδ T cells, the result of which imposes additional measurers to be adopted in CAR-γδ T cells for an allogeneic adoptive immunotherapy.

Aging rate differs greatly between species, indicating that the process of senescence is largely genetically determined. Senescence evolves in part due to antagonistic pleiotropy (AP), where selection favors gene variants that increase fitness earlier in life but promote pathology later. Identifying the biological mechanisms by which AP causes senescence is key to understanding the endogenous causes of aging and its attendant diseases. Here we argue that the frequent occurrence of AP as a property of genes reflects the presence of constraint in the biological systems that they specify. This arises particularly because the functionally interconnected nature of biological systems constrains the simultaneous optimization of coupled traits (interconnection constraints), or because individual traits cannot evolve (impossibility constraints). We present an account of aging that integrates AP and biological constraint with recent programmatic aging concepts, including costly programs, quasi-programs, hyperfunction and hypofunction. We argue that AP mechanisms of costly programs and triggered quasi-programs are consequences of constraint, in which costs resulting from hyperfunction or hypofunction cause senescent pathology. Impossibility constraint can also cause hypofunction independently of AP. We also describe how AP corresponds to Stephen Jay Gould’s constraint-based concept of evolutionary spandrels, and argue that pathologies arising from AP are bad spandrels. Biological constraint is a missing link between ultimate and proximate causes of senescence, including diseases of aging. That this was not realized previously may reflect a combination of hyperadaptationism among evolutionary biologists, and the erroneous assumption by biogerontologists that molecular damage accumulation is the principal primary cause of aging.

Following the introduction of live-attenuated rotavirus vaccines in many countries, a notable reduction in deaths and hospitalizations associated with diarrhoea in children <5 years of age has been reported. There is growing evidence to suggest that live-attenuated vaccines also provide protection against other infections beyond the vaccine-targeted pathogens. These so called off-target effects of vaccination have been associated with the tuberculosis vaccine Bacille Calmette Guérin (BCG), measles, oral polio and recently salmonella vaccines, and are thought to be mediated by modified innate and possibly adaptive immunity. Indeed, rotavirus vaccines have been reported to provide greater than expected reductions in acute gastroenteritis caused by other enteropathogens, that have mostly been attributed to herd protection and prior underestimation of rotavirus disease. Whether rotavirus vaccines also alter the immune system to reduce non targeted gastrointestinal infections has not been studied directly. Here we review the current understanding of the mechanisms underlying off-target effects of vaccines and propose a mechanism by which the live-attenuated neonatal rotavirus vaccine, RV3-BB, could promote protection beyond the targeted pathogen. Finally, we consider how vaccine developers may leverage these properties to improve health outcomes in children, particularly those in low-income countries where disease burden and mortality is disproportionately high relative to developed countries.

(1) Background: This report examines the unique demands of off-road triathlon (XT) by presenting physiological, field, and race data from a national champion off-road triathlete using several years of laboratory and field data to detail training and race intensity. (2) Methods: Laboratory and field data were collected when the athlete was at near peak fitness and included oxygen consumption (VO2), heart rate (HR), power output (W), and blood lactate (BLC) during cycling and running, while HR, cycling W, and running metrics were obtained from training and race data files over a period of seven years. Intensity was described using % HR max zones (Z) 1 &lt; 75%, 2 = 75 - 87%, and Zone 3 &gt; 87%, and W. An ordinary least squares analysis was used to model differences between event types. (3) Results: Weather conditions were not different across events. XT events had twice the elevation change (p&lt;0.01) and two-three times greater W’ (p&lt; 0.001) than road triathlon (ROAD), but similar HR intensity profiles (max, avg, and zones); both events are predominately performed at &gt; Z2 or higher intensity. Championship XT events were longer (p&lt;0.01) , with higher kJ expenditure (p&lt;0.001). OLS modelling suggested three variables were strongly related (R2 = 0.84; p &lt; 0.0001) to cycling performance: event type (XT vs ROAD), total meters climbed, and total bike duration. Championship XT runs were slower than either regional (p&lt;0.05) or ROAD (p&lt;0.01) runs, but HR intensity profiles similar. OLS modelling indicates that slower running is linked to either greater total bike kJ expenditure (R2 = 0.57; p&lt;0.001), or total meters gained (R2 = 0.52; p&lt;0.001). Race simulation data support these findings but failed to produce meaningful differences in running. Conclusions: XT race demands are unique and mirror MTB and trail running demands. XT athletes must be mindful of developing anaerobic fitness, technical ability, and aerobic fitness, all of which contribute to off-road cycling economy. It is unclear whether XT cycling affects subsequent running performance different from ROAD cycling.

Electromagnetic sensing has been used for diverse applications of non-destructive testing, including the surface inspection, measurement of properties, object characterization. However, the measurement accuracy could be significantly influenced by the lift-off between sensors and samples. To address the issue caused by lift-offs, various strategies have been proposed for the permeability measurement of ferromagnetic steels, which mainly involves different sensor designs and signal features (e.g., the zero-crossing feature). In this paper, a single high-frequency scenario for the permeability retrieval is introduced. By combining the signal of two sensing pairs, the retrieval of magnetic permeability is less affected by the lift-off of sensors. Unlike the previous strategy on reducing the lift-off effect (directly taking the phase term out of the integration) using the Dodd-Deeds analytical method, the proposed method is based on a high-frequency linear feature of the phase term. Therefore, this method has the merit of high accuracy and fast processing for the permeability retrieval (a simplified version of Dodd-Deeds analytical formulas after the integration). Experimental measurement has been carried out on the impedance measurement of designed sensors interrogating ferromagnetic dual-phase steels. For sensor lift-offs of up to 10 mm, the error of the permeability retrieval is controlled within 4 % under the optimal frequency.

Eddy current sensors can be used to test the characteristics and measure the parameters of the conductive samples. As the main obstacle of the multi-frequency eddy current sensor, the lift-off distance affects the effectiveness and accuracy of the measurement. In this paper, a material-independent algorithm has been proposed for the restoration of the lift-off distance when using the multi-frequency eddy current sensor, which is based on the approximation under the thin-skin effect. Experiment testing on the performance of the proposed method is presented. Results show that from the dual-frequency inductance, the lift-off distance could be restored with a maximum error of 0.24 mm for the distance up to 12 mm. Besides, the derived lift-off distance is used for the inversion of the magnetic permeability. Based on a lift-off insensitive inductance (LII) feature, the magnetic permeability of steels can be inversed in an iterative manner, with an error of less than 0.6 % for the lift-off distance up to 12 mm.

Enhancing the Efficiency of Natural Gas Liquid (NGL) Extraction and Fractionation Trains: An Integrated Approach of Simulation Analysis, Advanced Modifications, and Technological Advancements. Through comprehensive research, innovative solutions such as the heat pump aided distillation (HPAD) system and self-heat recuperation technology (SHRT) have been developed to significantly reduce the energy consumption associated with conventional distillation systems. To identify a practical system for NGL fractionation trains, this study extensively examined and compared various HPAD and SHRT options to retrofit a single column. The objective was to find the most suitable and efficient solution for the fractionation process of natural gas liquids (NGLs). The retrofit options analyzed in this study encompassed a range of techniques, including vapor compression (VC), mechanical vapor re-compression (MVR), thermal vapor re-compression (TVR), bottom flashing (BF), side heat exchanger (SHE), intermediate heating and cooling (IHC), self-heat recuperative (SHR), and modified self-heat recuperative (MSHR) distillation. These methods were carefully examined to determine their suitability and effectiveness in improving the performance of NGL fractionation trains.In this study, a depropanizer column, typically employed in conventional NGL plants, was selected as a case study. The simulation software Aspen HYSYS V7.3 was employed to model and analyze eight retrofit designs based on predefined criteria. The simulation data was carefully evaluated to identify the most efficient design for minimizing energy consumption. Among the retrofit options, the mechanical vapor re-compression (MVR) technique demonstrated the most significant energy cost reduction, with a remarkable 68.11 percent improvement compared to the base case conventional column. These findings highlight the potential of MVR as an effective solution for lowering energy costs in NGL fractionation trains.Following the MVR retrofit option, the study found that vapor compression (VC) achieved a considerable energy cost reduction of 66.65 percent, closely followed by modified self-heat recuperative (MSHR) at 64.02 percent, bottom flashing (BF) at 62.88 percent, self-heat recuperative (SHR) at 55.85 percent, side heat exchanger (SHE) at 54.23 percent, intermediate heating and cooling (IHC) at 39.54 percent, and thermal vapor re-compression (TVR) also at 39.54 percent. These findings highlight the significant potential for energy savings offered by these retrofit options, with VC being the most popular choice, closely followed by MSHR, BF, SHR, SHE, IHC, and TVR.

We study electrohydrodynamic (EHD) linear (in)stability of microfluidic channel flows, i.e. the stability of interface between two-shearing viscous (perfect) dielectrics exposed to an electric field in large aspect ratio microchannels. We then apply our results to particular microfluidic systems known as electroosmotic (EO) pumps. Our results are detailed analytical expressions for the growth rate of two-dimensional EHD modes in Couette-Poiseuille flows in the limit of small Reynolds number ($R$); the expansions to both zeroth- and first-order-$R$ are considered. The growth rates are complicated functions of viscosity-, height-, density- and dielectric-constant ratio, as well as of wavenumbers and voltages, and to our knowledge have not been presented before in literature. To make the results more useful, e.g., for voltage-control EO pump operations, we also derive equations for the impending voltages of the neutral stability curves that divide stable from unstable regions in voltage-wavenumber stability diagrams. The voltage equations and the stability diagrams are given for all wavenumbers. We finally outline the flow regimes in which our first-order-$R$ voltage corrections could potentially be experimentally measured. Our work gives the insight into the coupling mechanism between electric field and shear flow in parallel-planes channel flows, correcting an erroneous attempt from literature. Our general analysis enables us also to refine the renowned instability mechanism due to viscosity stratification, i.e., the case of pure shear instability, when the first-order-$R$ voltage correction equals zero.

In the process of construction and operation of the pumping station, a large number of axial flow pumps pose a threat to the survival of fish in the natural environment. Through experiments, the survival conditions of many kinds of fish in extreme positive and negative pressure environment are explored, and -40 kPa is established as the low pressure damage threshold, which is used as a reference to analyze the probability of fish damage caused by pumps. The immersion boundary-lattice Boltzmann numerical method (LES-IB-LBM) based on large eddy simulation is used to optimize the parameters of the prototype runner of axial flow pump. A new type of runner with leading edge thickness of 11.4mm and blade cutting angle of 18 ° is optimized. This kind of runner has both hydraulic performance and fish-passing ability. The runner of the fish-friendly axial flow pump effectively guides the fish into the low risk area and reduces the risk of friction, shear and impact damage to the fish. the total impact mortality ratio of the runner of the axial flow pump before and after optimization is close to 7:1. The pressure damage analysis shows that the lowest negative pressure of the fish is -59.2 kPa, which is higher than -64.5 kPa of the prototype pump, and the highest positive pressure of the body surface is 11.8 kPa, which is lower than the 43.8 kPa of the prototype pump. Shear damage analysis shows that the fish will not be damaged by shear in the prototype pump and fish-friendly pump.

Small hydro-power systems seem to be the best solution for energy generation through the use of pump as turbine (PAT) due to its low cost and lesser environmental hazards associated with it. Recently, PAT applications are gaining global attention in energy generation but its operation is not fully understood. The performance and flow behavior is affected by several operational conditions. This study seeks to investigate the effects of rotational speed on flow behavior and performance of a PAT. Rotational speed is an important physical parameter that affects the operation of a PAT. A selected centrifugal pump model of four blades and splitters was used for the study. Numerical simulations were carried out using k-ε turbulence model to solve the three-dimensional (3D) equations in both pump and PAT modes. The outcomes were then validated using experimental results in the pump mode to obtain overview flow physiognomies. The results predicted that the efficiency increases as the rotational speed increases in the pump mode whereas in turbine mode, higher rotational speed cannot convert hydraulic energy into mechanical energy. Thus, a rotational speed of 1500 rpm performed the highest efficiency of 69.8% at QBEP among the other rotational speeds selected. Moreover, the head performance in the turbine mode increases as the flow rate increases. This research provides useful information which will help improve PAT performance as well as selecting PAT for small hydro-power site.

In order to improve the operation performance of the multi-stage double-suction centrifugal pump and reduce the internal energy loss of the pump, this paper proposes a single-objective optimization design method based on non-hierarchical response surface model (RSM) and the multi-island genetic algorithm (MIGA). Nine parameters, such as the blade outlet width and blade wrap angle, were used as design variables, and the optimization objective was the efficiency under design conditions. In total, 149 sets of valid data were obtained under the latin hypercube sampling method (LHS), the corresponding thresholds were set for efficiency and head, and 99 sets of valid data were obtained. A cross-validation analysis of the sieved data was carried out based on non-hierarchical RSM, global optimization of the efficiency was carried out using MIGA, and numerical verification was carried out via CFD. The research results show that compared with hierarchical RSM, non-hierarchical RSM can approximate the nonlinear relationship between the objective function and the design variables with higher accuracy, and the model fitting R2 value was 0.919. The efficiency was improved by 3.717% after optimization. The overall prewhirl of the impeller inlet after optimization decreased, the internal speed of the volute significantly improved, the large-area vortex at the volute and the outlet pipe was eliminated, the impact loss at the volute separating tongue disappeared, and the overall hydraulic performance of the pump was improved. The total entropy output value of the optimized pump was reduced by 4.79 (W/K), mainly concentrated in the reduction in the entropy output value of the double volute, and the overall energy dissipation of the pump was reduced.

A low-cost medium power carbon dioxide (CO₂) laser system is designed, constructed, and characterized to produce coherent, monochromatic laser radiation in the Infrared region. The laser cavity is simulated and designed by using ZEMAX optic studio. A switch-mode high tension pump source is designed and constructed using a flyback transformer and simulated using NI Multisim to study the voltage behavior at different node points. A prototype cooling system/chiller is designed and built using the Thermo-Electric Coolers (TEC) to remove the excess heat produced during laser action. Various parameters, like pumping mechanism, chiller stability, efficiency, output power, and current at different applied voltages, are studied. The chiller efficiency at different output powers of the laser is analyzed, which clearly shows that the chiller's cooling rate is good enough to compensate for the heat generated by the laser system. The center wavelength of the carbon dioxide laser is 10.6μm with FWHM of 1.2nm simulated in the ZEMAX optic studio. The output beam penetration through salt rock (NaCl), wood, and acrylic sheet at various output powers is analyzed to measure the penetration depth rate of the CO₂ laser.

The main goal of this paper is to show that Bayesian optimization could be regarded as a general framework for the data driven modelling and solution of problems arising in water distribution systems. Hydraulic simulation, both scenario based, and Monte Carlo is a key tool in modelling in water distribution systems. The related optimization problems fall in a simulation/optimization framework in which objectives and constraints are often black-box. Bayesian Optimization (BO) is characterized by a surrogate model, usually a Gaussian process, but also a random forest and increasingly neural networks and an acquisition function which drives the search for new evaluation points. These modelling options make BO nonparametric, robust, flexible and sample efficient particularly suitable for simulation/optimization problems. A defining characteristic of BO is its versatility and flexibility, given for instance by different probabilistic models, in particular different kernels, different acquisition functions. These characteristics of the Bayesian optimization approach are exemplified by the two problems: cost/energy optimization in pump scheduling and optimal sensor placement for early detection on contaminant intrusion. Different surrogate models have been used both in explicit and implicit control schemes. Showing that BO can drive the process of learning control rules directly from operational data. BO can also be extended to multi-objective optimization. Two algorithms have been proposed for multi-objective detection problem using two different acquisition functions.

The adoption of Pump as Turbines (PATs) both in small scale hydroelectric plants and water supply systems has brought different advantages, the most recognized being cost-effectiveness as compared to other hydroturbines. However, due to their lack of flow control ability, their intolerance to off-design operations constitutes one tough shortfall. Moreover, this technology’s newness leads to PAT flow dynamics still being ununderstood even to date. Therefore, this study intends to numerically investigate the mixed flow PAT’s pump mode flow dynamics for five operating conditions expanding from optimum (1QBEP) to deep part-load (0.41 QBEP) conditions. Moreover the effect of runner blade angle on the same has been investigated where three angles namely -2°, 0°, and 2° have been considered. PAT flow stability was found to deteriorate as the flow decreased, where associated pressure pulsation level worsened at different flow zones. In addition, the blade angle increase led correspondingly increasing flow unsteadiness and pressure pulsation levels, where the pulsation frequencies from rotor-stator interactions were dominant for most of flow zones. This study’s findings are of a crucial importance to both scientific and engineering communities as they contribute to thorough understanding of PAT flow dynamics.

When considering implementation of shallow geothermal energy as a renewable source for heating and cooling of the building, special care should be taken in hydraulic design of borehole heat exchanger system. Laminar flow can occur in pipes due to usage of glycol mixture at low temperature or inadequate flow rate. This can lead to lower heat extraction and rejection rates of the exchanger because of higher thermal resistances. Furthermore, by increasing flow rate to achieve turbulent flow and satisfactory heat transfer rate can lead to increase the pressure drop of the system and oversizing of circulation pump which leads to impairment of seasonal coefficient of performance at the heat pump. Most frequently used borehole heat exchanger system in Europe is double-loop pipe system with smooth inner wall. Lately, development is focused on implementation of different configuration as well as with ribbed inner wall which ensures turbulent flow in the system, even at lower flow rates. At a location in Zagreb, classical and extended thermal response test was conducted on three different heat exchanger configurations in the same geological environment. With classic TRT test, thermogeological properties of the ground and thermal resistance of the borehole were determined for each smooth or turbulator pipe configuration. Extended Steady-State Thermal Response Step Test (TRST) was implemented, which incorporate series of power steps to determine borehole extraction rate at the define steady-state heat transfer conditions of 0/-3°C. Results show that heat exchangers with ribbed inner pipe wall have advantages over classic double-loop smooth pipe design, in terms of greater steady state heat extraction rate and more favorable hydraulic conditions.

This paper studies the optimization method of pump hydraulic performance based on the response surface method. A parametric model of impeller and diffuser is established. Three-dimensional optimization is carried out on the basis of the initial model obtained by one-dimensional design method. We select the pump hydraulic efficiency and the head as objective function and constraint function. Response surface models are constructed to analyze the relationship between the objectives and the design variables, and the global optimization of hydraulic performance is realized. According to the internal flow characteristics of pump, this paper proposes the strategy of two steps optimization, which aims at meridional plane and blade shape, respectively, to solve the problem of large numbers of design parameters and computational cost. The optimization results show that the hydraulic efficiency of pump increased by 3.7%, and the head is nearly the same.

A heat pump with thermal storage system is a system that operates a heat pump during night-time using inexpensive electricity; during this time, the generated thermal energy is stored in a thermal storage tank. The stored thermal energy is used by the heat pump during daytime. Based on a model of a dual latent heat storage tank and a heat pump, this study conducts control simulations using both conventional and advanced methods for heating in a building. Conventional methods include the thermal storage priority method and the heat pump priority method, while advanced approaches include the region control method and the dynamic programming method. The heating load required for an office building is identified using TRNSYS, used for simulations of various control methods. The thermal storage priority method shows a low coefficient of performance (COP), while the heat pump priority method leads to high electricity costs due to the low use of thermal storage. In contrast, electricity costs are lower for the region control method, which operates using the optimal part load ratio of the heat pump, and for dynamic programming, which operates the system by following the minimum cost path. According to simulation results for the winter season, the electricity costs using the dynamic programming method are 17% and 9% lower than those of the heat pump priority and thermal storage priority methods, respectively. The region control method shows results similar to the dynamic programming method with respect to electricity costs. In conclusion, advanced control methods are proven to have advantages over conventional methods in terms of power consumption and electricity costs.

The transportation sector stands out as California's primary contributor to greenhouse gas emissions, necessitating urgent action from government agencies to promote the adoption of low-carbon transportation (LCT) within the heavy-duty vehicles (HDV) and off-road equipment (ORE) sectors. This study conducts content analysis to delve into the impact of behavioral factors, specifically awareness and impression, on LCT adoption within these sectors. The analysis results are honed using a generative artificial intelligence (AI) tool. Positive associations emerge between the potential for LCT adoption and awareness, as well as factors linked to LCT (government incentives, environmental considerations). Notably, the study reveals that financial barriers and incentives hold greater significance for small-fleet organizations compared to their large-fleet counterparts. These findings offer actionable insights for government agencies to formulate targeted strategies, including mandates and incentives, tailored to the unique needs of organizations within the HDV and ORE sectors.

The increasing enhancement in the modulation accuracy of spatial light modulators has garnered significant attention towards real-time control technology for light fields based on these modulators. It has been empirically demonstrated that this technology possesses a remarkable capability to generate vector beams with arbitrary complex amplitude distributions. Nevertheless, past studies indicate that the generation of only one vector beam at a time has been observed. The simultaneous generation of numerous vector light fields can give rise to several challenges, including compromised picture quality, limited single mode operation, and intricate optical path configurations. In pursuit of this objective, we present a novel methodology that integrates the coding methodology of modified off-axis interferometric holography with the idea of optical superposition. This technique facilitates the concurrent generation of several vector beams. In this study, we present a demonstration of the simultaneous creation of twelve vector beams using a single spatial light modulator (SLM) as a proof of concept. Significantly, this technology has the ability to generate an unlimited quantity of vector light fields concurrently, under the assumption that the resolution of the SLM does not impose any limitations. The findings indicate that the imaging quality achieved by this technology is of a high standard. Furthermore, it is possible to separately control the beam waist radius, topological charge, polarization order, and extra phase of each beam.

Off-road vehicles and transportation are vital for agricultural economics, yet the transition to green energies is challenging. To make this application easier, a tool that enables the testing of heavy-duty off-road vehicles in various scenarios was created. Based on the methods of the World Harmonized Transient Cycle, a new Hybrid Operational Cycle that reflects the features of agricultural work was created and applied in a graphical model simulation. This was a newly developed methodology. The cycle and the model were based on gathered research data. A numerical model of a medium-power tractor with an internal combustion engine and a series-hybrid setup was created, and simulations were performed in Matlab and AVL Cruise. The research compared both diesel and hybrid vehicles in terms of their power production, fuel consumption, and efficiency in fieldwork and transportation scenarios. The research showed that a series-hybrid transmission can achieve an efficiency similar to that of tractors with a continuously variable transmission (CVT), but with the use of an electric powertrain, there is still an opportunity to exploit energy regeneration in transportation and under low-load conditions. The designed model also may be used for the development of control algorithms for hybrid drives and the improvement of the efficiency thereof.

Pipeline integrity is an important area of concern for the oil and gas, refining, chemical, hydrogen, carbon sequestration, and electric-power industries, due to the safety risks associated with pipeline failures. Regular monitoring, inspection, and maintenance of these facilities is therefore required for safe operation. Large standoff magnetometry (LSM) is a non-intrusive, passive magnetometer-based mea- surement technology that has shown promise in detecting defects (anomalies) in regions of elevated mechanical stresses. However, analyzing the noisy multi-sensor LSM data to clearly identify regions of anomalies is a significant challenge. This is mainly due to the high frequency of the data collection, mis-alignment between consecutive inspections and sensors, as well as the number of sensor measurements recorded. In this paper we present LSM defect identification approach based on ma- chine learning (ML). We show that this ML approach is able to successfully detect anomalous readings using a series of methods with increasing model complexity and capacity. The methods start from unsupervised learning with "point" methods and eventually increase complexity to supervised learning with sequence methods and multi-output predictions. We observe data leakage issues for some methods with randomized train/test splitting and resolve them by specific non-randomized splitting of training and validation data. We also achieve a 200x acceleration of support-vector classifier (SVC) method by porting computations from CPU to GPU leveraging the cuML RAPIDS AI library. For sequence methods, we develop a customized Convolutional Neural Network (CNN) architecture based on 1D convolutional filters to identify and characterize multiple properties of these defects. In the end, we report the scalability of the best-performing methods and compare them, for viability in field trials.

Most of α-thalassemia cases are caused by deletions of the structural α-globin genes. The degree of microcytosis and hypochromia has been correlated with the number of affected α-globin genes, suggesting a promising role of hematologic parameters as predictive diagnostic tools. However, specific cut-off points for these parameters to discriminate between the different subtypes of α-thalassemia remain to be clearly defined. Six hematologic parameters (total number of erythrocytes, hemoglobin concentration, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration and red cell distribution width) were evaluated in 174 cases of deletional α-thalassemia (92 heterozygous α+ thalassemia, 39 homozygous α+ thalassemia, 34 heterozygous α0 thalassemia and 9 cases of Hb H disease). A good correlation between the number of deleted alpha genes and MCV (r = -0.672, p<0.001), MCH (r = -0.788, p<0.001) and RDW (r = 0.633, p<0.001) was observed. The deletion of at least two alpha genes in adult individuals with microcytosis without iron deficiency and normal values of Hb A2 and Hb F should be discarded when MCH levels are lower than 23.15 pg. Furthermore, MCH <21.90 pg and/or MCV <70.80 fL are strongly suggestive of the presence of one α0 allele. Finally, an accurate presumptive diagnosis of Hb H disease can be made if both RDW ≥20% and MCH <18.45 pg are seen.

In airborne sensor networks (ASNs), the media access control (MAC) protocol is facing with serious unfairness problem due to the traditional protection mechanism of air-to-air communications among aircrafts. Actually by using the binary exponential back-off algorithm at high traffic loads to minimize collisions among users, the latest successful node can always benefit from this kind of MAC to obtain channel resources. Moreover, when taking the existence of the hidden nodes in ASNs into account, the inaccurate traffic load information will further aggravate the system’s unfairness. In this paper, a neighbor-channel-aware (NCA) protocol is proposed to improve the fairness of MAC protocol in ASNs. In the proposal, the NCA frame is firstly added and exchanged between neighbor nodes periodically, which helps to resolve the inaccurate traffic load information, so as to avoid reducing the probability of successful message transmission. Then a traffic-loading based back-off algorithm is involved to make the neighbor nodes cooperatively adjust the inter-frame space (IFS) interval to further reduce the unfairness. The simulation results show that, the proposed MAC protocol can guarantee the satisfied fairness, simultaneously avoiding heavy network overloads to protect key messages’ successful transmissions in ASNs.

Objective: We report a case of acute pancytopenia and liver injury after concomitant administration of low-dose methotrexate (MTX), and high-dose esomeprazole and metamizole. Case summary: A 71-year-old patient with chronic systemic idiopathic erosive arthritis was admitted after a pelvic ring fracture. After hospital admission, she received MTX in addition to esomeprazole and metamizole. Subsequent laboratory tests revealed pancytopenia and elevated liver enzymes. The follow-up clinical examinations were unremarkable, with the exception of sub-febrile temperatures. Further investigations did not detect a definitive etiology. Due to the suspicion of methotrexate-induced hematotoxicity and hepatotoxicity, antagonizing therapy with calcium folinate was administered, after which the blood counts and liver parameters normalized. Discussion: Due to the administration of high-dose metamizole immediately before the administration of low-dose MTX, the pre-existing hematotoxic pharmacodynamic effect of MTX was acutely enhanced by that of metamizole, although folic acid was administered preemptively. In addition, the concomitant administration of high-dose esomeprazole and normal dose torasemide resulted in a pharmacokinetic interaction with MTX by decreasing its renal secretion and elimination, further enhancing the concentration-dependent hematotoxic and hepatotoxic side effects of MTX. Conclusions: The relatively high demand for analgesics in patients with chronic rheumatic diseases already being treated with MTX and proton pump inhibitors necessitates that clinicians consider drug-drug interactions as potential causes of adverse drug reactions after the administration of metamizole or nonsteroidal anti-inflammatory drugs. In this category of patients, it is strongly recommended to switch to analgesics of other classes.

We conducted this systematic review with the objective to understand the efficacy and safety of proton pump inhibitors [PPIs] in the pediatric population. We have used PubMed to identify randomized controlled trials [RCTs] published between 1st June 2010 and 30th June 2023, in patients from birth to 18 years old, with gastroesophageal reflux disease [GERD], who received treatment with any PPI. The literature yielded 76 articles and 13 met inclusion criteria. For infants, PPIs were equal to placebo in reducing GERD symptoms in 4 articles. In 1, the number of GER episodes and esophageal acid exposure were lower in infants who received PPIs and left lateral position, but there was no significant improvement in symptoms. In another publication, the combination of PPIs and feeding modifications [FM] was not more effective than PPIs alone. For children and adolescents, PPIs were effective in improving symptoms and achieving mucosal and histological healing, which was subsequently maintained. To conclude, PPIs are not effective to reduce symptoms related to GERD in infants, but are effective in older children, along with histological remission. Generally, PPIs are well tolerated, but it is important to not forget the possible adverse events [AE], especially if they are used for a long time.

Domestic heating systems in the UK and across northern Europe are responsible for a substantial fraction of their countries’ carbon footprints. In the UK the vast majority of home space heating is via natural gas boilers with ’wet’ hydronic radiator systems. Most of those use TRVs (Thermostatic Radiator Valves) to avoid overheating, improve comfort and save energy. To meet Net Zero targets 20 million such UK gas systems may be retrofitted with heat pumps. Heat pump system designers and installers are cautious about retaining TRVs in such retrofitted systems in part because of worries that TRV temperature setbacks that lower heat demand may actually raise heat pump electricity demand in a "bad setback effect", thus wasting energy. This paper presents a new view of heat pump control and provides the first exploration of this issue, modelling one such industry claim, and finds that though real it should not apply to typical UK retrofits with weather compensation. The energy efficiency benefits of TRVs for older and partly-occupied homes, and to keep bedrooms cooler, remain valid. Comfort-seeking householders and installers should know that setting ’stiff’ temperature regulation may invoke the bad setback effect and cost dearly in energy and carbon footprint.

Dacomitinib is an irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor indicated for the treatment of patients with advanced non-small cell lung cancer (NSCLC) and EGFR-activating mutations. Proton pump inhibitors decreased dacomitinib exposure. This anal-ysis summarizes the effect of H2RA on dacomitinib exposure. A within-patient comparison of steady-state trough concentrations (Ctrough,ss) of dacomitinib and its active metabolite and active moiety with and without concomitant use of H2RA was conducted using a linear mixed effects model with pooled data from 11 clinical studies in patients with NSCLC. An oral absorption PBPK model was constructed and verified using clinical PK data after a single dose of dacomitinib in healthy volunteers to estimate the effect of gastric pH altered by an H2RA on dacomitinib PK. The adjusted geometric mean of dacomitinib Ctrough,ss of dacomitinib parent, metabolite and active moiety following co-administration with H2RA was approximately 86%, 104% and 100% relative to that following dacomitinib 45 mg administration without H2RA (P>0.05). The PBPK modeling showed negligible change in dacomitinib Cmax and AUC over 0-24 hours after H2RA administra-tion, when compared with those administered dacomitinib alone. Co-administration of an H2RA with dacomitinib is not expected to have any clinically relevant effect on dacomitinib exposure.

pump as turbine (PAT); computational fluid dynamics; variable rotational nominal speed; OpenFoam.

The membrane potential or resting potential of the neuron has been the subject of many studies. Although this theory explains the generation and maintenance of the membrane potential by direct or even facilitated diffusion, there are too many contradictions to doubt that these forces are sufficient or even at work in a process whose initial conditions are of rare complexity. The aim of this article is to show that already in the past, a competing theory has been developed whose hypothesis seems more scientifically sound. To confirm this last theory, Hirohisa Tamagawa carried out an experiment of great simplicity which makes it possible to invalidate the current theory and to question the teaching and the knowledge in Biology and Biophysics.

The generation and maintenance of membrane potential is a fundamental part of Membrane Pump Theory. One of the key points of this hypothesis is based on a natural or facilitated molecular diffusion through several types of ion channels and pumps like the Na/K ATPase. Following the principles of chemistry, electrostatics and geometry, it becomes clear that ion channels cannot function in this way. The ions channels cannot by their location have both a filter function and be ion concentrators, and the Na/K pump by its position in the membrane and by the proposed assumptions is not able to perform its regulatory function. The current model must absolutely be revised according to the current state of our knowledge and allow an advance in the understanding of the phenomena opening new research perspectives.

As one of the representatives of emerging metallic transition metal dichalcogenides, niobium ditelluride (NbTe₂) has attracted intensive interest recently due to its distorted lattice structure and unique physical properties. Here, we report on the ultrafast carrier dynamics in NbTe₂ measured using time-resolved pump-probe transient reflection spectroscopy. A thickness-dependent carrier relaxation time is observed, exhibiting a clear increase in the fast and slow carrier decay rates for thin NbTe₂ flakes. In addition, pump power dependent measurements indicate that the carrier relaxation rates are power-independent, with the peak amplitude of the transient reflectivity increasing linearly with pump power. Isotropic relaxation dynamics in NbTe₂ is also verified by performing polarization-resolved pump-probe measurements. These results provide an insight into the light-matter interactions and charge carrier dynamics in NbTe₂ and will pave the way for its applications to photonic and optoelectronic devices.

Novel molecular pinball machines of the plasma membrane control cytosolic Ca²⁺ levels that regulate plant metabolism. [https://youtu.be/zABg7LiBk88] Essential components involve: 1. an auxin-activated proton pump; 2. arabinogalactan glycoproteins (AGPs); 3. Ca²⁺ channels; 4. auxin-efflux “PIN” proteins. Typical pinball machines release pinballs that trigger various sound and visual effects. However, in plants “proton pinballs” eject Ca²⁺ bound by paired glucuronic acid residues of numerous glycomodules in periplasmic AGP-Ca²⁺. Freed Ca²⁺ ions flow down the electrostatic gradient through open Ca²⁺ channels into the cytosol thus activating numerous Ca²⁺-dependent activities.Clearly cytosolic Ca²⁺ levels depend on activity of the proton pump, the state of Ca²⁺ channels and size of the periplasmic AGP-Ca²⁺ capacitor: Proton pump activation is a major regulatory focal point tightly controlled by the supply of auxin: auxin efflux carriers conveniently known as “PIN” proteins [null mutants are pin-shaped!] pump auxin from cell to cell. Mechanosensitive Ca²⁺ channels and their activation by reactive oxygen species (ROS) are yet another factor regulating cytosolic Ca²⁺.Cell expansion also triggers proton pump/pinball activity by mechanotransduction of wall stress via Hechtian adhesion thus forming a Hechtian oscillator that underlies cycles of wall plasticity and oscillatory growth.Finally, Ca²⁺ homeostasis of plants depends on cell surface external storage as source of dynamic Ca²⁺, unlike the internal ER storage source of animals where the added regulatory complexities ranging from vitamin D to parathormone contrast with the elegant simplicity of plant life. This paper summarises a sixty year Odyssey.

We describe a novel machine that uses the greater-than-100% efficiency of air/ground-source heat pumps to recursively generate electricity via steam-powered generators, taking thermal energy from the ambient environment to convert into electrical power. The invention of a machines that generate clean power at low costs will be fundamental to the future of electricity. We estimate efficiency and calculate minimum efficiencies for unknown parts to consider the applicability of this machine to the real world.

Three-temperature heating systems consist of a heat engine and a heat pump, enabling thus maximum usage of the primary thermal source for the heating of buildings. This analysis has revealed obvious advantages and disadvantages that the combining of thermodynamic systems has in future development, also with respect to environmental and economic issues. It appears that the combination of a Stirling engine or a similar heat drive with a heat pump is especially suitable. In order to analyze the effectiveness of such a system, a comprehensive calculation procedure is used: its basis lies in accounting for all types of energy and their relationship to the original natural resource. The present paper aims to point out that the combination of Stirling engine and a heat pump is a useful solution thanks to the most favorable resultant economic impact if compared to the usage of a diesel, four-stroke gas, or, most commonly used, electric drive.

The effects of the climate crisis are affecting ecosystems at different scales and magnitudes. This paper focuses on a massive Mediterranean mussel die-off observed along the middle Italian Adriatic coast in the summer of 2022. We considered the possible environmental causes of this phenomenon and carried out a climatic analysis of the last decade. We performed field surveys in different locations along a 16 Km coastal stretch (from Martinsicuro (TE) on the South, to Grottammare (AP) on the North). The study area includes two marine Sites of Community Importance under the European Natura 2000 network. The mussels die-off has interested practically all the natural mussel-beds colonizing the study area. Mussels are sessile filter-feeding organisms inhabiting the intertidal zone, therefore, are highly exposed to variations in environmental conditions such as temperature and nutrient load. We discuss the possible causes of this die-off, proposing that high temperature and the scarce availability of food acted simultaneously as stress factors, generating local unsustainable living conditions for this species.

We developed and applied a method for characterizing bacterial promoters genome-wide by in vitro transcription coupled to transcriptome sequencing specific for native 5’-ends of transcripts. This method called ROSE (Run-Off transcription/RNA-SEquencing), only requires chromosomal DNA, ribonucleotides, RNA polymerase (RNAP) core enzyme, and a specific sigma factor, recognizing the corresponding promoters, which have to be analyzed. ROSE was performed on E. coli K-12 MG1655 genomic DNA using E. coli RNAP holoenzyme (including σ70) and yielded 3,226 transcription start sites, 2,167 of which were also identified in in vivo studies, and 598 were new. Many new promoters not yet identified by in vivo experiments might be repressed under the tested conditions. Complementary in vivo experiments with E. coli K-12 strain BW25113 and isogenic transcription factor gene knockout mutants of fis, fur, and hns were used to test this hypothesis. Comparative transcriptome analysis demonstrated that ROSE could identify bona fide promoters that were apparently repressed in vivo. In this sense, ROSE is well-suited as a bottom-up approach for characterizing transcriptional networks in bacteria and ideally complementary to top-down in vivo transcriptome studies.

Our knowledge of physics and chemistry is relatively well defined. Results from that knowledge are predictable as, largely, are those of their technical offspring such as electrical, chemical, me-chanical and civil engineering. By contrast biology is relatively unconstrained and unpredictable. A factor common to all areas is the trade-off, which provides a means of defining and quantifying a problem and, ideally, its solution. In order to understand the anatomy of the trade-off and how to handle it, its development (as the dialectic) is tracked from Hegel and Marx to its implementa-tion as dialectical materialism in Russian philosophy and TRIZ, the Theory of Invention. With the ready availability of mathematical techniques, such as multi-objective analysis and the Pareto set, the trade-off is well-adapted to bridging the gaps between the quantified and the unquantifiable, allowing modelling and the transfer of concepts by analogy. It is thus an ideal tool for biomimet-ics. An intracranial endoscope can be derived with little change from the egg-laying tube of a wood wasp. More complex transfers become available as the technique is developed. Most im-portant, as more trade-offs are analyzed, their results are stored to be used again in the solution of problems. There is no other system in biomimetics which can do this.

Eddy current testing can be used to interrogate steels but it is hampered by the lift-off distance of the sensor. Previously, the lift-off point of intersection (LOI) feature has been found for the pulsed eddy current (PEC) testing. In this paper, a lift-off invariant inductance (LII) feature is proposed for the multi-frequency eddy current (MEC) testing, which merely targets the ferromagnetic steels. That is, at a certain working frequency, the measured inductance signal is found nearly immune to the lift-off distance of the sensor. Such working frequency and inductance are termed as the lift-off invariant frequency (LIF) and LII. Through simulations and experimental measurements of different steels under the multi-frequency manner, the LII has been verified to be merely related to the sensor parameters and independent of different steels. By referring to the LIF of the test piece and using an iterative inverse solver, one of the steel properties (either the electrical conductivity or magnetic permeability) can be reconstructed with a high accuracy.

In many advanced industrial applications, the thickness is a critical index, especially for metallic coatings. However, the variance of lift-off spacing between sensors and test pieces affects the measured voltage or impedance, which leads to unreliable results from the sensor. Massive research works have been proposed to address the lift-off issue, but few of them applies to the thickness measurement of planar metallic films with finite-size circular (disk) geometry. Previously, a peak-frequency feature from the swept-frequency inductance was used to compensate the measurement error caused by lift-offs, which was based on the slow-changing rate of impedance phase term in the Dodd-Deeds formulas. However, the phase of measured impedance is nearly invariant merely on a limited range of sample thicknesses and working frequencies. Besides, the frequency sweeping is time-consuming, where a recalibration is needed for different sensor setups applied to the online real-time measurement. In this paper, a single-frequency algorithm has been proposed, which is embedded in the measurement instrument for the online real-time retrieval of thickness. Owing to the single-frequency measurement strategy, the proposed method does not need to recalibrate for different sensor setups. The thickness retrieval is based on a triple-coil sensor (with one transmitter and two receivers). The thickness of metallic disk foils is retrieved from the measured electrical resistance of two transmitter-receiver sensing pairs. Experiments on materials of different electrical conductivities (from direct current), thicknesses and planar sizes (radii) have been carried out to verify the proposed method. The error for the thickness retrieval of conductive disk foils is controlled within 5 % for lift-offs up to 5 mm.

For the electromagnetic eddy current testing, various methods have been proposed for reducing the lift-off error on the measurement of samples. In this paper, instead of eliminating the measurement error caused by the lift-off effect, an algorithm has been proposed to directly measure the lift-off distance between the sensor and non-magnetic conductive plates. The algorithm is based on a sample-independent inductance (SII) feature. That is, under high working frequencies, the inductance is found sensitive to the lift-off distance and independent of the test piece under an optimal single high working frequency (43.87 kHz). Furthermore, the predicted lift-off distance is used for the thickness prediction of the non-magnetic conductive samples using an iterative method. Considering the eddy current skin depth, the thickness prediction is operated under a single lower frequency (0.20 kHz). As the inductance has different sensitivities to the lift-off and thickness, the prediction error of the sample thickness is different from that of the lift-off distance. From the experiments on three different nonmagnetic samples – aluminium, copper, and brass, the maximum prediction error of the lift-off distance and sample thickness is 1.1 mm and 5.42 % respectively at the lift-off of 12.0 mm.

Previously, various techniques have been proposed for reducing the lift-off effect on the thickness measurement of the non-magnetic films, including the peak-frequency feature and phase feature in the Dodd-Deed analytical formulation. To realise a real-time feedback response on the thickness monitoring, the phase term in the Dodd-Deeds formulation must be taken off the integration. Previous methods were based on the slow change rate of the phase term when compared to the rest of the term – the magnitude term. However, the change rate of the phase term is still considerable for a range of working frequencies. In this paper, a high-frequency feature has been found. That is, the ratio between the imaginary and real part of the phase term is proportional to the integral variable under high frequencies. Based on this proportion relationship, the phase term has been taken out; and a thickness algorithm has been proposed. By combing the measured impedance from the custom-built sensor (three coils), the thickness of the metallic film can be reconstructed. Experiments have been carried out for the verification of the proposed scenario. Results show that the thickness of the metal film can be reconstructed with a small error of less than 2 %, and immune to a reasonable range of lift-offs.

Aluminum wire is a common material for wire bonding due to its resistance to oxidation and low price. It does not melt when becoming a free air ball (FAB) during the electronic flame-off (EFO) process with wettability, and is applied by wedge bonding. This study used 20μm Zn-Coated Al-0.5wt.%Si (ZAS) wires to improve the FAB shape after the EFO process, while maintaining stability of the mechanical properties, including the interface bonding strength and hardness. In order to test circuit stability after ball bonding, the current-tensile test was performed. During the experiment, it was found that 80nm ZAS with wire bonding has lower resistance and higher fusing current. For the bias tensile test, the thicker Zn film diffused into the Al-Si matrix easily, after which the strength was reduced. The ball-bond interfaces had no change in their condition before and after the bias. Accordingly, ZAS could be a promising candidate for ball bonding in the future.

The use of renewable fuels for internal combustion engines marks a significant stride towards sustainability in transportation and power generation. Ensuring the compatibility of these fuels with existing diesel engines and infrastructure is paramount for a smooth transition. Diesel engines ca-pable of harnessing the advantages of alternative fuels without extensive modifications offer a pragmatic approach to sustainable power for vehicles and industries. This article investigates the impact of carbon neutral renewable fuel types (HVOs and biodiesel) on the operation of the high-pressure injection pump, focusing on rotational speed and delivery pressure as key parame-ters. Investigations, based on pump operating cycle analysis and volumetric efficiency measure-ments, reveals that while speed dependence is moderate, fuel type significantly influences pump performance. Hydrogenated carbon-neutral fluids (HVOs) demonstrate adequate capabilities compared to conventional fossil fuels, offering promising prospects for reducing environmental impact. The findings underscore the importance of considering fuel properties, particularly com-pressibility modulus. These insights provide valuable guidance for the advancement of sustainable transportation and industrial systems.

Small submersible drainage pumps discharge leaking water and rainwater in buildings. In an emergency (e.g., heavy rain or accident), monitoring the flow rate in advance is necessary to enable optimal operation, considering the point where the pump operates abnormally when the water level increases rapidly. In another, pump performance optimization is crucial for energy saving policy. Therefore, it is necessary to meet the challenges of submersible pump systems, including sustainability and pump efficiency. The final goal of this study is to develop an energy-saving, high-efficiency submersible drainage pump capable of responding to emergencies. In particular, this paper targeted the hydraulic performance improvement of a submersible drainage pump model. Before the development of driving mode-related technology capable of emergency response, we first tried to find a way to improve the performance characteristics of the existing submersible drainage pump. Rather than designing a new pump, we disassembled the current pump and reverse engineering. Then, numerical simulation was performed to analyze the flow characteristics and efficiency of the pump. Then, the pump test was carried out to obtain the performance and validated with numerical results. Results revealed that changing the cross-sectional shape of the impeller reduced the flow separation and enhanced velocity and pressure distributions. Also, it reduced the power and increased efficiency. Results also showed that the pump's efficiency increased to 5.56% at a discharge rate of 0.17 m3/min, and overall average efficiency increased to 6.53%. In addition, the submersible pump design method could be suitable for the optimized pump's impeller and casing numerically. This paper can provide insight and information on the design optimization of pumps.

This paper proposes a circuit model of Cross-Coupled CMOS AC – DC Charge Pump (XC – CP) operating in subthreshold region. The aim is improving the efficiency to design XC – CPs with variety of specifications, e.g., input and output voltages and AC input frequency. First, it is shown that the output resistance (Ro) of XC – CP is much higher than those of CPs with single diodes (SD – CP) and ultra-low-power diodes (ULPD – CP) as charge transfer switches (CTSs). Second, the reason behind the above feature of XC – CP is identified by a simple model that the gate-to-source voltages of CTS MOSFETs are independent of the output voltage of the CP. Third, high but finite Ro of XC – CP is explainable with a more accurate model that includes the dependence of the saturation current of MOSFETs operating in subthreshold region on the drain-to-source voltage which is a function of the output voltage of CP. The model was in good agreement with measured and simulated results of XC – , SD – and ULPD – CPs fabricated in 250 nm CMOS.

The German government's ambitious goal of achieving CO2-neutrality by 2045 has prompted a focus on improving building insulation as a vital step toward energy efficiency. However, in this process, existing radiators and boilers are often left unchanged, leading to inefficiencies due to oversized heating systems. This paper presents various approaches to reduce the required radiator inlet temperature, drawing on data from 100 multifamily buildings. The approaches include heat reserve reduction, heat power shifting, uniform radiator usage, and heat requirement analysis. These approaches collectively aim to lower flow temperatures and decrease peak heat loads, reducing energy consumption, and minimizing waste in compliance with the user comfort temperature. The findings reveal that the application of these methods can lead to substantial temperature reductions, with an average decrease of 20.82 K and 7.28 K for the highest necessary flow temperature in the provided example. Furthermore, peak load reductions of 21.07% and 13.65% were achieved, demonstrating the potential to enhance energy efficiency. While each approach can be applied individually, their synergistic implementation can highly increase the efficiency of water to x heat pumps, due to the lower required flow temperatures.

Ankle joint flexion and extension exercises play an important role in the rehabilitation training of patients who have been injured or bedridden for a long time before and after surgery. Accurately guiding patients to perform ankle flexion and extension exercises can significantly reduce deep vein thromboembolism. Currently, most ankle rehabilitation devices focus on assisting patients with ankle flexion and extension movements, and there is a lack of devices for effectively monitoring these movements. In this study, we designed an ankle joint flexion and extension movement monitoring device based on a pressure sensor. It is composed of an STM32 microcontroller, a pressure sensor, an HX711A/D conversion chip, and an ESP8266 WiFi communication module. The value of force and effective number of ankle joint flexion and extension movements were obtained. An experimental device was designed to verify the accuracy of the system. The results showed that the device can effectively monitor and control ankle flexion and extension movements remotely, ultimately ensuring that the patient can effectively monitor and grasp the active ankle pump movement.

Mechanical circulatory support has proven effective in managing postcardiotomy cardiogenic shock by stabilizing patients' hemodynamics and ensuring adequate organ perfusion. Among the available device modalities, the combination of extracorporeal life support and a microaxial flow pump for left ventricular unloading has emerged as a valuable tool in the surgical arma-mentarium. In this publication, we provide recommendations for the application and weaning of temporary mechanical circulatory support in cardiogenic shock patients, derived from a con-sensus among leading cardiac centers in German-speaking countrie

Battery-powered electric vehicles (EVs) have emerged as an environmentally friendly and efficient alternative to traditional internal combustion engine vehicles, while their single-charge driving distances under cold conditions are significantly limited due to the high energy consumption of heating systems. Heat pumps can provide an effective heating solution for EVs, but their coefficient of performance (COP) is hampered by heat transfer deterioration due to frost accumulation. This study proposes a solution to this issue by introducing a microchannel heat exchanger (MHE) with superhydrophobic surface treatment (SHST) as a heat pump evaporator. A computational-fluid-dynamics MHE model and a dynamic heat pump model are developed and rigorously validated to examine the detrimental impact of frost accumulation on heat transfer, airflow resistance, and heat pump performance. When the frost layer thickness is 0.8 mm at a given air-side velocity of 1.0 m/s, the air-side heat transfer coefficient can be reduced by about 75%, and the air-side pressure drop sharply increases by 28.4 times. As frost thickness increases from 0 to 0.8 mm, the heating effect drops from 3.97 to 1.82 kW, and the system COP declines from 3.17 to 2.30. Experimental results show that the frost thickness of the MHE with SHST reaches approximately 0.4 mm after 30 minutes, compared to that of 0.8 mm of the MHE without SHST, illustrating the defrosting capability of the superhydrophobic coating. The study concludes by comparing the performance of various heating methods in EVs to highlight the advantages of SHST technology. As compared to traditional heat pumps, the power consumption of the proposed system is reduced by 48.7% due to the defrosting capability of the SHST. Moreover, the single-charge driving distance is extended to 327.27 km, an improvement of 8.99% over the heat pump without SHST.

Economic expedience of waste heat recovery systems (WHRS), especially for low temperature difference applications, is often questionable due to high capital investments and long pay-back periods. By its simple design isobaric expansion (IE) machines could provide a viable pathway to utilize otherwise unprofitable waste heat streams for power generation and particularly for pumping liquids and compression of gases. Different engine configurations are presented and discussed. A new method of modelling and calculation of the IE process and efficiency is used on IE cycles with various pure and mixtures as a working fluid. Some interesting cases are presented. It is shown in this paper, that the simplest non-regenerative IE engines are efficient at low temperature differences between a heat source and heat sink. Efficiency of non-regenerative IE process with pure working fluid can be very high approaching Carnot efficiency at low pressure and heat source/heat sink temperature differences. Regeneration permits to increase efficiency of the IE-cycle to some extent. Application of mixed working fluids in combination with regeneration permits to significantly increase the range of high efficiencies to much larger temperature and pressure differences.