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(1) Background and Objectives: Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with increased morbidity and mortality both in the general population and heart failure patients. Inflammation may promote the initiation, maintenance and perpetuation of AF, but the impact of inflammatory molecular signaling on the association between AF and heart failure remains elusive. (2) Materials and Methods: In 111 patients with chronic stable heart failure, baseline values of conventional (IL-6 and hsCRP) and selected novel inflammatory biomarkers (IL-10, IL-6/IL-10 ratio, orosomucoid and endocan) were determined. Inflammatory biomarkers were compared with respect to the presenting cardiac rhythm. (3) Results: Patients aged below 75 years with AF had significantly higher values of IL-6 and IL-6/IL-10 ratio; IL-6 levels were a significant predictor of AF in both univariate (OR 1.175; 95%CI 1.013–1.363; p = 0.034) and multivariate logistic regression analysis when accounting for other inflammatory biomarkers (OR 1.327; 95% CI 1.068–1.650; p = 0.011). Conversely, there was no association between other novel inflammatory biomarkers and AF. (4) Conclusions: IL-6 levels and the IL-6/IL-10 ratio are associated with AF in patients with chronic stable heart failure under the age of 75 years, suggesting that inflammatory molecular signaling may play a role in the development of AF in the heart failure population.

This article presents the properties of a Ti coating (angle of grain growth, thickness of the deposited layer, adhesion, and roughness of the deposited layer) deposited on the inner surface of a steel tube. The Ti coating was deposited using the EB PVD (electron beam physical vapor deposition) method. The areas in which the measurements were carried out are defined by the height of the measured area under the target (from 305 to 425 mm) and the radius of the tube (from 100 to 140 mm). The measurements showed that the angle of grain growth is in an interval from 40 to 61°. The results of the statistical analysis demonstrate that the height of the measured area and the tube radius significantly impact the angle of grain growth and adhesion. On the other hand, the impact of the height of the measured area and the tube radius on the roughness of the applied coating was not confirmed.

Cardiac rehabilitation (CR) plays a crucial role in managing patients who have undergone coronary intervention (CI) following acute myocardial infarction. While water-based exercise is gaining recognition as an exercise modality in this patient population, its impact on the subgroup of older adults remains unexplored. In this post hoc analysis, we investigated the effects of water-based exercise on adults older than 60 years undergoing CR after CI, comparing it to land-based exercise and a control group. In total, 45 patients aged over 60 participated in 14-day exercise programs, featuring two daily 30-min sessions. We assessed exercise capacity (VO2peak), vascular function (flow-mediated vasodilation (FMD)), heart rate variability (HRV), and blood markers (Interleukins 6, 8, and 10, P-Selectin, ICAM, and High-sensitivity CRP) before and after CR. VO2peak in the water-based group improved significantly after CR in comparison with the land-based group: 1.35 kg/mL/min (95% CI [0.20–2.50], p = 0.022). The significant difference between water-based and land-based groups was observed in several HRV parameters: Total power −1129.20 ms2 (95% CI [−1951.92–−306.49], p = 0.008); peak LF 0.04 Hz (95% CI [0.00–0.08], p = 0.036); SD1 −9.02 millisecond (95% CI [−16.86–−1.18], p = 0.025); and SD2 −19.71 ms (95% CI [−35.08–−4.34], p = 0.013). FMD and blood markers did not vary significantly based on the exercise group. These findings suggest that short-term water-based CR may have potential as an alternative to traditional land-based CR, improving VO2peak and cardiorespiratory fitness among adults over 60 years undergoing CR after CI.

In connection with the growing importance of the efficiency and reliability of tools in industrial sectors, our research represents a key step in the effort to optimize production processes and increase their service life in real conditions. The study deals with the comparison of the tribological properties of three tool steels, two of which were produced by the powder metallurgy method—ASP2017 and ASP2055—and the last tool steel underwent the conventional production method—X153CrMoV12. The samples were mechanically machined with the finishing technology of turning and, finally, heat treated (Q + T). The study focused on the evaluation of hardness, resulting microstructure, wear resistance, and coefficient of friction (COF). The ball-on-disc method was chosen as part of the COF and wear resistance test. The tribological test took place at room temperature with dry friction to accelerate surface wear. The pressing material was a hardened steel ball G40 (DIN 100Cr6). Measurements were performed at loads of 10 N, 6 N, and 2 N and turning radii of 13 mm, 18 mm, and 23 mm, which represents a peripheral speed of 0.34, 0.47, and 0.60 m/s. The duration of the measurement for each sample was 20 min. The results showed that the COF of powder steels showed almost the same values, while a significant difference occurred with the increase of the radius rotation in the case of conventional steel. The results within the friction mechanism showed two types of wear, namely, adhesive and abrasive wear, depending on the Q + T process. From a tribological point of view in terms of wear, it was possible to state that the material ASP2055 after Q + T showed the lowest rate of wear of all the tested steels.

Venous aneurysms are rare vascular malformations that can lead to significant clinical complications, including thrombosis, pulmonary embolism, rupture, and even fatal outcomes when not promptly and adequately managed. This case report presents a liver transplant patient under immunosuppressive therapy who developed a rapidly progressing great saphenous vein aneurysm, ultimately requiring urgent surgical intervention due to acute bleeding from the ruptured aneurysm. Immunosuppression emerges as a potential key factor in the formation and rapid growth of the aneurysm, with the pathophysiological mechanism potentially involving increased expression of specific matrix metalloproteinases. Further research is warranted to gain a better understanding of the role of immunosuppression in the development of venous aneurysms.

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Experiments with changes in motion geometry can provide valuable data for engineering and development purposes, allowing a better understanding of the influence of tribological factors on the performance and service life of joints. The presented subject article focused on the experimental investigation of the influence of the geometry of the movement of the friction process on the change in the tribological properties of 30CrNiMo8 steel. The friction process was carried out without the use of a lubricant in contact with a steel ball of G40 material with a diameter of 4.76 mm. The steel ball performed two types of movement on the surface of the experimental material. The first method used was ball on disc, in which the ball moved reciprocally in an oval direction at an angle of 180° on a circumferential length of 35 mm at a speed of 5 mm/s. The second method consists of the same input parameters of the measurement, with the difference that the path along which the ball moved had a linear character. The load during the experiment was set at a constant value of 50 N with 1000 repetitions. The results show that with the ball on disc method, there was an increase in wear by 147% compared to the linear test method, which was approximately a coefficient of increase in wear of 2.468. EDS analysis pointed to the occurrence of oxidative wear that affected the resulting COF values, which were lower by 8% when using the ball on disc method due to a more uniform distribution of O and C on the surface of the friction groove where these elements acted as solid microlubricants. With the ball on disc method, defects in the form of microcracks occurred, which affected the reduction in the values of the depth of the affected area of microhardness.

Heart failure remains a major global burden regarding patients’ morbidity and mortality and health system organization, logistics, and costs. Despite continual advances in pharmacological and resynchronization device therapy, it is currently well accepted that heart transplantation and mechanical circulatory support represent a cornerstone in the management of advanced forms of this disease, with the latter becoming an increasingly accepted treatment modality due to the ongoing shortage of available donor hearts in an ever-increasing pool of patients. Mechanical circulatory support strategies have seen tremendous advances in recent years, especially in terms of pump technology improvements, indication for use, surgical techniques for device implantation, exchange and explantation, and postoperative patient management, but not in the field of treatment of critically ill patients and those undergoing cardiac arrest. This contemporary review aims to summarize the collected knowledge of this topic with an emphasis on complications in patients with left ventricular assist devices, their treatment, and establishing a clear-cut algorithm and the latest recommendations regarding out-of-hospital or emergency department management of cardiac arrest in this patient population.

The presented work deals with the investigation of mechanical tribological properties on Inconel 625 superalloy, which is welded on a 16Mo3 steel pipe. The wall thickness of the basic steel pipe was 7 mm, while the average thickness of the welded layer was 3.5 mm. The coating was made by the cold metal transfer (CMT) method. A supercritical bending of 180° was performed on the material welded in this way while cold. The mechanical properties evaluated were hardness, wear resistance, coefficient of friction (COF) and change in surface roughness for both materials. The UMT Tribolab laboratory equipment was used to measure COF and wear resistance by the Ball-on-flat method, which used a G40 steel pressure ball. The entire process took place at an elevated temperature of 500 °C. The measured results show that the materials after bending are reinforced by plastic deformation, which leads to an increase in hardness and also resistance to wear. Superalloy Inconel 625 shows approximately seven times higher rate of wear compared to steel 16Mo3 due to the creation of local oxidation areas that support the formation of abrasive wear and do not create a solid lubricant, as in the case of steel 16Mo3. Strain hardening leads to a reduction of possible wear on Inconel 625 superalloy as well as on 16Mo3 steel. In the case of the friction process, the places of supercritical bending of the structure showed the greatest resistance to wear compared to the non-deformed structure.

Background: Heart failure with preserved ejection fraction (HFpEF) is a complex and heterogeneous clinical syndrome. In the absence of effective and potent treatment strategies, the main challenge in HFpEF management remains the availability of strong predictors of unfavourable outcomes. In our study, we sought to evaluate the potential prognostic value of heart rate turbulence (HRT) and variability (HRV) parameters on mortality in ambulatory HFpEF patients. Methods: This was a case–control study comparing HRT and HRV parameters in HFpEF survivors vs. non-survivors. Patients from the RESPOND Heart Failure Registry with HFpEF who underwent 24 h ECG monitoring (Holter) were included; HRT parameters (i.e., turbulence onset (TO) and turbulence slope (TS)) and HRV parameters (i.e., standard deviation of NN intervals (SDNN)) derived from 24 h Holter ECGs were calculated in patients who died within 12 months, and compared to their age-, gender-, LVEF-, ECHO-, aetiology-, and therapy-matched alive controls. Results: A total of 22 patients (mean age 80 ± 7 years, 18% female, mean LVEF 57 ± 9%) were included in the final analysis. In deceased patients, values of TO were significantly higher, and values of TS and SDNN were significantly lower as compared to survivors. Conclusions: HRT and HRV parameters have the ability to differentiate individuals with HFpEF who are at the greatest risk of unfavourable outcomes. The extent of autonomic disbalance as determined by HRT and HRV could potentially assist in the prognostic assessment and risk stratification of HFpEF patients.